Gender Dysphoria and Anorexia Nervosa Symptoms in Two Adolescents

Archives of Sexual Behavior
Jiska RistoriMario Maggi

Abstract

The co-occurrence of gender dysphoria and anorexia nervosa has been described in the scientific literature. This paper presents two adolescents with gender dysphoria and pathological eating behaviors and questions with longitudinal observations the clinical meaning of anorexia nervosa symptoms (e.g., restricting eating behaviors and fear of gaining weight) in adolescents with gender dysphoria. Both received psychological evaluations at different times: at first admission to the gender dysphoria clinic (T0) and 6 months after starting treatment with gonadotropin-releasing analogues (GnRHa; T1). In both cases, treatment with GnRHa not only improved psychological functioning, but also resolved pathological eating behaviors. In fact, both adolescents reported quick restoring of healthy food habits with restricting eating behaviors as well as intensive exercise no longer needed after treatment with GnRHa. Therefore, pathological eating behaviors (e.g., food avoidance and weight loss) could be assessed as a dysfunctional coping strategy adopted to gain control over a body developing in an unwanted direction and to block irreversible physical pubertal changes. This psychopathological conceptualization of pathological eating behaviors ...Continue Reading

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Citations

Oct 17, 2019·Current Psychiatry Reports·Jennifer S CoelhoPei-Yoong Lam
Feb 13, 2021·The Journal of Sexual Medicine·Seven KaptanŞahika Yüksel
Nov 26, 2020·Journal of Clinical Medicine·Marta MirabellaAnna Maria Speranza
May 8, 2021·Eating Behaviors·Sydney M Hartman-MunickAllegra R Gordon
Apr 20, 2021·Public Health Nutrition·Sávio Marcelino GomesLuiz Ra Noro

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