Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults
Abstract Purpose Cisgender sexual minority adults are at elevated risk for eating disorders; however, community norms for certain eating disorder measures are lacking for this population. This study aimed to establish community norms for the Eating Pathology Symptom Inventory (EPSI) among cisgender...
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| Format: | Article |
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Springer
2025-04-01
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| Series: | Eating and Weight Disorders |
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| Online Access: | https://doi.org/10.1007/s40519-025-01742-3 |
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| author | Jason M. Nagata Christopher D. Otmar Christopher M. Lee Emilio J. Compte Jason M. Lavender Tiffany A. Brown Kelsie T. Forbush Annesa Flentje Micah E. Lubensky Juno Obedin-Maliver Mitchell R. Lunn |
| author_facet | Jason M. Nagata Christopher D. Otmar Christopher M. Lee Emilio J. Compte Jason M. Lavender Tiffany A. Brown Kelsie T. Forbush Annesa Flentje Micah E. Lubensky Juno Obedin-Maliver Mitchell R. Lunn |
| author_sort | Jason M. Nagata |
| collection | DOAJ |
| description | Abstract Purpose Cisgender sexual minority adults are at elevated risk for eating disorders; however, community norms for certain eating disorder measures are lacking for this population. This study aimed to establish community norms for the Eating Pathology Symptom Inventory (EPSI) among cisgender gay, lesbian, bisexual + (individuals who identify as bisexual or pansexual; bi +) adults. Methods Cross-sectional data were analyzed from 2062 cisgender participants—including 925 gay men, 573 lesbian women, 116 bi + men, and 448 bi + women—enrolled 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. Results 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 + women exhibited the highest scores for Body Dissatisfaction, Binge Eating, and Restricting compared to other groups, whereas cisgender bi + men 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. Conclusion These findings offer valuable benchmarks for interpreting EPSI scores in the assessment and treatment of eating disorders among cisgender sexual minority individuals. Level of evidence: Level V: based on descriptive results. |
| format | Article |
| id | doaj-art-e41eff5232fc491f805998019888783a |
| institution | OA Journals |
| issn | 1590-1262 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Springer |
| record_format | Article |
| series | Eating and Weight Disorders |
| spelling | doaj-art-e41eff5232fc491f805998019888783a2025-08-20T01:52:59ZengSpringerEating and Weight Disorders1590-12622025-04-0130111210.1007/s40519-025-01742-3Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adultsJason M. Nagata0Christopher D. Otmar1Christopher M. Lee2Emilio J. Compte3Jason M. Lavender4Tiffany A. Brown5Kelsie T. Forbush6Annesa Flentje7Micah E. Lubensky8Juno Obedin-Maliver9Mitchell R. Lunn10Department of Pediatrics, University of California, San FranciscoDepartment of Pediatrics, University of California, San FranciscoDepartment of Pediatrics, University of California, San FranciscoEating Behavior Research Center, School of Psychology, Universidad Adolfo IbáñezMilitary Cardiovascular Outcomes Research Program (Micor), Department of Medicine, Uniformed Services University of the Health SciencesDepartment of Psychological Sciences, Auburn UniversityDepartment of Clinical Child Psychology, University of KansasThe PRIDE Study/PRIDEnet, Stanford University School of MedicineThe PRIDE Study/PRIDEnet, Stanford University School of MedicineThe PRIDE Study/PRIDEnet, Stanford University School of MedicineThe PRIDE Study/PRIDEnet, Stanford University School of MedicineAbstract Purpose Cisgender sexual minority adults are at elevated risk for eating disorders; however, community norms for certain eating disorder measures are lacking for this population. This study aimed to establish community norms for the Eating Pathology Symptom Inventory (EPSI) among cisgender gay, lesbian, bisexual + (individuals who identify as bisexual or pansexual; bi +) adults. Methods Cross-sectional data were analyzed from 2062 cisgender participants—including 925 gay men, 573 lesbian women, 116 bi + men, and 448 bi + women—enrolled 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. Results 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 + women exhibited the highest scores for Body Dissatisfaction, Binge Eating, and Restricting compared to other groups, whereas cisgender bi + men 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. Conclusion These findings offer valuable benchmarks for interpreting EPSI scores in the assessment and treatment of eating disorders among cisgender sexual minority individuals. Level of evidence: Level V: based on descriptive results.https://doi.org/10.1007/s40519-025-01742-3Eating disordersSexual minorityCommunity normsLGBTQIA + healthLGBTLGBTQ |
| spellingShingle | Jason M. Nagata Christopher D. Otmar Christopher M. Lee Emilio J. Compte Jason M. Lavender Tiffany A. Brown Kelsie T. Forbush Annesa Flentje Micah E. Lubensky Juno Obedin-Maliver Mitchell R. Lunn Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults Eating and Weight Disorders Eating disorders Sexual minority Community norms LGBTQIA + health LGBT LGBTQ |
| title | Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults |
| title_full | Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults |
| title_fullStr | Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults |
| title_full_unstemmed | Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults |
| title_short | Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults |
| title_sort | community norms of the eating pathology symptoms inventory epsi in cisgender sexual minority adults |
| topic | Eating disorders Sexual minority Community norms LGBTQIA + health LGBT LGBTQ |
| url | https://doi.org/10.1007/s40519-025-01742-3 |
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