IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2026-01-17 DOI: 10.1016/j.bodyim.2025.102025

Ella H. Byrne, Toni D. Pikoos , Susan L. Rossell

Body Dysmorphic Disorder (BDD) is a distressing mental-health condition, associated with significant impacts to quality of life. As such, treatments for BDD require research attention. In this manuscript we systematically review the present psychotherapeutic treatment literature for BDD with a focus on efficacy and retention. We examine 40 studies, including 27 treatment studies and 13 additional studies that included observational and long-term data, or examined predictors of treatment response. Using meta-analysis, our results suggest that current psychotherapies for BDD achieve reasonable response rates (pooled response rate = 71.9 %), though estimates are more conservative among RCTs (pooled response rate = 69 %) and the available long-term data highlights the strong possibility of relapse following treatment. Our narrative synthesis explores the relationship between treatment and sample characteristics, efficacy and retention, revealing several important considerations when selecting appropriate treatments for BDD, including the incidence of comorbidities, a patient’s willingness to engage in exposure response prevention and group-based treatment components, patient age group and the treatment’s capacity to retain patients for the treatment course. Based on these findings we provide recommendations aimed at maximising therapist time to achieve efficacy and patient retention, in the context of global pressures on mental health systems.

身体畸形障碍（BDD）是一种令人痛苦的心理健康状况，对生活质量有重大影响。因此，BDD的治疗需要研究的关注。在这篇文章中，我们系统地回顾了目前BDD的心理治疗文献，重点是疗效和保留。我们检查了40项研究，包括27项治疗研究和13项附加研究，这些研究包括观察性和长期数据，或检查了治疗反应的预测因子。通过荟萃分析，我们的结果表明，目前BDD的心理治疗达到了合理的缓解率（综合缓解率= 71.9 %），尽管在随机对照试验中估计更为保守（综合缓解率= 69 %），并且现有的长期数据强调了治疗后复发的可能性很大。我们的叙述综合探讨了治疗与样本特征、疗效和保留之间的关系，揭示了在选择合适的BDD治疗方法时需要考虑的几个重要因素，包括合并症的发生率、患者参与暴露反应预防和基于组的治疗成分的意愿、患者年龄组和治疗方法在治疗过程中保留患者的能力。基于这些发现，在全球精神卫生系统压力的背景下，我们提供了旨在最大化治疗师时间以达到疗效和患者保留的建议。

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引用次数: 0

Measurement invariance and differential item functioning of the Functionality Appreciation Scale (FAS) in five latin american nations 拉丁美洲五国功能欣赏量表（FAS）的测量不变性与差异项目功能

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2026-01-16 DOI: 10.1016/j.bodyim.2026.102032

Moisés Mebarak , Christophe Maïano , Juan Mendoza , Vicente Chirullo , Ana Maria Chamorro Coneo , Emilio J. Compte , Verónica Cruz-Licea , Vanesa C. Góngora , Carlos Henríquez , Martha Martínez-Banfi , Dania L. Mejía Rodriguez , Isabella Pescetto , Hugo Selma , Lynda G. Boothroyd , Tracey Thornborrow , Jennifer Todd , Viren Swami

The Functionality Appreciation Scale (FAS) is increasingly used within diverse national and linguistic contexts, but assessments of its functioning across groups remains limited. To extend knowledge, we examined measurement invariance of the FAS across five Latin American nations (Argentina, Chile, Colombia, Mexico, Uruguay), with 1861 respondents. We also assessed differential item functioning (DIF) across respondent characteristics, as well as associations between functionality appreciation and life satisfaction. Confirmatory factor analysis supported a unidimensional structure of the FAS in all national groups, but constraints on a small number of intercepts and uniquenesses had to be relaxed to achieve partial invariance. Likewise, respondent gender, age, and body mass index (BMI) differentially affected some item functioning across national groups, but relaxing constraints on non-invariant paths allowed us to achieve partial DIF. There were no differences in latent functionality appreciation across nations, while men, older participants, and those with lower BMIs had higher functionality appreciation in all national groups. Finally, greater functionality appreciation was robustly associated with higher life satisfaction, with the association being invariant across nations. Further research should assess reasons for non-invariance of some items of the FAS in Latin America, ideally through the use of follow-up qualitative research.

