PDF(Pubmed)
Abstract：
Historically, eating disorders (EDs) have been conceptualized from a female-centric lens. However, consistent research demonstrates that EDs afflict individuals across the gender spectrum, including cismales and gender-diverse individuals. Despite this evidence, a consensus regarding gender-sensitive assessment practices, theoretical formulations, and treatment considerations has yet to be established. The present review briefly summarizes research to date on the presentation of EDs in cismales and gender-diverse individuals, suggests appropriate assessment and treatment practices, and offers recommendations for gender-inclusive ED treatment. To effectively serve patients with EDs across the gender spectrum, more research is needed to validate gender-sensitive assessment tools, comprehensively study ED pathology within gender-representative samples, and conduct randomized controlled trials that serve cismales and gender-diverse patients. In doing so, clinicians and researchers may better detect EDs across the gender spectrum and implement gender-appropriate, evidence-based interventions, thereby reducing impairment and mortality related to EDs for all patients.
摘要：
历史上,饮食失调（ED）已从以女性为中心的角度概念化。然而,一致的研究表明，ED折磨着不同性别的个体，包括Cismales和性别多样化的个人。尽管有这些证据,就对性别问题有敏感认识的评估做法达成共识，理论公式，和治疗考虑因素尚未确定。本综述简要总结了迄今为止在Cismales和性别多样化个体中出现ED的研究，建议适当的评估和治疗方法，并为性别包容性ED治疗提供建议。为了有效地为不同性别的ED患者提供服务，需要更多的研究来验证对性别问题敏感的评估工具，在具有性别代表性的样本中全面研究ED病理学，并进行随机对照试验，服务于cismales和性别不同的患者。在这样做的时候，临床医生和研究人员可能会更好地检测性别范围内的ED，并实施适合性别的ED，基于证据的干预措施，从而降低所有患者与ED相关的损伤和死亡率。
