OTSystematic ReviewAustralian occupational therapy journal2026

Drag as a meaningful occupation: A scoping review.

Louis-Pierre Auger, Victoria Richard, Anastasija Ivanova and 3 others

PMID 42084402

WHAT IT FOUND

Across 34 studies, drag performers described drag as meaningful work that let them explore identity, build 'chosen family' ties and contribute to their communities, while facing widespread discrimination.

They reported more anxiety and depression symptoms, and no study looked at their health care.

Key findings

01In 27 of the 34 studies, drag was described as a safe, open space where performers could escape traditional gender norms and explore and express their identity, and many said it raised their self-esteem and self-confidence.

02In 25 of the 34 studies, drag was described as building connection with others, including lasting friendships and mentor-mentee relationships that performers called their 'drag family', 'alternative family' or 'chosen family'.

03Twenty of the 34 studies described marginalisation and discrimination against drag performers, from verbal harassment to physical and psychological aggression, and several reported higher rates of anxiety and depression symptoms; no study asked what help or services performers sought, and none addressed their physical health care.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Twenty-two of the 34 studies came from the United States, so what they describe may reflect the American social and legal context rather than drag generally; the authors say the experience is likely to vary across countries. Thirty-one of the 34 studies were qualitative and none used a comparison group, so nothing here shows that drag causes any health outcome, good or bad. The samples are skewed. Eighteen studies looked only at drag queens, 3 only at drag kings, and no study looked at audiences, so drag kings and other performers are thinly represented. The meaning of 'drag' has changed over time, so the search also included older terms such as cross-dressing and impersonator. That widens the net but risks pulling in studies that are not about drag and missing ones that are. Grey literature was excluded and only English and French studies were included, so relevant work in other languages or outside journals was missed. The authors did not consult stakeholders, which they note could have improved the credibility and usefulness of the results. Several studies reported higher rates of anxiety and depression but none tested why; the authors state that no clear cause was demonstrated, and they note that intersectionality was only minimally addressed in the studies they reviewed.

Declared interests

The authors declare no conflicts of interest. No funding source is reported in the article text.

The easy way to misread this

Do not read this as evidence that drag, or drag-based activities, works as a treatment. It is a scoping review of 34 mostly qualitative studies describing what performers say about their own occupation. No intervention was tested, there was no comparison group, and the authors state that no clear cause was demonstrated for the higher rates of anxiety and depression symptoms the studies reported.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →