Discriminatory experiences associated with posttraumatic stress disorder symptoms among transgender adults.
Discriminatory experiences associated with posttraumatic stress disorder symptoms among transgender adults.
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DOI：
10.1037/cou0000143
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发表时间：
2016-10
影响因子：
3.9
通讯作者：
Pachankis JE
中科院分区：
文献类型：
--
作者：
Reisner SL;White Hughto JM;Gamarel KE;Keuroghlian AS;Mizock L;Pachankis JE
歧视已被证明给变性人带来了不成比例的负担；然而，临床上缺乏对歧视的心理健康后遗症的关注，包括创伤后应激障碍(PTSD)症状。此外，很少有研究将歧视与其他创伤应激源结合起来预测创伤后应激障碍症状。目前的研究试图填补这些空白。以社区为基础的412名变性人成年人(平均年龄33岁，SD=13；63%的女性到男性；19%的有色人种；88%的在线抽样)完成了一项关于日常歧视经历和创伤后应激障碍症状的横断面自我报告调查。多变量线性回归模型检验了自我报告的日常歧视经历、歧视归因领域的数量和创伤后应激障碍症状之间的关系，调整了既往创伤、社会人口学和心理社会共发病。被认可的歧视归因的平均数目为4.8(SD=2.4)，最常见的5个被报告的歧视原因是：性别认同和/或表达(83%)、男性和女性的外表(79%)、性取向(68%)、性别(57%)和年龄(44%)。较高的日常辨别分数(β=0.2 5；95%CL=0.2 1~0.30)和较多的歧视经历归因(β=0.0 5；95%CL=0.0 1~0.10)与创伤后应激障碍症状独立相关。在治疗变性人的创伤后应激障碍症状时，来自多种来源的日常歧视经历需要临床考虑。
Discrimination has been shown to disproportionately burden transgender people; however, there has been a lack of clinical attention to the mental health sequelae of discrimination, including posttraumatic stress disorder (PTSD) symptoms. Additionally, few studies contextualize discrimination alongside other traumatic stressors in predicting PTSD symptomatology. The current study sought to fill these gaps. A community-based sample of 412 transgender adults (mean age 33, SD=13; 63% female-to-male spectrum; 19% people of color; 88% sampled online) completed a cross-sectional self-report survey of everyday discrimination experiences and PTSD symptoms. Multivariable linear regression models examined the association between self-reported everyday discrimination experiences, number of attributed domains of discrimination, and PTSD symptoms, adjusting for prior trauma, sociodemographics, and psychosocial co-morbidity. The mean number of discrimination attributions endorsed was 4.8 (SD=2.4) and the five most frequently reported reasons for discrimination were: gender identity and/or expression (83%), masculine and feminine appearance (79%), sexual orientation (68%), sex (57%), and age (44%). Higher everyday discrimination scores (β=0.25; 95% CL=0.21–0.30) and greater number of attributed reasons for discrimination experiences (β=0.05; 95% CL=0.01–0.10) were independently associated with PTSD symptoms, even after adjusting for prior trauma experiences. Everyday discrimination experiences from multiple sources necessitate clinical consideration in treatment for PTSD symptoms in transgender people.