{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T02:08:59Z","timestamp":1779329339705,"version":"3.51.4"},"reference-count":87,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014013","name":"UK Research and Innovation","doi-asserted-by":"publisher","award":["MR\/W002418\/1"],"award-info":[{"award-number":["MR\/W002418\/1"]}],"id":[{"id":"10.13039\/100014013","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014013","name":"UK Research and Innovation","doi-asserted-by":"publisher","award":["MR\/X03058X\/1"],"award-info":[{"award-number":["MR\/X03058X\/1"]}],"id":[{"id":"10.13039\/100014013","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Objective: Mental health (MH) comorbidity is elevated in individuals who identify as gender-diverse (GD) and in individuals with an eating disorder (ED). GD individuals with an ED may have significantly higher MH comorbidity than individuals with just one of these conditions. Gender Minority Stress Theory suggests that experience of stressful events associated with gender minority status may increase risk of developing MH difficulties and may explain the elevated risk of ED diagnosis in GD populations. Method: This is a cross-sectional analysis of survey data. Using data from a sample of 334,957 American university and college students, we compared MH comorbidities of 1885 GD individuals with an ED to demographically matched samples of non-GD individuals with an ED and GD individuals with no ED diagnosis. Results: Even following stringent demographic matching, GD participants with an ED had significantly more comorbid MH diagnoses (M = 4.23, SD = 2.23) than non-GD individuals with an ED (M = 2.86, SD = 1.98). Similarly, GD participants with an ED had significantly higher MH comorbidity than demographically matched GD individuals without an ED (M = 1.96, SD = 1.84). In GD individuals, ED diagnosis was associated with increased odds of experiencing minority stress events (OR: 2.19 95% CI [1.91\u20132.51]) and associated distress (OR: 2.17 95% CI [1.89\u20132.50]). Conclusions: We find that GD individuals with an ED report significantly elevated MH comorbidity, including serious MH disorders. Prompt intervention and proactive screening have an important role to play in supporting young adults in this vulnerable population.<\/jats:p>","DOI":"10.3390\/nu18030458","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:09:22Z","timestamp":1769771362000},"page":"458","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Eating Disorders in People Who Identify as Gender-Diverse: Associations Between Gender Diversity, Eating Disorder Diagnosis, Minority Stress Experiences and Mental Health Comorbidity"],"prefix":"10.3390","volume":"18","author":[{"given":"Rebecca","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Clinical and Health Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9YL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6980-1699","authenticated-orcid":false,"given":"Helen","family":"Sharpe","sequence":"additional","affiliation":[{"name":"Department of Clinical and Health Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9YL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","unstructured":"BeatED (2025, July 05). What Are Eating Disorders. Available online: https:\/\/www.beateatingdisorders.org.uk\/get-information-and-support\/about-eating-disorders\/types\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1093\/ajcn\/nqy342","article-title":"Prevalence of eating disorders over the 2000\u20132018 period: A systematic literature review","volume":"109","author":"Galmiche","year":"2019","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1097\/YCO.0000000000000278","article-title":"Epidemiology of eating disorders in Europe: Prevalence, incidence, comorbidity, course, consequences, and risk factors","volume":"29","author":"Mustelin","year":"2016","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.psychres.2015.09.008","article-title":"Psychiatric comorbidity in women and men with eating disorders results from a large clinical database","volume":"230","author":"Ulfvebrand","year":"2015","journal-title":"Psychiatry Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1002\/eat.22643","article-title":"The risk of eating disorders comorbid with attention-deficit\/hyperactivity disorder: A systematic review and meta-analysis","volume":"49","author":"Nazar","year":"2016","journal-title":"Int. J. Eat. Disord."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.jad.2020.11.015","article-title":"The prevalence, odds and predictors of lifespan comorbid eating disorder among people with a primary diagnosis of bipolar disorders, and vice-versa: Systematic review and meta-analysis","volume":"280","author":"Fornaro","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1002\/eat.23731","article-title":"Eating disorders and the nine symptoms of borderline personality disorder: A systematic review and series of meta-analyses","volume":"55","author":"Miller","year":"2022","journal-title":"Int. J. Eat. Disord."