功能欣赏量表（FAS）越来越多地用于不同的国家和语言背景，但对其跨群体功能的评估仍然有限。为了扩展知识，我们研究了五个拉丁美洲国家（阿根廷、智利、哥伦比亚、墨西哥、乌拉圭）的FAS测量不变性，调查了1861名受访者。我们还评估了被调查者特征之间的差异项目功能（DIF），以及功能欣赏与生活满意度之间的关系。验证性因子分析支持所有国家群体中FAS的单维结构，但必须放宽对少数截点和独特性的限制，以实现部分不变性。同样，被调查者的性别、年龄和身体质量指数（BMI）对不同国家群体的某些项目功能有不同的影响，但放宽对非不变路径的限制使我们能够实现部分DIF。不同国家的潜在功能欣赏没有差异，而男性、年龄较大的参与者和bmi较低的参与者在所有国家群体中都有较高的功能欣赏。最后，更大的功能欣赏与更高的生活满意度密切相关，这种关联在各个国家都是不变的。进一步的研究应评估拉丁美洲FAS某些项目不不变的原因，最好是通过使用后续定性研究。

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引用次数: 0

Psychometric properties of an Arabic translation of the Breast Appreciation Scale (BrAS) in Lebanese women 黎巴嫩妇女乳房欣赏量表（BrAS）的阿拉伯语翻译的心理测量特性

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2026-01-13 DOI: 10.1016/j.bodyim.2026.102031

Souheil Hallit , Jennifer Todd , Feten Fekih-Romdhane , Sahar Obeid , Mirna Fawaz , Nour El Achkar , Diana Malaeb , Viren Swami

The 9-item Breast Appreciation Scale (BrAS) measures the construct of breast appreciation, posited as a facet of the broader positive body image construct. To date, there has been limited assessment of the psychometric properties of the BrAS across national and linguistic groups. To add to the literature on breast appreciation, we assessed the psychometric properties of an Arabic translation of the BrAS. An online convenience sample of 626 cisgender women (age range = 18–50 years) from Lebanon completed the Arabic BrAS along with additional measures of body image, disordered eating, and psychological well-being. Across two split-half subsamples (n = 312 and n = 314, respectively), exploratory and confirmatory factor analysis showed that it was possible to extract a unidimensional model of the BrAS with all nine items. This model of the BrAS had adequate composite reliability in both split-half subsamples. Additionally, the BrAS evidenced good patterns of convergent (positive associations with other indices of positive body image and breast awareness, and negative associations with body dissatisfaction and symptoms of disordered eating) and concurrent validity (positive relationships with gratitude and compassionate self-responding). These results suggest that the Arabic translation of the BrAS retains its robust psychometric properties in Lebanese women.

9项乳房欣赏量表（胸罩）测量乳房欣赏的结构，假设为更广泛的积极的身体形象结构的一个方面。迄今为止，对不同国家和语言群体的胸罩心理测量特性的评估有限。为了增加对乳房欣赏的文献，我们评估了胸罩的阿拉伯语翻译的心理测量特性。来自黎巴嫩的626名顺性别女性（年龄范围为18-50岁）在网上方便地完成了阿拉伯胸罩的测试，同时还对身体形象、饮食失调和心理健康状况进行了额外的测量。在两个分半子样本（n = 312和n = 314分别）中，探索性和验证性因子分析表明，可以提取包含所有9个项目的bra的一维模型。该模型在两种半裂子样品中具有足够的复合可靠性。此外，胸罩显示出良好的收敛模式（与其他积极的身体形象和乳房意识指数呈正相关，与身体不满和饮食失调症状负相关）和并发效度（与感恩和富有同情心的自我反应呈正相关）。这些结果表明，bra的阿拉伯语翻译在黎巴嫩妇女中保留了其强大的心理测量特性。

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引用次数: 0

Factor analysis and psychometric properties of the Body Appreciation Scale-2 (BAS-2) in transgender and gender diverse people from Western countries 西方跨性别及性别多元化人群身体欣赏量表-2 （BAS-2）的因素分析及心理测量特征

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2026-01-09 DOI: 10.1016/j.bodyim.2025.102026

