Meta-analytic and narrative systematic reviews of body image concerns and eating disorders in transgender and gender diverse people: Methodology
Abstract
Body image concerns and eating disorders (EDs) occur frequently within transgender and gender diverse (TGD) people. This paper provides a detailed overview of the methodology of a larger project that provides an updated critical synthesis of body image concerns and EDs in TGD people. A review was conducted with the goal of answering specific questions (1) the existence of differences in rates of body image concerns and eating disorder symptoms between TGD individuals and their cisgender counterparts, as well as variation within TGD subgroups/populations; (2) the effects/correlates of gender affirming care on body image concerns and eating disorder symptoms of TGD people; and (3) correlates of body image concerns and eating disorder symptoms among TGD people. Following PRISMA guidelines, four databases were searched yielding 403 studies after independent screening, of which, 152 were retained and included in the reviews, including 60 pertaining to groups differences in body image concerns and eating disorder symptoms, 65 pertaining to the effects of gender affirming care, and 78 with information regarding the correlates of body image concerns and eating disorder symptoms among TGD people. The findings from this review will be useful to summarize the current state of the field and identify important future directions.
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