Family Functioning and Mental Health of Transgender and Gender-Nonconforming Youth in the Trans Teen and Family Narratives Project
Family Functioning and Mental Health of Transgender and Gender-Nonconforming Youth in the Trans Teen and Family Narratives Project
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DOI：
10.1080/00224499.2017.1415291
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发表时间：
2018-01-01
影响因子：
3.6
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
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作者：
Katz-Wise, Sabra L.;Ehrensaft, Diane;Austin, S. Bryn
跨性别和性别差异（TGN）青年的不良心理健康结果的风险增加，但更好的家庭功能可能具有保护作用。本研究描述了TGN青年的心理健康和协会与家庭功能在社区为基础的样本。参与者来自33个家庭（96名家庭成员），包括33名13至17岁的TGN青年; 48名顺性别（非变性）照顾者;和15名顺性别兄弟姐妹。参与者完成了一项调查，家庭功能（家庭沟通，家庭满意度）和心理健康的TGN青年（自杀，自我伤害，抑郁，焦虑，自尊，韧性）的措施。TGN青少年报告了高风险的心理健康问题：自杀（15%至30%），自我伤害（49%），临床显著的抑郁症状（61%）;和中度自尊（M=27.55，SD=7.15）和弹性（M=3.67，SD=0.53）。在调整后的模型中，从TGN青少年的角度来看，更好的家庭功能与TGN青少年更好的心理健康结果相关（自伤，抑郁症状和焦虑症状的范围为-0.40至-0.65，自尊和弹性为0.58至0.70）。这项研究的结果强调了考虑TGN青年对家庭的观点的重要性，以提供干预措施，改善TGN青年家庭的家庭功能。
Transgender and gender-nonconforming (TGN) youth are at increased risk for adverse mental health outcomes, but better family functioning may be protective. This study describes TGN youth's mental health and associations with family functioning in a community-based sample. Participants were from 33 families (96 family members) and included 33 TGN youth, ages 13 to 17years; 48 cisgender (non-transgender) caregivers; and 15 cisgender siblings. Participants completed a survey with measures of family functioning (family communication, family satisfaction) and mental health of TGN youth (suicidality, self-harm, depression, anxiety, self-esteem, resilience). TGN youth reported a high risk of mental health concerns: suicidality (15% to 30%), self-harm (49%), clinically significant depressive symptoms (61%); and moderate self-esteem (M=27.55, SD=7.15) and resiliency (M=3.67, SD=0.53). In adjusted models, better family functioning from the TGN youth's perspective was associated with better mental health outcomes among TGN youth ( ranged from -0.40 to -0.65 for self-harm, depressive symptoms, and anxious symptoms, and 0.58 to 0.70 for self-esteem and resiliency). Findings from this study highlight the importance of considering TGN youth's perspectives on the family to inform interventions to improve family functioning in families with TGN youth.