Elaine Yuling Hu Guan , Ash Williams , Joe R. Doley

The Body Appreciation Scale-2 (BAS-2) is a measure of positive body image that has been validated across diverse demographic groups. Despite increased interest in positive body image among transgender and gender diverse (TGD) people, the scale has not been validated within this group, which includes transgender men, transgender women, and a diverse group of non-binary people. This study sought to examine the psychometric properties of the BAS-2 in TGD people. A total of 173 transgender men (aged 18–74 years), 106 transgender women (aged 18–73 years), and 163 non-binary and gender diverse people (aged 18–62 years) from Western countries completed an online survey that included the BAS-2 as well as self-reported measures of body dissatisfaction, gender dysphoria, transgender congruence, self-esteem, and impression management. Confirmatory factor analysis revealed that the BAS-2 generated a unidimensional construct in transgender men, women, and non-binary/gender diverse people. Construct validity was supported in each of the gender groups, and measurement invariance tests suggested the BAS-2 functioned in the same way across transgender men and women. The BAS-2 also demonstrated excellent internal consistency in each of the three groups. This study revealed that the BAS-2 is a reliable and valid measure to evaluate body appreciation among TGD people and provided a nuanced understanding of the measure’s structure in diverse genders.

身体欣赏量表-2 （BAS-2）是一种衡量积极身体形象的方法，已在不同的人口群体中得到验证。尽管变性人和变性人（TGD）对积极的身体形象越来越感兴趣，但该量表尚未在这一群体中得到验证，这一群体包括变性男性、变性女性和不同的非二元人群。本研究旨在检测TGD患者的BAS-2的心理测量特性。来自西方国家的173名跨性别男性（18-74岁）、106名跨性别女性（18-73岁）和163名非二元性别和跨性别人群（18-62岁）完成了一项在线调查，包括BAS-2以及自我报告的身体不满、性别不安、跨性别一致性、自尊和印象管理。验证性因子分析显示，跨性别男性、女性和非二元/性别多样化人群的BAS-2产生单维结构。结构效度在每个性别组中都得到支持，测量不变性检验表明BAS-2在跨性别男性和女性中以相同的方式发挥作用。在三组中，BAS-2也表现出良好的内部一致性。本研究揭示了BAS-2是评估TGD人群身体欣赏的可靠和有效的测量方法，并提供了对不同性别的测量结构的细致理解。

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引用次数: 0

In the mirror: Functional appreciated bodies (IM FAB). Testing an easily disseminable body dissatisfaction micro-intervention 镜中：功能性欣赏体（IM FAB）。测试一个容易传播的身体不满微干预

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2026-01-08 DOI: 10.1016/j.bodyim.2025.102024

Kayla Costello , Kristin N. Javaras , Julia M. Brooks , Drew A. Anderson , D. Catherine Walker

Body functionality refers to a focus on what the body can do. Mirror exposure (ME) involves systematically looking at oneself in the mirror. Body functionality and ME interventions improve body image. In the Mirror: Functional Appreciated Bodies (IM FAB) is a digitally-deliverable micro-intervention that incorporates body functionality and ME. The current study adds to previous work by rigorously examining key body image outcomes with a randomized control study design with three groups. The present study compared 3-week (1) functionality-based ME and functionality-based text prompts (“Functionality”), to (2) non-functionality-based ME and non-body related gratitude text prompts (“Active Comparator”) or (3) self-report measures only (“Assessment Only”). Measures of body image, eating disorder symptoms, body checking, body image avoidance, body appreciation and functional appreciation were administered at baseline (T1), post-intervention (T2), one- (T3) and four-month (T4) follow-ups. Analyses included 287 female-identifying undergraduates at two institutions with M(SD)_AGE = 19.8(1.4) years. Using multilevel modeling, the Functionality condition demonstrated significant improvements relative to the Active Comparator condition in functionality appreciation at T2 (β = -0.38) and T4 (β = -0.24), body appreciation at T2 (β = -0.28), and eating disorder symptoms at T2 (β = 3.80). Further, the Functionality condition exhibited significant improvements compared to the Assessment Only condition in functional appreciation at T2 (β = -0.28), appearance evaluation at T3 (β = -0.21) and T4 (β = -0.21), and body checking at T3 (β = 5.54). No other comparisons were consistently significantly different. The functionality-focused ME in this study may improve positive body image.

