Neurodivergence, intersectionality, and eating disorders: a lived experience-led narrative review

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Cobbaert, L., Millichamp, A., Elwyn, R., Silverstein, S., Schweizer, K. W., Thomas, E., & Miskovic‐Wheatley, J. (2024). Neurodivergence, intersectionality, and eating disorders: a lived experience-led narrative review. Journal of Eating Disorders, 12(1), 187-187. https://doi.org/10.1186/s40337-024-01126-5

Publication date: 20 Nov 2024 Added to AutiHub: 5 Jul 2026 Type: Article Article language: English
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Authors

Publication authors
7
Publication authors identified as autistic
1 / 7 (14.3%)
  1. Laurence Cobbaert *
  2. Anna Millichamp
  3. Rosiel Elwyn
  4. Scout Silverstein
  1. K. W. Schweizer
  2. Elysia Thomas
  3. Jane Miskovic‐Wheatley

Abstract

Autistic people and those with attention deficit hyperactivity disorder are at a high risk of developing an eating disorder. While there is limited evidence on the relationship between other forms of neurodivergence and eating disorders, research suggests associations between giftedness, intellectual disability, obsessive-compulsive disorder, psychosis, Tourette's syndrome, and disordered eating. Factors underlying disordered eating and/or eating disorder risk for neurodivergent people are multifaceted and complex, encompassing a wide range of intertwined psychosocial, environmental, and biological processes. Moreover, research shows that neurodivergent individuals experience poorer treatment outcomes compared to neurotypical individuals. However, there is a paucity of research in this area overall. More specifically, lived experience-led research remains rare, despite its critical role for improving individualised eating disorder care, as well as mental healthcare more broadly. Indeed, the importance of eating disorder care individuation is increasingly being recognised, particularly within the context of neurodivergence, given the heterogeneous experiences and support needs of neurodivergent people affected by disordered eating and/or eating disorders. Furthermore, despite documented overlaps between various forms of neurodivergence (e.g., co-occurring autism and attention deficit hyperactivity disorder), research looking at eating disorders in the context of neurodivergence through a transdiagnostic perspective is scarce. This lived experience-led narrative review aims to shed light on the intersectional factors underlying elevated disordered eating and/or eating disorder risk for neurodivergent individuals. First, an overview of prevalence data is provided, followed by a thematic framework identifying factors underlying disordered eating and/or eating disorder risk in relation to neurodivergence. A critical appraisal of current eating disorder research and care is then offered before suggestions for neurodiversity-affirming eating disorder care are made. In this view, this paper offers a foundation for future empirical work in this nascent field of inquiry by providing a lived experience-led, transdiagnostic, and intersectional account of eating disorders in the context of neurodivergence.

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Cited references
464
Total cited references integrated for this publication.
Cited references with an identified autistic author
40 / 464 (8.6%)
Cited author occurrences identified as autistic
84 / 2454 (3.4%)
Among occurrences linked to AutiHub author records: 84 / 421 (20.0%). Distinct cited authors identified as autistic: 65 / 2035 (3.2%).
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421 / 2454 (17.2%)
Distinct linked cited authors: 291 / 2035 (14.3%)
Linked cited-author occurrences not identified as autistic
337 / 421 (80.0%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 337 / 2454 (13.7%). Distinct linked cited authors not identified as autistic: 226 / 291 (77.7%).
10 cited bibliography entries could not be fully enriched from DOI metadata.
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