Measuring Risk and Protective Factors for Eating and Body Image Concerns in LGBTGEQIAP+ Communities: An Instrument Development and Validation Study

Eating disorders (EDs) are multicultural concerns that impact people with diverse cultural and social identities. However, scholars highlight prevalent gaps in the literature regarding culturally responsive assessment and treatment for underserved groups with EDs, such as the lesbian, gay, bisexual,...

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Bibliographic Details
Published in:International journal for the advancement of counselling 2024-12, Vol.46 (4), p.900-922
Main Authors: Labarta, Adriana C., Emelianchik-Key, Kelly, Peluso, Paul R., Gill, Carman S., Colvin, Kimberly F.
Format: Article
Language:English
Subjects:
Behavioral Science and Psychology
Bisexuality
Body image
Clinical Psychology
Confirmatory factor analysis
Factor Structure
Human body
Industrial and Organizational Psychology
Intersectionality
Lesbianism
LGBTQ people
Literature reviews
Original Article
Protective factors
Psychological Methods/Evaluation
Psychology
Psychotherapy and Counseling
Reliability
Risk factors
Self Concept
Self image
Social justice
Transgender persons
Two-Spirit
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Summary:Eating disorders (EDs) are multicultural concerns that impact people with diverse cultural and social identities. However, scholars highlight prevalent gaps in the literature regarding culturally responsive assessment and treatment for underserved groups with EDs, such as the lesbian, gay, bisexual, transgender/two-spirit, gender expansive, queer/questioning, intersex, asexual, pansexual (LGBTGEQIAP+) community. We developed and validated the Multidimensional Eating and Body Image Screening (MEBIS), a screening tool to examine risk and protective factors for eating and body image concerns in LGBTGEQIAP+ individuals. The MEBIS items were developed based on a comprehensive literature review and feedback from an expert panel and a small sample of LGBTGEQIAP+ individuals. Two separate community samples were recruited for exploratory and confirmatory factor analyses. The MEBIS has a nine-factor structure with adequate fit, acceptable internal consistency reliability, and convergent evidence with a scale measuring similar constructs. Given the call for more intersectional, social justice-informed ED research, the MEBIS may assist counselors with broaching relevant cultural constructs and incorporating affirming counseling approaches. Limitations and directions for future research are explored further to advance efforts in culturally responsive ED assessment and treatment.
ISSN:0165-0653
1573-3246
DOI:10.1007/s10447-024-09563-2