身体功能指的是关注身体能做什么。照镜子（ME）是指系统地照镜子。身体功能和ME干预改善身体形象。在镜子里：功能性欣赏身体（IM FAB）是一种可数字化交付的微干预，结合了身体功能和ME。目前的研究在之前的工作的基础上，通过三组随机对照研究设计严格检查了关键的身体形象结果。本研究比较了为期3周的(1)基于功能的ME和基于功能的文本提示（“功能”），(2)非基于功能的ME和与身体无关的感恩文本提示（“积极比较者”）或(3)仅自我报告测量（“仅评估”）。在基线（T1）、干预后（T2）、1个月（T3）和4个月（T4）随访时，对身体形象、饮食失调症状、身体检查、身体形象回避、身体欣赏和功能欣赏进行测量。分析纳入两所院校287名年龄M(SD) = 19.8（1.4）岁的女性本科生。采用多水平模型，功能状况在T2 （β = -0.38）和T4 （β = -0.24）、T2 （β = -0.28）和T2 （β = 3.80）饮食失调症状方面相对于Active Comparator条件有显著改善。此外，与仅评估组相比，功能组在T2时的功能评价（β = -0.28）、T3时的外观评价（β = -0.21）和T4时的外观评价（β = -0.21）以及T3时的身体检查（β = 5.54）均有显著改善。其他比较均无显著差异。本研究中以功能为中心的ME可以改善积极的身体形象。

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引用次数: 0

Exploring the differences in body image concerns and eating disorder symptoms between cisgender and transgender individuals: A meta-analysis 探讨顺性别和跨性别个体在身体形象关注和饮食失调症状方面的差异：一项荟萃分析。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2026-01-05 DOI: 10.1016/j.bodyim.2025.102021

Joe R. Doley , Melanie Mifsud , Joshua Marmara , Katherine Laveway , Rachel F. Rodgers

Transgender and gender diverse (TGD) individuals are at elevated risk of eating disorders (EDs), disordered eating (DE), and body image concerns (BIC) compared to cisgender people. This study investigated the differences in EDs, DE, and BIC between cisgender and TGD individuals, as well as examine disparities in EDs, DE, and BIC between TGD groups, with the goal of identifying high-risk groups. It was hypothesised that ED and DE pathology, and BIC would be higher in transgender people than cisgender people. Differences between TGD groups were also explored. Sixty studies were examined using meta-analyses, with sixteen random-effects meta-analyses conducted. Results revealed that TGD individuals were more likely to exhibit elevated levels of EDs, DE, and BIC compared to cisgender individuals. Fewer differences in EDs, DE, and BIC between TGD groups emerged, although transgender men/transmasculine people had higher levels of restriction (vs. non-binary and gender diverse people) and compensatory behaviours (vs. transgender women/transfeminine people). Binary transgender people reported higher BIC than non-binary/gender diverse people. Study heterogeneity and prediction intervals limit inferences to the broader population, and few studies were high quality. The emerging evidence suggests that TGD people are at elevated risk of ED pathology, DE, and BIC compared with cisgender people.

与顺性人相比，跨性别和性别多样性（TGD）个体患饮食失调（EDs）、饮食失调（DE）和身体形象担忧（BIC）的风险更高。本研究调查了顺性别和TGD个体之间ed、DE和BIC的差异，并检查TGD组之间ed、DE和BIC的差异，目的是确定高危人群。假设跨性别者的ED和DE病理以及BIC高于顺性人。还探讨了TGD组之间的差异。使用荟萃分析对60项研究进行了检查，其中进行了16项随机效应荟萃分析。结果显示，与顺性别个体相比，TGD个体更有可能表现出ed、DE和BIC水平的升高。尽管跨性别男性/跨性别者有更高水平的限制（与非二元和性别多样化的人相比）和补偿行为（与跨性别女性/跨性别者相比），但TGD组之间的ed、DE和BIC差异较小。二元跨性别者的BIC报告高于非二元/性别多样化者。研究的异质性和预测区间限制了对更广泛人群的推断，而且很少有研究是高质量的。新出现的证据表明，与顺性人群相比，TGD患者ED病理、DE和BIC的风险更高。

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引用次数: 0

From sexualization to appreciation: Contributions of television content featuring Black or White female characters to diverse body concerns among Black women 从性化到欣赏：黑人或白人女性角色的电视内容对黑人女性多样化身体关注的贡献。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-30 DOI: 10.1016/j.bodyim.2025.102028

