Mental Health and Self-Worth in Socially Transitioned Transgender Youth
Mental Health and Self-Worth in Socially Transitioned Transgender Youth
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DOI：
10.1016/j.jaac.2016.10.016
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发表时间：
2017-02-01
影响因子：
13.3
通讯作者：
Olson, Kristina R.
中科院分区：
文献类型：
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作者：
Durwood, Lily;McLaughlin, Katie A.;Olson, Kristina R.
目的：对于变性儿童来说，社会转型越来越普遍。社会转型涉及儿童在所有情况下(例如，穿着衣服和使用该性别的代词)向其他人展示自己是“相反”性别的一员。人们对社会转型的变性儿童的健康状况知之甚少。这项研究考察了社会转型儿童的抑郁、焦虑和自我价值感，并与两个对照组进行了比较：年龄和性别匹配的对照组和跨性别儿童的兄弟姐妹。方法：作为纵向研究(跨青年项目)的一部分，儿童(9-14岁)及其父母完成了抑郁和焦虑的测量(n=63名跨性别儿童，n=63名对照，n=38名兄弟姐妹)。儿童(6-14岁；n=116名变性儿童，n=122名对照，n=72名兄弟姐妹)也报告了他们的自我价值感。结果：变性人儿童报告的抑郁和自我价值感与他们的匹配对照组或兄弟姐妹同龄人没有区别(p=.311)，他们报告的焦虑程度略高(p=.076)。与全国平均水平相比，跨性别儿童表现出典型的抑郁率(p=.290)和略高的焦虑率(p=.096)。父母同样报告说，他们的变性人孩子比对照组的孩子经历了更多的焦虑(p=.002)，并认为他们的变性人孩子有同等程度的抑郁(p=.728)。结论：这些发现与之前对没有社会转变的性别不一致儿童的研究形成了鲜明对比，后者发现抑郁和焦虑的比率非常高。这些发现减轻了之前工作的担忧，即社会转型儿童的父母可能系统性地低估了心理健康问题。
Objective: Social transitions are increasingly common for transgender children. A social transition involves a child presenting to other people as a member of the "opposite" gender in all contexts (e.g., wearing clothes and using pronouns of that gender). Little is known about the wellbeing of socially transitioned transgender children. This study examined self-reported depression, anxiety, and self-worth in socially transitioned transgender children compared with 2 control groups: age- and gender matched controls and siblings of transgender children.Method: As part of a longitudinal study (TransYouth Project), children (9-14 years old) and their parents completed measurements of depression and anxiety (n = 63 transgender children, n = 63 controls, n = 38 siblings). Children (6-14 years old; n = 116 transgender children, n = 122 controls, n = 72 siblings) also reported on their self-worth. Mental health and self-worth were compared across groups.Results: Transgender children reported depression and self-worth that did not differ from their matched-control or sibling peers (p =.311), and they reported marginally higher anxiety (p = .076). Compared with national averages, transgender children showed typical rates of depression (p = .290) and marginally higher rates of anxiety (p = .096). Parents similarly reported that their transgender children experienced more anxiety than children in the control groups (p = .002) and rated their transgender children as having equivalent levels of depression (p = .728).Conclusion: These findings are in striking contrast to previous work with gender-nonconforming children who had not socially transitioned, which found very high rates of depression and anxiety. These findings lessen concerns from previous work that parents of socially transitioned children could be systematically underreporting mental health problems.