Browsing by Subject "disordered eating"

Now showing 1 - 2 of 2
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    Eating disorder symptomatology in transgender patients: Differences across gender identity and gender affirmation
    (Wiley, 2021-08) Nowaskie, Dustin Z.; Filipowicz, Andrew T.; Choi, Yena; Fogel, Janine M.; Graduate Medical Education, Office of Educational Affairs, IU School of Medicine
    OBJECTIVE: Past studies have reported high rates of eating disorder (ED) symptomatology among transgender people, yet without consideration of gender affirmation. The primary objective of this study was to evaluate the relationship between gender identity, gender affirming interventions such as gender affirming hormones (GAH) and gender affirming surgeries (GAS), and ED symptomatology. METHOD: Transgender patients at a primary care outpatient gender health program in the United States completed a survey consisting of demographics, medical history, and clinical variables, including the Eating Disorder Examination Questionnaire (EDE-Q). Multivariate analyses of covariance were conducted to compare EDE-Q scores across gender identity and gender affirmation. RESULTS: Compared to transgender men (n = 79), transgender women (n = 87) reported higher EDE-Q scores and significantly higher Eating Concern. Compared to hormone/surgery-naïve and hormone-experienced/surgery-naïve patients, hormone/surgery-experienced patients had lower EDE-Q scores. Hormone/surgery-experienced patients reported significantly lower Shape Concern and marginally lower Global Score and Weight Concern than hormone-experienced/surgery-naïve patients. There were no differences in EDE-Q scores between hormone/surgery-naïve and hormone-experienced/surgery-naïve patients. DISCUSSION: Transgender patients report high levels of ED symptomatology. There are subtle, yet important, differences in ED between gender identities and gender affirmations. High ED prevalence may result from the dual pathways of sociocultural pressures as well as gender dysphoria. Both GAH and GAS may be effective interventions to support gender affirmation and thereby alleviate ED symptomatology. While the potential positive benefits of GAS on ED are more apparent, the effects of GAH are less clear.
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    Eating Disorders in Community Mental Health
    (2021-05) Misluk-Gervase, Eileen
    One population that can benefit significantly from therapies is that of individuals with eating disorders. Based on research in the field of eating disorders, traditional talk therapy may not effectively address the complexity and needs for recovery. Using the creative process and experiential approaches the therapist can better meet the needs of the eating disorder and co-morbid diagnoses such as mood and anxiety disorders, personality disorders, and obsessive-compulsive behaviors. With the rates of eating disorder diagnoses increasing, especially among males, those from lower-socioeconomic backgrounds, and older adults, it is imperative that clinicians receive training in the treatment of eating disorders and eating related issues to meet the clinical demand. However, most graduate art therapy and counseling programs do not include treatment protocols for eating disorders as part of the required curriculum. As a result, clinicians are under-prepared to work with this vulnerable population.