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Published Online: 15 July 2024

Charting a Path Toward Improving Detection and Clinical Outcomes for Eating Disorders in Cismales and Gender-Diverse Patients

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.

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Published in print: Summer 2024
Published online: 15 July 2024

Keywords

  1. boys
  2. men
  3. transgender
  4. gender minorities
  5. gender diverse
  6. eating disorders

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Notes

Send correspondence to Dr. Gorrell (sasha.gorrell@ucsf.edu)

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Supported by the National Institute of Mental Health grants K23MH126201 and R21MH131787 (to Dr. Gorrell) and grant T32MH018261 (to Dr. Singh) and the Brain and Behavior Research Foundation (NARSAD Young Investigator Award) (to Dr. Gorrell).

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