Moving toward targeted eating disorder care for transgender, non‐binary, and gender expansive patients in the United States.
Objective: Literature suggests that transgender, non‐binary, and/or gender expansive (TNG) people are more likely than cisgender peers to experience eating disorders (EDs) and engage in dangerous weight control behaviors. TNG individuals with EDs are dramatically higher risk for self‐harm behaviors,...
| Publicado en: | International Journal of Eating Disorders Vol. 56; no. 12; pp. 2210 - 2223 |
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| Autores principales: | , |
| Formato: | Artículo |
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Wiley-Blackwell
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=174272189&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 174272189 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02763478 IJD jtl: International Journal of Eating Disorders issn: 02763478 maglogo: Y pubinfo: dt: Dec2023 vid: 56 iid: 12 pid: 480 pub: Wiley-Blackwell artinfo: ui: 174272189 10.1002/eat.24055 ppf: 2210 ppct: 13 formats: tig: atl: Moving toward targeted eating disorder care for transgender, non‐binary, and gender expansive patients in the United States. aug: au: Goetz, Teddy G. Wolk, Courtney Benjamin affil: Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia Pennsylvania,, USA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia Pennsylvania,, USA su: United States Treatment of eating disorders Interviewing Mental health Nonbinary people Gender-nonconforming people Patients' attitudes Qualitative research Psychosocial factors Needs assessment Psychiatric treatment Mental health personnel Gender affirming care Attitudes of medical personnel Stakeholder analysis Research methodology Conceptual structures Research funding Descriptive statistics Integrated health care delivery Thematic analysis Medical needs assessment sug: subj: Treatment of eating disorders Interviewing Mental health Nonbinary people Gender-nonconforming people Patients' attitudes Qualitative research Psychosocial factors Needs assessment Psychiatric treatment United States Offices of Mental Health Practitioners (except Physicians) Mental health personnel Gender affirming care Attitudes of medical personnel Stakeholder analysis Research methodology Conceptual structures Research funding Descriptive statistics Integrated health care delivery Thematic analysis Medical needs assessment keyword: disordered eating eating disorder gender‐affirming implementation science mental health non‐binary qualitative methods transgender disordered eating eating disorder gender‐affirming implementation science mental health non‐binary qualitative methods transgender ab: Objective: Literature suggests that transgender, non‐binary, and/or gender expansive (TNG) people are more likely than cisgender peers to experience eating disorders (EDs) and engage in dangerous weight control behaviors. TNG individuals with EDs are dramatically higher risk for self‐harm behaviors, suicidal ideation, and suicidal behaviors than cisgender peers with EDs or TNG peers without EDs, and often engage in ED symptoms/behaviors to alleviate gender dysphoria. Yet, no treatment paradigms have yet been adapted for TNG‐specific ED care. This qualitative study aims to identify stakeholder needs from such care to inform future clinical interventions. Methods: We elicited patient (n = 12) and mental health clinician (n = 9) stakeholder needs and preferences regarding TNG‐specific ED care. Semi‐structured interview guides informed by the Consolidated Framework for Implementation Research (CFIR) and a behavioral insights framework, EAST, were developed to ensure uniform inclusion and sequencing of topics and allow for valid comparison across interviews. Using a rapid analysis procedure, we produced a descriptive analysis for each group identifying challenges of and opportunities in providing ED care for TNG adults. Results: Stakeholders expressed needs and preferences for TNG‐specific treatment including that it be: (1) TNG‐affirming, weight‐inclusive, trauma‐informed, and anti‐racist; (2) delivered by an interdisciplinary team, including gender‐affirming care clinicians; (3) focused on parsing gender dysphoria from other body image concerns, building distress tolerance, and working toward gender euphoria (rather than body acceptance). Discussion: Future work is needed exploring ED care delivery models that integrate gender‐affirming care services with mental health care. Such models may improve TNG access to ED treatment and recovery. Public Significance: Transgender, non‐binary, and/or gender expansive (TNG) experience disproportionately high rates of eating disorders and have unique barriers to accessing care. In individual interviews, TNG adults with eating disorders and mental health clinicians who provide psychotherapy for eating disorders voiced desire for greater availability of TNG‐affirming, weight‐inclusive eating disorder care, integrated with other gender‐affirming care services. This informs future research developing eating disorder care for TNG individuals. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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