Minority stressors and their associations with severe psychological distress among gender-diverse people.
Minority stressors and their associations with severe psychological distress among gender-diverse people.
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少数群体压力源及其与性别多元化人群中严重心理困扰的关联。
DOI：
10.1037/ort0000635
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Salerno,JohnP
中科院分区：
文献类型：
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作者：
Pease,M;Williams,NatashaD;Iwamoto,DerekK;Salerno,JohnP
性别与指定性别不一致的人经常会经历与顺规范社会期望和压迫相关的负面心理健康结果，包括家庭排斥、伤害威胁和身份失效（例如性别错误）。这项研究合并了跨性别者和性别多元化人群（N = 363；M 年龄 = 22.02）的两个横截面数据集，调查了各种类型的远端少数群体压力经历如何影响心理困扰。我们使用未调整和调整的回归模型（包括性别分层模型）测试了三种少数群体压力源（即家庭拒绝、伤害威胁和身份失效）与心理困扰之间的关联。在整体未经调整的模型中，所有三种压力源均与心理困扰显着正相关，其中身份失效具有最高的标准化β值。在调整后的整体模型中，只有身份失效与痛苦显着相关。性别分层模型的结果各不相同。此外，经历过这三种压力源中任何一种的参与者预测平均痛苦分数等于或高于严重心理困扰的临界值，而那些没有经历过的参与者则低于该临界值。研究结果强调了少数群体压力经历对性别多样化的年轻人的不同影响，并为临床能力、干预措施和未来研究提供了指导，以了解跨性别者的心理健康差异。
People whose gender does not align with assigned sex often experience negative mental health outcomes related to cisnormative societal expectations and oppression, including familial rejection, threat of harm, and identity invalidation (eg, misgendering). This study merged two cross-sectional data sets of trans and gender-diverse people (N= 363; M age= 22.02) investigating how various types of distal minority stress experiences impact psychological distress. We tested the associations between three minority stressors (ie, family rejection, threat of harm, and identity invalidation) and psychological distress using unadjusted and adjusted regression models, including gender-stratified models. In the overall unadjusted model, all three stressors were significantly, positively associated with psychological distress, with identity invalidation having the highest standardized β value. In the adjusted overall model, only identity invalidation was significantly associated with distress. Results varied in gender-stratified models. Additionally, participants who experienced any of the three stressors had predicted mean distress scores at or above the cutoff for severe psychological distress, while those who did not fell below that cutoff. Results highlight the differential impact of minority stress experiences on gender-diverse young adults and provide directions for clinical competency, interventions, and future research toward understanding mental health disparities for trans people.