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Reflections on Using the Eating Disorders Examination to Assess Eating Disorder Pathology in Queer Men.

Emma Austen1, Jocelyn R Clarke1,2, Isabel Chua1

  • 1Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.

The International Journal of Eating Disorders
|August 13, 2025
PubMed
Summary

Queer men face appearance pressures that can affect eating disorder assessments. Clinicians should understand these pressures to administer the Eating Disorder Examination (EDE) accurately.

Keywords:
eating disorder examinationeating disordersmenqualitativequeer men

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Eating Disorders

Background:

  • Queer men experience significant appearance-related pressures contributing to eating disorder risk.
  • The Eating Disorder Examination (EDE) is a standard assessment, but its administration may be impacted by unique factors in queer men.

Purpose of the Study:

  • To provide practical guidance for clinicians and researchers using the EDE with queer men.
  • To qualitatively explore interviewers' experiences administering the EDE to queer men.

Main Methods:

  • 179 queer men were assessed using the EDE by 13 psychologists in Australia.
  • Interviewers provided written reflections on their experiences, analyzed via reflexive thematic analysis.

Main Results:

  • Interviewers observed that appearance norms among queer men can hinder insight into disordered eating, despite distress.
  • The EDE was found to help men gain insight into their behaviors.
  • Dieting norms influenced participants' perception of food quantities, aiding in distinguishing eating episodes.

Conclusions:

  • Clinicians must recognize subcultural appearance pressures in queer men that may lead to underreporting or misjudgment of disordered eating.
  • Awareness of these pressures enhances the accurate administration of the EDE in this population.