L. Monique Ward , Enrica Bridgewater , Miranda Reynaga

Female TV characters commonly represent a Eurocentric beauty ideal characterized by thinness, light skin, long hair, and a curvaceous body. As this ideal does not apply to many Black women, who are also frequent media consumers, theories might anticipate that they would feel deeply inadequate by comparison. However, evidence is limited and mixed, suggesting that associations may depend on the body image domain, the cast’s racial makeup, and the viewer’s ethnic/racial identity. To test these suppositions, we surveyed 515 Black women ages 18–40 on their consumption of popular TV programs featuring White and Black casts and four domains of body image: body size concerns, self-sexualization, body appreciation, and acceptance of Eurocentric beauty norms. We also examined the potential moderating role of ethnic/racial identity. As expected, results differed across body image variables, and cast racial makeup was influential. Viewing casts dominated by Eurocentric appearance norms predicted greater body size concerns; viewing casts featuring more Black women predicted greater body appreciation and less body surveillance. Viewing both types of content was associated with greater self-sexualization. Participants’ ethnic/racial identity did not moderate these relations. These results underscore the need for more research on these issues and more attention from showrunners on the impact of TV content on Black women’s relationships with their bodies.

女性电视角色通常代表着以苗条、浅色皮肤、长发和曲线优美的身体为特征的欧洲中心审美理想。由于这种理想并不适用于许多黑人女性，她们也是频繁的媒体消费者，理论可能会预测，相比之下，她们会感到非常不足。然而，证据有限且混杂，表明这种联系可能取决于身体形象领域、演员的种族构成和观众的民族/种族身份。为了验证这些假设，我们调查了515名年龄在18-40岁之间的黑人女性对以白人和黑人演员为主角的流行电视节目的消费情况，以及身体形象的四个领域：体型关注、自我性化、身体欣赏和对欧洲中心审美标准的接受程度。我们还研究了民族/种族认同的潜在调节作用。正如预期的那样，不同身体形象变量的结果不同，演员的种族构成是有影响的。以欧洲为中心的外貌规范所主导的观察模型预示着更大的体型担忧；观看更多黑人女性的节目预示着更多的身体欣赏和更少的身体监视。观看这两种类型的内容与更大的自我性化有关。参与者的民族/种族身份并没有缓和这些关系。这些结果强调了对这些问题进行更多研究的必要性，以及制片人对电视内容对黑人女性与身体关系的影响的更多关注。

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引用次数: 0

Gender-specific differences in body-related attention allocation in adolescents: An eye-tracking study 青少年身体相关注意分配的性别差异：一项眼动追踪研究。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-29 DOI: 10.1016/j.bodyim.2025.102027

Fanny Alexandra Dietel , Rike Arkenau , Anika Bauer , Silvia Schneider , Silja Vocks

Although previous research has demonstrated biased body-related attention allocation in female adolescents, there is a lack of studies examining these patterns in male adolescents. Considering the growing body of evidence highlighting high levels of body dissatisfaction among male adolescents and findings that biased body-related attention perpetuates such dissatisfaction, this study aims to address this research gap. Eye movements of German male adolescents (n = 42; age: M = 14.88 years, SD = 1.70) and female adolescents (n = 43; age: M = 15.85, SD = 1.77) were recorded as they viewed images of their own body and a peer’s body. State measures of body dissatisfaction and affect were also collected for each condition. Results showed that boys, compared to girls, spent less time fixating on unattractive areas of their own body. Furthermore, boys allocated equal attention to attractive and unattractive areas of both their own and a peer’s body, while girls exhibited a more deficit-oriented attention pattern. Regarding state measures, boys were less negatively affected by viewing images of bodies than girls. However, both genders reported higher body dissatisfaction after viewing their own body compared to a peer’s body. Overall, these findings provide evidence of gender differences in body-related attention allocation, with boys potentially displaying a more self-serving attention pattern. Nonetheless, the negative impact of viewing one’s own body, as observed in both genders, highlights the importance of addressing body-related concerns in male adolescents, for example, through tailored prevention programs.

