证据表明,DSM-5-TR饮食障碍标准在使用饮食障碍诊断尺度的异性和变性或性别多元个体中表现不同
Anjali R Sharma1,2, Angeline R Bottera2, Sean Joo3
1Department of Clinical Child Psychology, University of Kansas, Lawrence, Kansas, USA.
The International journal of eating disorders
|September 23, 2025
概括
饮食障碍评估显示偏见,不准确地估计跨性别和性别多样性 (TGD) 个体的症状. 这项研究发现, cisgender 男人和 TGD 个体比 cisgender 女人报告症状的可能性较低,突出了对公正工具的需求.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 饮食障碍 研究 研究 研究
- 性别研究是性别研究.
背景情况:
- 变性人和性别多样性 (TGD) 个体面临更高的饮食障碍 (ED) 风险.
- 现有的ED评估可能包含项目偏差,导致TGD人群的症状估计不准确.
- 差异性项目功能 (DIF) 分析可以揭示不同人口群体的评估偏差.
研究的目的:
- 通过使用饮食障碍诊断尺度 (EDDS) 在 cisgender 男人, cisgender 女人和 TGD 个体中调查 DIF 的饮食障碍诊断标准.
- 为了确定特定的ED症状是否在心理病理等级的性别认同中得到不同认可.
- 为了确定可能影响TGD个体的ED诊断标准中的潜在偏差.
主要方法:
- 一项涉及大学生的横截面研究: cisgender 男人 (n=1240), cisgender 女人 (n=3750) 和 TGD 个人 (n=271).
- 参与者完成了饮食障碍诊断尺度 (EDDS).
- 使用概率比测试分析差异物品功能 (DIF),以检测显著的响应偏差.
主要成果:
- 与体重问题,心理社会障碍,补偿性行为和暴饮暴食症状相关的项目观察到显著的DIF.
- 与 cisgender 女性相比, cisgender 男人和TGD 个人支持这些ED 症状的可能性明显低,即使 ED 精神病理水平相似.
- 这表明EDDS项目在不同的性别认同中存在响应偏差.
结论:
- 这项研究是第一个专门在TGD人群中检查ED诊断标准中的DIF.
- 这些发现强调了开发和使用公正的ED评估工具的必要性.
- 对TGD个体的ED症状的准确评估需要文化敏感和心理测量健全的措施.
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