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跨性别和性别多样性青年中饮食障碍症状

Rachel Kramer^1,2,3, Claire M Aarnio-Peterson^1,3, Lee Ann Conard^3,4

¹Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Clinical child psychology and psychiatry

|June 21, 2023

概括

变性人和性别多样化的年轻人表现出饮食障碍 (ED) 症状,受激素治疗的变性女性报告更多的暴饮暴食. 对这种脆弱人群来说,对ED行为进行早期评估和干预至关重要.

科学领域:

内分泌学在内分泌学.
精神病学是一个精神病学.
青少年医学青少年医学

背景情况:

与 cisgender 同龄人相比,跨性别和性别多样性 (TGD) 的年轻人经历了更高的饮食障碍 (ED) 症状.
性别失调和身体修饰的尝试可能会导致TGD个体的ED症状.
关于TGD年轻人性别肯定护理和ED症状之间的相互作用的研究有限.

研究的目的:

描述TGD年轻人寻求性别肯定护理的ED症状.
在TGD年轻人中调查性别肯定激素使用和ED症状之间的潜在关联.

主要方法:

一项涉及251名TGD年轻人的横截面研究.
参与者在常规临床护理期间完成了饮食障碍检查问卷 (EDE-Q).
安科瓦和负二项式回归分析了ED症状的差异和与激素使用的关联.

主要成果:

在跨性别女性和跨性别男性 (p = .09) 之间没有发现ED整体严重程度的显著差异.
勃起障碍的严重程度与性别确认激素的使用没有显著的关联 (p = .07).
使用性别肯定激素的跨性别女性报告客观暴饮暴食的比例高于不使用激素的女性 (p = .03).

结论:

超过四分之一的TGD年轻人报告ED行为,强调需要评估和干预.
青春期是ED发展的关键时期,需要对TGD年轻人进行早期干预.
虽然整体ED严重程度与荷尔蒙使用无关,但特定的行为,如过度饮食,在荷尔蒙的跨性别女性中需要注意.

关键词:

饮食障碍饮食障碍饮食障碍激素替代疗法是一种激素替代疗法.跨性别者和性别多样性年轻人年轻人年轻人年轻人年轻人年轻人

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