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1002\/eat.20539","article-title":"Long-term course of binge eating disorder and bulimia nervosa: Relevance for nosology and diagnostic criteria","volume":"41","author":"Fichter","year":"2008","journal-title":"Int. J. Eat. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1002\/eat.22736","article-title":"Long-term outcome of Anorexia Nervosa: Results from a large clinical longitudinal study","volume":"50","author":"Fichter","year":"2017","journal-title":"Int. J. Eat. Disord."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1007\/s11136-019-02396-2","article-title":"The association of disordered eating with health-related quality of life in US young adults and effect modification by gender","volume":"29","author":"Hart","year":"2020","journal-title":"Qual. Life Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s40519-016-0264-x","article-title":"A systematic review of the health-related quality of life and economic burdens of anorexia nervosa, bulimia nervosa, and binge eating disorder","volume":"21","author":"Supina","year":"2016","journal-title":"Eat. Weight.-Disord.-Stud. Anorex. Bulim. Obes."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.genhosppsych.2014.01.002","article-title":"Suicide attempts and mortality in eating disorders: A follow-up study of eating disorder patients","volume":"36","author":"Suokas","year":"2014","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1001\/archgenpsychiatry.2011.74","article-title":"Mortality rates in patients with anorexia nervosa and other eating disorders: A meta-analysis of 36 studies","volume":"68","author":"Arcelus","year":"2011","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1002\/eat.22411","article-title":"Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta-analysis","volume":"48","author":"Vall","year":"2015","journal-title":"Int. J. Eat. Disord."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.eurpsy.2017.07.001","article-title":"Predictors of quality of life in patients with eating disorders","volume":"45","author":"Padierna","year":"2017","journal-title":"Eur. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1842","DOI":"10.1002\/eat.24223","article-title":"Overall and cause-specific mortality in anorexia nervosa; impact of psychiatric comorbidity and sex in a 40-year follow-up study","volume":"57","author":"Gribsholt","year":"2024","journal-title":"Int. J. Eat. Disord."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1089\/trgh.2016.0009","article-title":"Multidisciplinary care for gender-diverse youth: A narrative review and unique model of gender-affirming care","volume":"1","author":"Chen","year":"2016","journal-title":"Transgender Health"},{"key":"ref_19","unstructured":"Arcelus, J., and Bouman, W.P. (2017). Language and terminology. The Transgender Handbook\u2014A Guide for Transgender People, Their Families and Professionals, Nova Publishers."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"95","DOI":"10.3109\/09540261.2015.1106446","article-title":"Non-binary or genderqueer genders","volume":"28","author":"Richards","year":"2016","journal-title":"Int. Rev. Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1186\/s40337-023-00806-y","article-title":"Eating disorder symptomatology among transgender individuals: A systematic review and meta-analysis","volume":"11","author":"Rasmussen","year":"2023","journal-title":"J. Eat. Disord."},{"key":"ref_22","first-page":"1","article-title":"Body Image, Disordered Eating, and Eating Disorders in Gender Diverse Youth","volume":"13","author":"Allam","year":"2024","journal-title":"Curr. Pediatr. Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s11920-019-1097-x","article-title":"Eating disorder diagnoses and symptom presentation in transgender youth: A scoping review","volume":"21","author":"Coelho","year":"2019","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jadohealth.2023.07.027","article-title":"Emerging evidence: A systematic literature review of disordered eating among transgender and nonbinary youth","volume":"74","author":"Campbell","year":"2024","journal-title":"J. Adolesc. Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1002\/eat.22627","article-title":"Disordered eating behaviors among transgender youth: Probability profiles from risk and protective factors","volume":"50","author":"Watson","year":"2017","journal-title":"Int. J. Eat. Disord."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1080\/10640266.2017.1297112","article-title":"Exploring the association between eating disorders and gender dysphoria in youth","volume":"25","author":"Feder","year":"2017","journal-title":"Eat. Disord."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.jadohealth.2019.06.011","article-title":"Eating disorder screening in transgender youth","volume":"65","author":"Avila","year":"2019","journal-title":"J. Adolesc. Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1111\/jsm.12062","article-title":"Gender identity disorder and eating disorders: Similarities and differences in terms of body uneasiness","volume":"10","author":"Bandini","year":"2013","journal-title":"J. Sex. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.bodyim.2016.06.004","article-title":"Body image in transgender young people: Findings from a qualitative, community based study","volume":"18","author":"McGuire","year":"2016","journal-title":"Body Image"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1542\/peds.2013-2958","article-title":"Young adult psychological outcome after puberty suppression and gender reassignment","volume":"134","author":"McGuire","year":"2014","journal-title":"Pediatrics"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.bodyim.2016.04.002","article-title":"A network analysis of body satisfaction of people with gender dysphoria","volume":"17","author":"Elaut","year":"2016","journal-title":"Body Image"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1002\/(SICI)1098-108X(199709)22:2<107::AID-EAT1>3.0.CO;2-J","article-title":"The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis","volume":"22","author":"Cash","year":"1997","journal-title":"Int. J. Eat. Disord."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.cpr.2017.08.005","article-title":"Depictive and metric body size estimation in anorexia nervosa and bulimia nervosa: A systematic review and meta-analysis","volume":"57","author":"Moelbert","year":"2017","journal-title":"Clin. Psychol. Rev."},{"key":"ref_34","unstructured":"Jones, B.A., Haycraft, E., Murjan, S., and Arcelus, J. (2018). Body dissatisfaction and disordered eating in trans people: A systematic review of the literature. Gender Dysphoria and Gender Incongruence, Routledge."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1146\/annurev-clinpsy-072220-020326","article-title":"Mental health of transgender and gender diverse youth","volume":"19","author":"Wittlin","year":"2023","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_36","first-page":"s3","article-title":"Characteristics of children and adolescents referred to specialist gender services: A systematic review","volume":"109","author":"Taylor","year":"2024","journal-title":"Arch. Dis. Child."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1097\/DBP.0000000000000697","article-title":"Baseline mental health and psychosocial functioning of transgender adolescents seeking gender-affirming hormone therapy","volume":"40","author":"Kuper","year":"2019","journal-title":"J. Dev. Behav. Pediatr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00787-020-01508-5","article-title":"Lifetime prevalence of suicidal ideation and suicidal behaviors in gender non-conforming youths: A meta-analysis","volume":"30","author":"Surace","year":"2021","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mahfouda, S., Panos, C., Whitehouse, A.J., Thomas, C.S., Maybery, M., Strauss, P., Zepf, F.D., O\u2019Donovan, A., van Hall, H.W., and Saunders, L.A. (2019). Mental health correlates of autism spectrum disorder in gender diverse young people: Evidence from a specialised child and adolescent gender clinic in Australia. J. Clin. Med., 8.","DOI":"10.3390\/jcm8101503"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1111\/josh.13086","article-title":"Minority stress, coping, and transgender youth in schools: Results from the Resilience and Transgender Youth Study","volume":"91","author":"Johns","year":"2021","journal-title":"J. Sch. Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/j.jadohealth.2024.06.022","article-title":"Associations between gender dysphoria, eating disorders, and mental health diagnoses among adolescents","volume":"75","author":"Abernathey","year":"2024","journal-title":"J. Adolesc. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1007\/s40519-021-01222-4","article-title":"Sexual and gender minority individuals report higher rates of lifetime traumas and current PTSD than cisgender heterosexual individuals admitted to residential eating disorder treatment","volume":"27","author":"Brewerton","year":"2022","journal-title":"Eat. Weight.-Disord.-Stud. Anorexia Bulim. Obes."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.jadohealth.2018.07.016","article-title":"Prevalence of self-injurious thoughts and behaviors in transgender individuals with eating disorders: A national study","volume":"64","author":"Duffy","year":"2019","journal-title":"J. Adolesc. Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1001\/archpsyc.62.6.617","article-title":"Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication","volume":"62","author":"Kessler","year":"2005","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1038\/mp.2009.29","article-title":"Mental disorders, comorbidity and suicidal behavior: Results from the National Comorbidity Survey Replication","volume":"15","author":"Nock","year":"2010","journal-title":"Mol. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/S2215-0366(24)00091-9","article-title":"Prevalence of multimorbidity in people with and without severe mental illness: A systematic review and meta-analysis","volume":"11","author":"Halstead","year":"2024","journal-title":"Lancet Psychiatry"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1016\/S0140-6736(19)32316-5","article-title":"A comprehensive analysis of mortality-related health metrics associated with mental disorders: A nationwide, register-based cohort study","volume":"394","author":"Pedersen","year":"2019","journal-title":"Lancet"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"110257","DOI":"10.1016\/j.jpsychores.2020.110257","article-title":"The relationship between multimorbidity and suicidal ideation: A meta-analysis","volume":"138","author":"Xiong","year":"2020","journal-title":"J. Psychosom. Res."},{"key":"ref_49","unstructured":"Brooks, V.R. (1981). Minority Stress and Lesbian Women, Free Press."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","article-title":"Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence","volume":"129","author":"Meyer","year":"2003","journal-title":"Psychol. Bull."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s40337-020-00327-y","article-title":"Eating disorders and disordered eating behaviors in the LGBT population: A review of the literature","volume":"8","author":"Parker","year":"2020","journal-title":"J. Eat. Disord."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1037\/sgd0000081","article-title":"Development of the gender minority stress and resilience measure","volume":"2","author":"Testa","year":"2015","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1080\/00918369.2019.1591789","article-title":"Gender minority stress: A critical review","volume":"67","author":"Tan","year":"2020","journal-title":"J. Homosex."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"102113","DOI":"10.1016\/j.cpr.2021.102113","article-title":"Associations between minority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals: Systematic review and meta-analysis","volume":"91","author":"Pellicane","year":"2022","journal-title":"Clin. Psychol. Rev."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"2552","DOI":"10.1177\/15248380231218288","article-title":"Gender minority stress and resilience measure: A meta-analysis of the associations with mental health in transgender and gender diverse individuals","volume":"25","author":"Wilson","year":"2024","journal-title":"Trauma Violence Abus."},{"key":"ref_56","unstructured":"ACHA (2022). Participation History, American College Health Association. Technical Report."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1080\/07448481.2023.2248508","article-title":"The relationship between physical activity, stress, and resilience in sexual and gender minority college students","volume":"73","author":"Peyer","year":"2025","journal-title":"J. Am. Coll. Health"},{"key":"ref_58","unstructured":"Van Rossum, G., and Drake, F.L. (2009). Python 3 Reference Manual, CreateSpace."},{"key":"ref_59","unstructured":"R Core Team (2020). R: A Language and Environment for Statistical Computing, R Foundation for Statistical Computing."},{"key":"ref_60","first-page":"203","article-title":"Open science framework (OSF)","volume":"105","author":"Foster","year":"2017","journal-title":"J. Med. Libr. Assoc. JMLA"},{"key":"ref_61","unstructured":"RStudio Team (2020). RStudio: Integrated Development Environment for R, RStudio, PBC."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v042.i08","article-title":"MatchIt: Nonparametric Preprocessing for Parametric Causal Inference","volume":"42","author":"Ho","year":"2011","journal-title":"J. Stat. Softw."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1177\/2167702613497473","article-title":"The p factor: One general psychopathology factor in the structure of psychiatric disorders?","volume":"2","author":"Caspi","year":"2014","journal-title":"Clin. Psychol. Sci."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Di Fini, G., Civilotti, C., Bolognino, A., Einaudi, G., Molo, M., Veglia, F., Gandino, G., and Finzi, S. (2025). The burden of the past: A systematic review of childhood trauma and mental health in transgender and gender nonconforming individuals. Eur. J. Investig. Heal. Psychol. Educ., 15.","DOI":"10.3390\/ejihpe15090183"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.jadohealth.2016.08.027","article-title":"Disordered weight management behaviors, nonprescription steroid use, and weight perception in transgender youth","volume":"60","author":"Guss","year":"2017","journal-title":"J. Adolesc. Health"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1037\/sgd0000386","article-title":"Exploring the Eating Disorder Examination Questionnaire in treatment seeking transgender youth","volume":"7","author":"Peterson","year":"2020","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"3959","DOI":"10.1038\/s41467-020-17794-1","article-title":"Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals","volume":"11","author":"Warrier","year":"2020","journal-title":"Nat. Commun."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1002\/eat.24369","article-title":"The Co-Occurrence of Autism and Avoidant\/Restrictive Food Intake Disorder (ARFID): A Prevalence-Based Meta-Analysis","volume":"58","author":"Sader","year":"2025","journal-title":"Int. J. Eat. Disord."