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Risk for body image concerns and eating disorders in transgender and gender diverse people: A theoretical overview
Rachel F Rodgers1, Katherine Laveway2, Mikki Lilley3
1APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France; Unité de Recherche Clinique et d'Innovation, Hôpital du Cotentin, Cherbourg, France.
Abstract:
Transgender and gender diverse (TGD) individuals experience disproportionate rates of body image concerns and eating disorders. Several useful theoretical frameworks have been developed to account for these increased rates, that, together, highlight the role of appearance concerns and negative affect as two principal factors in the development of these concerns. From these perspectives, eating disorders in TGD people may be understood as stemming from behavioral attempts to (1) modify appearance to bring the body closer to capital-bearing appearance ideals and/or avoid discrimination and objectification, and (2) regulate the negative affect related to daily stress, discrimination, trauma, and oppression. These theoretical pathways provide a framework for refining risk and protection models of body image concerns and eating disorders in TGD people, with the goal of advancing identification, prevention, and treatment, and improving the prioritization of resource allocation.
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