Minority Stress Factors Associated With Depression and Anxiety Among Transgender and Gender-Nonconforming Youth.
Minority Stress Factors Associated With Depression and Anxiety Among Transgender and Gender-Nonconforming Youth.
复制标题
DOI：
10.1016/j.jadohealth.2018.07.006
复制
发表时间：
2019-04
期刊：
影响因子：
--
通讯作者：
Garofalo R
中科院分区：
文献类型：
--
作者：
Chodzen G;Hidalgo MA;Chen D;Garofalo R
跨性别和性别歧视（TGNC）青少年和年轻人经历心理健康问题，包括焦虑和抑郁，与顺性别同行相比，其发病率较高。越来越多的文献表明，在TGNC个人的精神问题的脆弱性的结果，社会歧视和少数民族的压力。样本包括青少年TGNC患者（N = 109）谁完成了行为健康筛查问卷作为标准的护理在他们的第一次临床访问的跨学科的性别计划在一个大都市的儿科学术医疗中心在中西部城市。二元逻辑回归被用来评估参与者是否符合重度抑郁症（MDD）和广泛性焦虑症（GAD）的临床诊断标准的可能性是通过性别认同外观一致性，少数民族压力的近端形式（例如，与性别认同有关的对未来的负面期望;内化的跨性别恐惧症）和社区连通性（即，弹性）。总体而言，33%（n = 36）的样本符合MDD诊断标准，48%（n = 53）符合GAD诊断标准。那些具有高水平内化变性恐惧症的人更有可能同时符合MDD和GAD的诊断标准。那些低水平的性别认同的外观一致性显着更有可能满足诊断标准的抑郁症，但不广泛性焦虑症。有几个独特的因素可以预测TGNC青年的精神疾病。了解这些因素可能为有针对性的临床和结构干预提供机会。
Transgender and gender-nonconforming (TGNC) adolescents and young adults experience mental health problems, including anxiety and depression, at an elevated rate as compared to their cisgender counterparts. A growing literature suggests that vulnerability to psychiatric problems in TGNC individuals results from social discrimination and minority stress. The sample consisted of adolescent TGNC patients (N = 109) who completed behavior health screening questionnaires as standard of care at their first clinical visit to an interdisciplinary gender program within a pediatric academic medical center in a metropolitan Midwestern city. Binary logistic regressions were used to assess whether the likelihood that participants met clinical diagnostic criteria for Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) was predicted by gender identity appearance congruence, proximal forms of minority stress (e.g., negative expectations of the future related to gender identity; internalized transphobia) and community connectedness (i.e., resilience) . Overall, 33% (n = 36) of the sample met diagnostic criteria for MDD and 48% (n = 53) met diagnostic criteria for GAD. Those with high levels of internalized transphobia were significantly more likely to meet diagnostic criteria for both MDD and GAD. Those with low levels of gender identity appearance congruence were significantly more likely to meet diagnostic criteria for MDD but not GAD. There are several unique factors that may predict mental illness among TGNC youth. Understanding these factors may offer opportunities for targeted clinical and structural interventions.
登录
查看更多内容
DOI：
10.1016/j.jaac.2016.10.016
发表时间：
2017-02-01
影响因子：
13.3
作者：
Durwood, Lily;McLaughlin, Katie A.;Olson, Kristina R.
通讯作者：
Olson, Kristina R.
影响因子：
2.6
作者：
de Vries, Annelou L. C.;Cohen-Kettenis, Peggy T.
通讯作者：
Cohen-Kettenis, Peggy T.
影响因子：
2.6
作者：
Austin, Ashley;Goodman, Revital
通讯作者：
Goodman, Revital
影响因子：
12.7
作者：
Bockting, W. O.;Miner, M. H.;Coleman, E.
通讯作者：
Coleman, E.
影响因子：
2.4
作者：
Kosnes, Liv;Whelan, Robert;McHugh, Louise A.
通讯作者：
McHugh, Louise A.