ArticleThe International journal of eating disorders2020
Sexual and gender minority individuals report higher rates of abuse and more severe eating disorder symptoms than cisgender heterosexual individuals at admission to eating disorder treatment.
Article in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05863598 (A Randomized Controlled Trial of an Interactive Non-Stigmatizing Intervention to Prevent Eating Disorders in Youths Through Strengthening of Protective Factors), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomized Controlled Trial of an Interactive Non-Stigmatizing Intervention to Prevent Eating Disorders in Youths Through Strengthening of Protective Factors
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Prevalence, Aetiology and Treatment of Comorbid Post-traumatic Stress Disorder and Eating Disorders in Children and Young People: A Systematic Review.Clinical child and family psychology review · 2025Pooled it
- The collateral effects of the COVID-19 pandemic: A gender-specific systematic review of disordered eating behaviour in the general population.European eating disorders review : the journal of the Eating Disorders Association · 2025Pooled it
- Mental health disparities in LGBTQIA+ populations: an umbrella review of systematic reviews and meta-analyses.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Body Image, Disordered Eating, and Eating Disorders in Gender Diverse Youth.Current pediatrics reports · 2025Article
- Emotional dysregulation, obsessive-compulsive traits, and eating disorders: three constructs for one spectrum?Journal of endocrinological investigation · 2025Observational
- Transgender and gender-diverse identity in patients with eating disorders: A national cross-sectional study.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Disordered eating in sexual and gender minority adults: the roles of gender variance, appearance anxiety, and internalized ideals.Frontiers in psychology · 2025Article
- New understandings meet old treatments: putting a contemporary face on established protocols.Journal of eating disorders · 2024Article
- Longitudinal associations between community violence exposure, posttraumatic stress symptoms, and eating disorder symptoms.Journal of eating disorders · 2024Article
- Gender-Affirming Nutrition: An Overview of Eating Disorders in the Transgender Population.Current nutrition reports · 2023Review
- Avoidant/restrictive food intake disorder (ARFID) in New Zealand and Australia: a scoping review.Journal of eating disorders · 2023Article
- Exploring the effects of gender and sexual orientation on disordered eating: an EFA to CFA study of the Eating Disorder Examination Questionnaire.Journal of eating disorders · 2023Article
- Eating disorders in sexual minority adolescents and young adults: examining clinical characteristics and psychiatric co-morbidities in an inpatient medical setting.Journal of eating disorders · 2023Article
- A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope.Journal of eating disorders · 2023Article
- Impact of COVID-19 stress on the psychological health of sexual & gender minority individuals: A systematic review.Frontiers in global women's health · 2023Review
- Management of eating disorders for people with higher weight: clinical practice guideline.Journal of eating disorders · 2022Article
- Sexual and gender minority individuals report higher rates of lifetime traumas and current PTSD than cisgender heterosexual individuals admitted to residential eating disorder treatment.Eating and weight disorders : EWD · 2022Article
- Disordered eating across COVID-19 in LGBTQ+ young adults.Eating behaviors · 2022Article
- Perceived weight gain and eating disorder symptoms among LGBTQ+ adults during the COVID-19 pandemic: a convergent mixed-method study.Journal of eating disorders · 2021Article
- LGB prevalence in schools is associated with unhealthy weight-control behaviors in lesbian, gay, and bisexual youth: a multilevel analysis.BMC public health · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Eating disorders (EDs) occur at higher rates among sexual/gender minorities (SGMs). We currently know little about the risk factor profile of SGMs entering ED specialty care.
objectiveTo (a) compare history of abuse-related risk in SGMs to cisgender heterosexuals (CHs) when entering treatment, (b) determine if SGMs enter and exit treatment with more severe ED symptoms than CHs, and (c) determine if SGMs have different rates of improvement in ED symptoms during treatment compared to CHs.
methodWe analyzed data from 2,818 individuals treated at a large, US-based, ED center, 471 (17%) of whom identified as SGM. Objective 1 was tested using logistic regression and Objectives 2 and 3 used mixed-effects models.
resultsSGMs had higher prevalence of sexual abuse (OR = 2.10, 95% CI = 1.71, 2.58), other trauma (e.g., verbal/physical/emotional abuse; OR = 2.07, 95% CI = 1.68, 2.54), and bullying (OR = 2.13, 95% CI = 1.73, 2.62) histories. SGMs had higher global EDE-Q scores than CHs at admission (γ = 0.42, SE = 0.08, p < .001) but improved faster early in treatment (γ = 0.316, SE = 0.12, p = .008). By discharge, EDE-Q scores did not differ between SGMs and CHs. DISCUSSION: Our main hypothesis of greater abuse histories among SGMs was supported and could be one explanation of their more severe ED symptoms at treatment admission compared to CHs. In addition, elevated symptom severity in SGMs at admission coincides with greater delay between ED onset and treatment initiation among SGMs-possibly a consequence of difficulties with ED recognition in SGMs by healthcare providers. We recommend increased training for providers on identifying EDs in SGMs to reduce barriers to early intervention.
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