Evidence map›Paper›PMID 41489761›Full record

ArticleEating and weight disorders : EWD2026

The diverging role of embodiment in altered eating behaviors: a comparison between patients with anorexia nervosa and gender dysphoria.

Livio Tarchi, Marco Faldi, Emanuele Cassioli, Eleonora Rossi, Luca Zompa, Jiska Ristori, Alessandra Daphne Fisher, Giovanni Stanghellini, Valdo Ricca, Giovanni Castellini

Abstract readComparative Study
In one paragraph

Article in Eating and weight disorders : EWD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Livio TarchiPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy.
Marco FaldiPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy.
Emanuele CassioliPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy.
Eleonora RossiPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy.
Luca ZompaPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy.
Jiska RistoriAndrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence, Italy.
Alessandra Daphne FisherAndrology, Women's Endocrinology and Gender Incongruence Unit, Careggi University Hospital, Florence, Italy.
Giovanni StanghelliniDepartment of Psychological Sciences, Adjuncto Universidad "Diego Portales", Santiago, Chile.
Valdo RiccaPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy.
Giovanni CastelliniPsychiatry Unit, Department of Health Sciences, University of Florence, viale della maternità, Padiglione 8b, AOU Careggi, 50134, Florence, FI, Italy. giovanni.castellini@unifi.it.

Funding

Ministero dell'Università e della Ricerca PE0000006
6 · The paper itself

Abstract

purposeClinical studies describe a higher risk in individuals with Gender Dysphoria (GD) to engage in disordered eating practices, as well as dietary restraint. To the present day, clinical assessments on eating psychopathology in GD are principally oriented towards assessing behaviors, rather than the lived experience underlying these behaviors.

methodsA sample of 141 individuals with GD (40 assigned male at birth-AMAB, 101 assigned female-AFAB), 153 individuals from the general population and 294 patients with AN were enrolled. Body Uneasiness Test (BUT), the Eating Disorders Examination Questionnaire (EDE) and the Identity and Eating Disorders questionnaire (IDEA) were administered. Analysis of variance and linear models were employed to estimate group differences, adjusted for age, education, and body mass index.

resultsBody uneasiness (BUT global severity index: F value 47.44, p < 0.001), and eating behaviors (EDE total score: F value 66.19, p < 0.001) lied on a spectrum of severity between patients with AN (highest), individuals with GD (elevated) and the general population. Patients with AN reported markedly greater embodiment disturbances in comparison with both the general population and AMAB or AFAB individuals with GD (IDEA total score: minimum T value 4.03, p < 0.001). However, AMAB individuals with GD also reported moderate embodiment disturbances in comparison with the general population (IDEA total score: T value 3.41, p < 0.01). DISCUSSION: Lived experiences may better highlight core differences between GD and clinical populations of patients with eating disorders. Embodiment disturbances were also reported by AMAB individuals, suggesting a role for gendered expectations in embodiment. LEVEL OF EVIDENCE: III, evidence obtained from cohort or case-control analytic studies.

Indexed as

Anorexia NervosaBody ImageFeeding BehaviorGender DysphoriaAdolescentAdultFemaleHumansMaleSurveys and QuestionnairesYoung AdultBody dissatisfactionBody imageDisordered eatingGender incongruenceRestrictive eatingTransgender and gender diverse

Identifiers

PMID41489761
PMCPMC12769614

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.