Measuring Risk and Protective Factors for Eating and Body Image Concerns in LGBTGEQIAP+ Communities: An Instrument Development and Validation Study

Adriana C. Labarta, Kelly Emelianchik-Key, Paul R. Peluso, Carman S. Gill, Kimberly F. Colvin
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Abstract

Eating disorders (EDs) are multicultural concerns that impact people with diverse cultural and social identities. However, scholars highlight prevalent gaps in the literature regarding culturally responsive assessment and treatment for underserved groups with EDs, such as the lesbian, gay, bisexual, transgender/two-spirit, gender expansive, queer/questioning, intersex, asexual, pansexual (LGBTGEQIAP+) community. We developed and validated the Multidimensional Eating and Body Image Screening (MEBIS), a screening tool to examine risk and protective factors for eating and body image concerns in LGBTGEQIAP+ individuals. The MEBIS items were developed based on a comprehensive literature review and feedback from an expert panel and a small sample of LGBTGEQIAP+ individuals. Two separate community samples were recruited for exploratory and confirmatory factor analyses. The MEBIS has a nine-factor structure with adequate fit, acceptable internal consistency reliability, and convergent evidence with a scale measuring similar constructs. Given the call for more intersectional, social justice-informed ED research, the MEBIS may assist counselors with broaching relevant cultural constructs and incorporating affirming counseling approaches. Limitations and directions for future research are explored further to advance efforts in culturally responsive ED assessment and treatment.

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测量 LGBT、GEQIAP+群体中关注饮食和身体形象的风险和保护因素:工具开发与验证研究
饮食失调(EDs)是一个多元文化问题,影响着具有不同文化和社会身份的人。然而,学者们强调,在针对未得到充分服务的饮食失调群体(如女同性恋、男同性恋、双性恋、变性人/双灵人、性别扩张者、同性恋者/质疑者、双性人、无性人、泛性人(LGBTGEQIAP+)群体)进行文化敏感性评估和治疗方面,文献中普遍存在空白。我们开发并验证了多维饮食和身体形象筛查(MEBIS),这是一种筛查工具,用于检查 LGBTGEQIAP+ 人士饮食和身体形象问题的风险和保护因素。MEBIS 的项目是根据全面的文献综述、专家小组的反馈意见以及 LGBT、GEQIAP+ 人士的小样本开发的。我们招募了两个独立的社区样本,分别进行探索性和确认性因素分析。MEBIS 具有九个因子的结构,具有充分的拟合性、可接受的内部一致性可靠性,并与测量类似结构的量表具有趋同性。鉴于人们呼吁开展更多交叉性的、以社会正义为基础的教育研究,MEBIS 可帮助心理咨询师了解相关的文化结构,并采用肯定性的咨询方法。本文进一步探讨了研究的局限性和未来研究的方向,以推动具有文化响应性的 ED 评估和治疗工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
38
期刊介绍: The International Journal for the Advancement of Counselling is published under the auspices of the International Association for Counselling. It promotes the exchange of information about counselling activities throughout the world. The Editorial Board is committed to working with diverse authors from varied backgrounds to meet the publication standards for the International Journal for the Advancement of Counselling, including assistance with organization, structure, and style for publication. The journal publishes conceptual, practical, and research contributions that provide an international perspective on the following areas: Theories and models of guidance and counselling; Counsellor education and supervision; State of the art reports on guidance and counselling in specific settings; Social justice and equity (e.g., issues of diversity, advocacy, racial or ethnic identity, religion and culture, gender issues); Special applications; Counselling services in countries with social and economic challenges.
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