虽然以前的研究已经证明了女性青少年存在与身体相关的注意力分配偏倚，但缺乏对男性青少年这种模式的研究。考虑到越来越多的证据表明男性青少年对身体高度不满，以及有偏见的身体相关注意力使这种不满持续存在，本研究旨在解决这一研究空白。我们记录了德国男性青少年（n = 42；年龄：M = 14.88岁，SD = 1.70）和女性青少年（n = 43；年龄：M = 15.85, SD = 1.77）在观看自己和同伴的身体图像时的眼球运动。还收集了每种情况下的身体不满程度和影响程度。结果显示，与女孩相比，男孩关注自己身体不吸引人的部位的时间更少。此外，男孩对自己和同伴身上吸引人的地方和不吸引人的地方分配的注意力是一样的，而女孩则表现出更多的以缺陷为导向的注意力模式。就国家措施而言，男孩比女孩更少受到观看身体图像的负面影响。然而，无论男女，在看完自己的身体后，都比看完同伴的身体更不满意。总的来说，这些发现为身体相关的注意力分配提供了性别差异的证据，男孩可能表现出更自私的注意力模式。然而，观察自己身体的负面影响，正如在两性中观察到的那样，强调了解决男性青少年与身体有关的问题的重要性，例如，通过量身定制的预防方案。

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引用次数: 0

The impact of gender affirming care on eating disorder symptoms and body dissatisfaction: A systematic review and meta-analysis amongst transgender and gender diverse populations 性别肯定护理对饮食失调症状和身体不满的影响：跨性别和性别多样化人群的系统回顾和荟萃分析

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-22 DOI: 10.1016/j.bodyim.2025.102020

Jo R. Doley , Mikki Lilley , Joshua Marmara , Rachel F. Rodgers , Katherine Laveway

Body dissatisfaction (BD) and eating disorders (EDs) occur frequently among transgender and gender diverse (TGD) people. Tailored, empirically-based support for this cohort of TGD people is critical. This paper examined impacts of gender affirming care on BD and ED symptoms among TGD people. A systematic review and meta-analysis of existing literature (K = 24) was analysed through a random effects model, with separate analyses for gender (transgender men, transgender women and combined TGD) and type of gender affirming care (hormones and surgery). An exploratory narrative review (K = 45) examined impacts of gender affirming care on EDs by gender and type of gender affirming care separately. Hormonal treatment was associated with lowered BD for combined TGD samples (g = −0.462, p < .001) and transgender men (g = −0.609, p = .011). Surgery was associated with lowered body dissatisfaction for combined TGD samples (g = −0.991, p < .001) and transgender men (g = −0.926, p < .001,). Combined gender affirming care was associated with lowered BD for transgender women (g = −0.714, p < .001). Heterogeneity estimates suggest caution in generalising estimates for TM and for hormonal treatment, but broadly the meta-analyses suggest beneficial relationships with body image. Exploratory narrative review findings highlighted themes of alleviated EDs, though gender affirming care impacts were influenced by side effects such as weight gain, highlighting the need for further research on support throughout the treatment process. The findings call for primary, quantitative research on gender affirming care for each TGD gender and age group, focusing on BD for transgender women, EDs for all genders, and early intervention.

身体不满意（Body dissatisfaction， BD）和饮食失调（eating disorders, EDs）是跨性别和性别差异人群中常见的症状。为这批TGD患者提供量身定制的、基于经验的支持至关重要。本文探讨性别确认护理对TGD患者BD和ED症状的影响。通过随机效应模型对现有文献（K = 24）进行系统回顾和荟萃分析，并对性别（跨性别男性、跨性别女性和合并TGD）和性别确认护理类型（激素和手术）进行单独分析。探索性叙事回顾（K = 45）分别按性别和性别肯定护理类型考察性别肯定护理对急诊科的影响。激素治疗与联合TGD样本的BD降低相关(g = -0.462, p

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Risk for body image concerns and eating disorders in transgender and gender diverse people: A theoretical overview 跨性别和性别多元化人群的身体形象担忧和饮食失调风险：理论综述。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-22 DOI: 10.1016/j.bodyim.2025.102022

Rachel F. Rodgers , Katherine Laveway , Mikki Lilley , Melanie Mifsud , Jo R. Doley

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.

跨性别和性别多样化（TGD）个体对身体形象的担忧和饮食失调的比例不成比例。已经开发了几个有用的理论框架来解释这些增加的比率，它们共同强调了外观问题和负面影响作为这些问题发展的两个主要因素的作用。从这些角度来看，TGD患者的饮食失调可以理解为源于行为尝试(1)改变外表，使身体更接近资本的外表理想和/或避免歧视和物化；(2)调节与日常压力、歧视、创伤和压迫相关的负面影响。这些理论途径为完善TGD患者身体形象担忧和饮食失调的风险和保护模型提供了一个框架，目的是推进识别、预防和治疗，并提高资源分配的优先级。

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