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Created with Fabric.js 1.4.5 Predisposing Factors that Could Contribute to an Eating Disorder - Coming out: Fear of rejection/experience of rejection- Internalized negative messages/beliefs about oneself due to sexual orientation, non-normative gender expressions or transgender identity- Experiences of violence (gay bashing) can contribute to development of Post-Traumatic Stress Disorder which research has suggested increases vulnerability to an eating disorder.- Discrimination- Body Image ideals- Discordance between one's biological sex and gender identity. LGBTQ Population and Eating Disorders Gender Dysphoria - The distress associated with an incongruencebetween one's experienced/expressed gender and one's assigned gender Of men with eating disorders identify as gay. 42% of gay or bisexual men met the criteria for an eating disorderas compared to 1% in their heterosexual counterparts. Feldman & Meyer, 2007 NEDA Gender Dysphoria and Eating Disorders Why Do They Co-Occur? - Both populations have a high amount of body dissatisfaction- Both have the desire to change the body to appear thinner or more muscular and sometimes more masculine, feminine, androgynous or sexless- Both populations feel added social pressure around appearance and conforming with societys ideals of the perfect body or its gender expectations- Conflict over gender identity or over sexual orientation may precipitate the development of an eating disorder in many patients. It may be that by reducing their sexual drive through starvation, or by delaying puberty through starvation, patients can temporarily resolve their sexual or gender identity conflicts. ? more likely for homosexual men to report purging than their heterosexual male counterparts 7X more likely for homosexual men to report binging than their male heterosexual counterparts 6% 12X
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