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How these disparities are determined, however, is an understudied area. Through the use of a psychological mediation framework, this study aims to explore how daily heterosexist experiences related to one\u2019s LGBTQ\u2009+\u2009identity may determine eating disorder risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>376 LGBTQ\u2009+\u2009people from Italy responded to self-report questionnaires regarding daily heterosexist experiences, eating behaviors and associated factors in an online anonymous survey. Descriptive, bivariate and mediation analyses were conducted using the \u201cPROCESS\u201d macro, including distress scores for heterosexist experiences, emotion dysregulation, self-esteem, shame, and eating disorder risk, controlling for body-mass index, age and socioeconomic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Statistically significant positive associations were found between distress related to heterosexist experiences, emotion dysregulation, shame and eating disorder risk. Mediation analyses found that the direct effect of heterosexist experiences on eating disorder risk was nonsignificant. The indirect effects of heterosexist experiences on eating disorder risk through emotion dysregulation (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.041,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.304, BootSE\u2009=\u20090.017, 95% CI [0.006, 0.078]) and low self-esteem (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.092,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.089, BootSE\u2009=\u20090.023, 95% CI [0.049, 0.145]) were significant. The indirect effect through shame was nonsignificant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Heterosexist experiences seem to have significant indirect effects on eating disorder risk through emotion dysregulation and low self-esteem. Policies for reducing harassment, discrimination and violence related to sexual orientation and gender identity in institutional, organizational and social contexts may help prevent negative health outcomes in LGBT\u2009+\u2009people. Clinical contexts may benefit from considering the effects of minority stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level 3\u2013Observational cross-sectional study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40519-026-01817-9","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:56:18Z","timestamp":1768546578000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bodies under stress\u2014a psychological parallel mediation model between daily LGBTQ\u2009+\u2009heterosexism and eating disorder risk"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-5539","authenticated-orcid":false,"given":"Fabrizio","family":"Santoniccolo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2323-0290","authenticated-orcid":false,"given":"Maria Noemi","family":"Paradiso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5854-827X","authenticated-orcid":false,"given":"Tommaso","family":"Trombetta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4398-8683","authenticated-orcid":false,"given":"Luca","family":"Roll\u00e8","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"1817_CR1","unstructured":"American psychological association (2024) APA dictionary of psychology. https:\/\/dictionary.apa.org\/. 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