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1089\/lgbt.2020.0308","article-title":"Disordered eating, food insecurity, and weight status among transgender and gender nonbinary youth and young adults: A cross-sectional study using a nutrition screening protocol","volume":"8","author":"Linsenmeyer","year":"2021","journal-title":"LGBT Health"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.jadohealth.2015.03.003","article-title":"Gender identity, sexual orientation, and eating-related pathology in a national sample of college students","volume":"57","author":"Diemer","year":"2015","journal-title":"J. Adolesc. Health"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/camh.12723","article-title":"The Cass Review\u2013implications and reassurance for practitioners","volume":"29","author":"Cass","year":"2024","journal-title":"Child Adolesc. Ment. Health"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1177\/00221465211016436","article-title":"Health and health care of sexual and gender minorities","volume":"62","author":"Hsieh","year":"2021","journal-title":"J. Health Soc. Behav."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.beth.2022.02.006","article-title":"Disordered eating and body dissatisfaction in transgender and gender-expansive adults: An evaluation and integration of the gender minority stress and resilience and tripartite influence models","volume":"53","author":"Muratore","year":"2022","journal-title":"Behav. Ther."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1037\/bul0000390","article-title":"The vicious cycle of psychopathology and stressful life events: A meta-analytic review testing the stress generation model","volume":"149","author":"Rnic","year":"2023","journal-title":"Psychol. Bull."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1002\/erv.2954","article-title":"Interpersonal attribution bias and social evaluation in adolescent eating disorders","volume":"31","author":"Harper","year":"2023","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0005-7967(99)00123-0","article-title":"A cognitive model of posttraumatic stress disorder","volume":"38","author":"Ehlers","year":"2000","journal-title":"Behav. Res. Ther."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0005-7967(02)00088-8","article-title":"Cognitive behaviour therapy for eating disorders: A \u201ctransdiagnostic\u201d theory and treatment","volume":"41","author":"Fairburn","year":"2003","journal-title":"Behav. Res. Ther."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s40337-022-00654-2","article-title":"Psychiatric and medical comorbidities of eating disorders: Findings from a rapid review of the literature","volume":"10","author":"Hambleton","year":"2022","journal-title":"J. Eat. Disord."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"222","DOI":"10.4103\/2229-3485.167092","article-title":"Common pitfalls in statistical analysis: Odds versus risk","volume":"6","author":"Ranganathan","year":"2015","journal-title":"Perspect. Clin. Res."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s001270200001","article-title":"Quantifying psychiatric comorbidity: Lessions from chronic disease epidemiology","volume":"37","author":"Batstra","year":"2002","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1002\/msj.20174","article-title":"Access to health and health care: How race and ethnicity matter","volume":"77","author":"Richardson","year":"2010","journal-title":"Mt. Sinai J. Med. J. Transl. Pers. Med."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/eat.23704","article-title":"The impact of the COVID-19 pandemic on eating disorders: A systematic review","volume":"56","author":"Devoe","year":"2023","journal-title":"Int. J. Eat. Disord."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/14733145.2012.729069","article-title":"The CORE-10: A short measure of psychological distress for routine use in the psychological therapies","volume":"13","author":"Barkham","year":"2013","journal-title":"Couns. Psychother. Res."},{"key":"ref_84","first-page":"1","article-title":"mice: Multivariate imputation by chained equations in R","volume":"45","year":"2011","journal-title":"J. Stat. Softw."},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Pishgar, F., Greifer, N., Leyrat, C., and Stuart, E. (2020). MatchThem: Matching and weighting after multiple imputation. arXiv.","DOI":"10.32614\/CRAN.package.MatchThem"},{"key":"ref_86","doi-asserted-by":"crossref","unstructured":"Little, R.J.A., and Rubin, D.B. (2019). Statistical Analysis with Missing Data, John Wiley & Sons.","DOI":"10.1002\/9781119482260"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1177\/0962280206075303","article-title":"Sensitivity analysis after multiple imputation under missing at random: A weighting approach","volume":"16","author":"Carpenter","year":"2007","journal-title":"Stat. Methods Med. Res."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/3\/458\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:19:03Z","timestamp":1769771943000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/3\/458"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,30]]},"references-count":87,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["nu18030458"],"URL":"https:\/\/doi.org\/10.3390\/nu18030458","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,30]]}}}