{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:40:38Z","timestamp":1786977638422,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R25MH119043"],"award-info":[{"award-number":["R25MH119043"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Literature suggests that transgender, non\u2010binary, and\/or gender expansive (TNG) people are more likely than cisgender peers to experience eating disorders (EDs) and engage in dangerous weight control behaviors. TNG individuals with EDs are dramatically higher risk for self\u2010harm behaviors, suicidal ideation, and suicidal behaviors than cisgender peers with EDs or TNG peers without EDs, and often engage in ED symptoms\/behaviors to alleviate gender dysphoria. Yet, no treatment paradigms have yet been adapted for TNG\u2010specific ED care. This qualitative study aims to identify stakeholder needs from such care to inform future clinical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We elicited patient (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) and mental health clinician (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) stakeholder needs and preferences regarding TNG\u2010specific ED care. Semi\u2010structured interview guides informed by the Consolidated Framework for Implementation Research (CFIR) and a behavioral insights framework, EAST, were developed to ensure uniform inclusion and sequencing of topics and allow for valid comparison across interviews. Using a rapid analysis procedure, we produced a descriptive analysis for each group identifying challenges of and opportunities in providing ED care for TNG adults.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Stakeholders expressed needs and preferences for TNG\u2010specific treatment including that it be: (1) TNG\u2010affirming, weight\u2010inclusive, trauma\u2010informed, and anti\u2010racist; (2) delivered by an interdisciplinary team, including gender\u2010affirming care clinicians; (3) focused on parsing gender dysphoria from other body image concerns, building distress tolerance, and working toward gender euphoria (rather than body acceptance).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Future work is needed exploring ED care delivery models that integrate gender\u2010affirming care services with mental health care. Such models may improve TNG access to ED treatment and recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public Significance<\/jats:title>\n                    <jats:p>Transgender, non\u2010binary, and\/or gender expansive (TNG) experience disproportionately high rates of eating disorders and have unique barriers to accessing care. In individual interviews, TNG adults with eating disorders and mental health clinicians who provide psychotherapy for eating disorders voiced desire for greater availability of TNG\u2010affirming, weight\u2010inclusive eating disorder care, integrated with other gender\u2010affirming care services. This informs future research developing eating disorder care for TNG individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24055","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T08:53:10Z","timestamp":1693212790000},"page":"2210-2222","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Moving toward targeted eating disorder care for transgender, non\u2010binary, and gender expansive patients in the United States"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1138-6602","authenticated-orcid":false,"given":"Teddy G.","family":"Goetz","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9542-2801","authenticated-orcid":false,"given":"Courtney Benjamin","family":"Wolk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Leonard Davis Institute of Health Economics University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-015-0551-4"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.02.013"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2012.668482"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22598"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.1141"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23206"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.7931"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14175"},{"key":"e_1_2_10_10_1","volume-title":"EAST: Four simple ways to apply behavioural insights","author":"Behavioural Insights Team","year":"2014"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2020.0068"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23699"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23068"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-9020.2010.00336.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000515"},{"key":"e_1_2_10_17_1","volume-title":"Multistep cognitive behavioral therapy for eating disorders: Theory, practice, and clinical cases","author":"Dalle Grave R.","year":"2012"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0911535"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.03.003"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2017.0043"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.07.016"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.13304"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.15.1903"},{"key":"e_1_2_10_25_1","unstructured":"Forbes\u2010Roberts S.(2018).Exploring patient satisfaction among transgender and non\u2010binary identified healthcare users: The role of microaggressions and inclusive healthcare settings.https:\/\/scholars.wlu.ca\/etd\/2050"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-016-0104-4"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0853-y"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3928\/19382359-20210820-01"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0152744"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2018.1489162"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.08.027"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112516"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780429443176-31"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2021.101517"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029597"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413057"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31829fa90d"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0901836"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP-2019-0345"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000020924"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-021-01111-5"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23539"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2021.0112"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-021-00675-7"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.112.003608"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-022-00699-3"},{"key":"e_1_2_10_48_1","volume-title":"Field of dreams","author":"Robinson P. A.","year":"1989"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2022.04.007"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2014.07.010"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019993"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T01:19:35Z","timestamp":1703899175000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,28]]},"references-count":50,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/eat.24055"],"URL":"https:\/\/doi.org\/10.1002\/eat.24055","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,28]]},"assertion":[{"value":"2023-04-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}