The Relationship Between Minority Stress and Body Image—A Systematic Review of the Literature

Dados Bibliográficos

ID12801529
AutoresFabrizio Santoniccolo (0000-0003-4475-5539, University of Turin, autor correspondente), Tommaso Trombetta (0000-0001-5854-827X, University of Turin), María Noemí Paradiso (0000-0003-2323-0290, University of Turin), Luca Rollè (0000-0002-4398-8683, University of Turin)
Ano2025
Data de publicação2025-08-14
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSexuality Research and Social Policy (JOURNAL)
Identificadores do periódicoISSN: 1553-6610 • E-ISSN: 1868-9884
EditoraSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s13178-025-01156-x
OpenAlexW4417525869
IdiomaEN
Citações recebidas4
Referências citadas90

Introduction Body image concerns are found to be heightened in Sexual and Gender Minorities (SGMs) compared to heterosexual and cisgender people. Minority-specific stressors, such as violence and discrimination, are hypothesized to be a determinant of this disparity. Methods Following PRISMA guidelines, a screening of three scientific search engines (Web of Science, EBSCO, and PUBMED) was conducted up to January 2024. The screening analyzed 2148 records and full texts of 73 reports. Three research questions were explored: relations between minority stress and body image, specific considerations for LGBTQ + individuals, and differences between identity categories. Ultimately, 29 studies were included. Results Minority stress was consistently associated with body image concerns, such as body dissatisfaction and shame. Mediating factors included internalization of cultural standards of appearance, self-esteem, and body surveillance. Specific considerations included an ambivalent role of LGBTQ + communities, differing body image ideals, and additional roles of gender minority stress and transgender congruence in trans people. Differences included bisexual people showing higher body image concerns and gender-based divergences regarding thinness-based and muscle-based dissatisfaction. Some methodological concerns and gaps are present in the available literature. Conclusions Minority stress appears to consistently heighten body image concerns, showing an impact on several psychological characteristics. Specificities and differences are present for LGBTQ + identities. More research is needed, particularly on intrapsychic and intersectional aspects. Policy Implications Anti-discrimination policies promoted on an institutional, organizational, and social level may help prevent an important, pervasive risk factor for LGBTQ + wellbeing. Clinical interventions involving body image may benefit from considering the effect of minority stress

Ambivalence · Gender identity · Human physical appearance · Minority stress · Psychological intervention · Sexual minority · Sexual orientation · Transgender · Body Image and Dysmorphia Studies · Eating Disorders and Behaviors · Obesity and Health Practices