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This study aimed to establish community norms for the Eating Pathology Symptom Inventory (EPSI) among cisgender gay, lesbian, bisexual\u2009+\u2009(individuals who identify as bisexual or pansexual; bi\u2009+) adults.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Cross-sectional data were analyzed from 2062 cisgender participants\u2014including 925 gay men, 573 lesbian women, 116 bi\u2009+\u2009men, and 448 bi\u2009+\u2009women\u2014enrolled in The PRIDE Study, a national longitudinal cohort of sexual and gender minority adults in the United States. Participants completed the EPSI, and descriptive statistics were calculated for the eight EPSI scales.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>We report mean scores, standard deviations, medians, interquartile ranges, and percentile ranks for the eight EPSI scales within cisgender sexual minority populations. Distinct patterns of eating-pathology symptoms were evidenced among the cisgender sexual minority groups. Cisgender bi\u2009+\u2009women exhibited the highest scores for Body Dissatisfaction, Binge Eating, and Restricting compared to other groups, whereas cisgender bi\u2009+\u2009men reported the highest scores for Excessive Exercise. Cisgender gay men had significantly higher scores for Muscle Building and Negative Attitudes Toward Obesity compared to other groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>These findings offer valuable benchmarks for interpreting EPSI scores in the assessment and treatment of eating disorders among cisgender sexual minority individuals.<\/jats:p>\n            <jats:p>\n              <jats:italic>Level of evidence<\/jats:italic>: Level V: based on descriptive results.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s40519-025-01742-3","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T16:58:34Z","timestamp":1743872314000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6541-0604","authenticated-orcid":false,"given":"Jason M.","family":"Nagata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5433-1612","authenticated-orcid":false,"given":"Christopher D.","family":"Otmar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7755-0030","authenticated-orcid":false,"given":"Christopher M.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6803-5950","authenticated-orcid":false,"given":"Emilio J.","family":"Compte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9853-2280","authenticated-orcid":false,"given":"Jason M.","family":"Lavender","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-7228","authenticated-orcid":false,"given":"Tiffany A.","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5900-4204","authenticated-orcid":false,"given":"Kelsie T.","family":"Forbush","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1964-4151","authenticated-orcid":false,"given":"Annesa","family":"Flentje","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8882-0967","authenticated-orcid":false,"given":"Micah E.","family":"Lubensky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0945-2842","authenticated-orcid":false,"given":"Juno","family":"Obedin-Maliver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0068-0814","authenticated-orcid":false,"given":"Mitchell R.","family":"Lunn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"1742_CR1","doi-asserted-by":"publisher","first-page":"6325","DOI":"10.3390\/ijerph20146325","volume":"20","author":"B Feng","year":"2023","unstructured":"Feng B, Harms J, Chen E et al (2023) Current discoveries and future implications of eating disorders. 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All procedures performed in this study were in accordance with the ethical standards of the university's Institutional Review Board and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from all participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Dr. Obedin-Maliver has received consulting fees from Sage Therapeutics, Ibis Reproductive Health, Folx Health, Inc., Hims and Hers Health, Inc., and Upstream, Inc. Dr. Lunn received consultation fees from Hims and Hers Health, Inc., Folx Health, Inc., Otsuka Pharmaceutical Development and Commercialization, Inc., and the American Dental Association on topics unrelated to this work. None of these roles present a conflict of interest with this work as described here. The other authors have no conflicts of interest to report.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"34"}}