Exploring the association between eating disorders and gender dysphoria in youth

Stephen Feder · Leanna Isserlin · Emily Seale · Nicole G. Hammond · Mark L. Norris

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior LGBTQ Health, Identity, and Policy

Abstract

This study reviews the overlap between eating disorders (EDs) and gender dysphoria (GD) in an adolescent population. A retrospective chart review was conducted on a clinical population presenting for concerns of GD. It was noted that five of the 97 patients had been found to be suffering from an ED at presentation. An additional 10 patients were noted to have ED-related symptoms. Although ED risk was elevated in trans males and females, absolute risk was higher in trans males when compared to population based prevalence rates. Our results suggest that rates of EDs and ED-related symptoms are high in patients presenting with GD, and that standard screening for these symptoms should be considered in both populations at assessment and over the course of treatment.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2014Diagnostic and Statistical Manual of Mental Disorders, 5th ed.2012Epidemiology of Eating Disorders: Incidence, Prevalence and Mortality Rates 2014Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment 2010Puberty Suppression in Adolescents With Gender Identity Disorder: A Prospective Follow-Up Study 2012Clinical Management of Gender Dysphoria in Children and Adolescents: The Dutch Approach 2012Children and Adolescents With Gender Identity Disorder Referred to a Pediatric Medical Center 2015Body dissatisfaction and disordered eating in trans people: A systematic review of the literature

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2018Alterations in Body Uneasiness, Eating Attitudes, and Psychopathology Before and After Cross-Sex Hormonal Treatment in Patients with Female-to-Male Gender Dysphoria

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