Evidence map›Paper›PMID 34049054›Full record

ArticleEating behaviors2021

Predictors of eating-related psychopathology in transgender and gender nonbinary individuals.

Blair Uniacke, Deborah Glasofer, Michael Devlin, Walter Bockting, Evelyn Attia

Open access · greenAbstract read
In one paragraph

Article in Eating behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  11. 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 · 2025
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  17. Eating disorder symptoms among transgender and gender diverse youth.Clinical child psychology and psychiatry · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Blair UniackeDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America; Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States of America. Electronic address: blair.uniacke@nyspi.columbia.edu.
Deborah GlasoferDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America; Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States of America.
Michael DevlinDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America; Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States of America.
Walter BocktingDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America; Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States of America; Columbia University School of Nursing, 560 W. 168th Street, New York, NY, United States of America.
Evelyn AttiaDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America; Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United States of America.
Columbia University Irving Medical Center · USNew York Psychoanalytic Society and Institute · US

Funding

Identity Development, Risk, and Resilience among Gender Diverse PopulationsR01HD079603 · NICHD · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BOCKTING, WALTER O. · 2014 to 2018
$3.1M
Research Training in Biobehavioral Disturbances of Eating DisordersT32MH096679 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI EVELYN ATTIA, B. TIMOTHY WALSH · 2013 to 2026
$2.4M
NICHD NIH HHS R01 HD079603NIMH NIH HHS T32 MH096679
6 · The paper itself

Abstract

objectiveResearch examining the prevalence and severity of eating-related psychopathology in transgender and gender nonbinary individuals is limited. This study examined how identity development and minority stress relate to the presence of disordered eating behaviors and cognitions in transgender and gender nonbinary individuals, and improvement at one-year follow-up.

methodsData come from a multi-site, longitudinal study of transgender and gender nonbinary individuals (n = 287) and includes assessment of transgender congruence, receipt of gender-affirming care, minority stress, and disordered eating symptoms. Hierarchical multivariable logistic regression was used to test for associations between identity development, minority stress, and eating-related psychopathology.

resultsEighty-three participants (28.9%) met criteria for current eating-related psychopathology. Loss of control eating was the most commonly endorsed behavior, followed by laxative, diuretic, or other medication use, and compulsive exercise. Higher transgender congruence was associated with lower odds of disordered eating symptoms (OR = 0.72, 95% CI 0.55-0.94), whereas increased internalized transphobia was associated with greater odds of disordered eating symptoms (OR = 1.41, 95% CI = 1.04-1.91). Participants with eating-related psychopathology had greater odds of having received gender-affirming psychotherapy in the year prior to assessment (OR = 2.33, 95% CI = 1.32-4.14).

conclusionsResults suggest that gender identity development and internalized transphobia are associated with eating-related psychopathology in transgender and gender nonbinary individuals. Mental health providers should consider assessing all transgender and gender nonbinary individuals for eating-related psychopathology and unique risk factors associated with disordered eating, including low transgender congruence and internalized transphobia.

Indexed as

Feeding and Eating DisordersTransgender PersonsFemaleGender IdentityHumansLongitudinal StudiesMaleMental HealthEating disordersMinority stressNonbinaryTransgender

Identifiers

PMID34049054
PMCPMC8380626
OpenAlexW3161305253

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.