Transgender and anxiety: A comparative study between transgender people and the general population
Transgender and anxiety: A comparative study between transgender people and the general population
复制标题
DOI：
10.1080/15532739.2016.1258352
复制
发表时间：
2017-01-01
影响因子：
--
通讯作者：
Arcelus, Jon
中科院分区：
文献类型：
--
作者：
Bouman, Walter Pierre;Claes, Laurence;Arcelus, Jon
背景：焦虑症构成严重的公共卫生问题。可获得的关于跨性别人群焦虑症的数据由于数量少、缺乏匹配的对照人群以及选择非同质的跨性别人群而受到限制。目的：该研究的目的是：(1)确定未接受治疗的跨性别人群的焦虑症状（基于HADS），并将其与年龄和性别匹配的一般人群样本进行比较；(2)探讨经验性别、自尊、受害、社会支持、人际功能、异性激素使用等特定变量对焦虑症状水平的预测作用；(3)探讨跨性别者在接受异性激素治疗与未接受异性激素治疗时焦虑症状的差异。方法：共有913名自认为是跨性别者的人在3年内同意参加跨性别健康服务。这项研究的第一个目的是，592名未接受治疗的变性人按年龄和性别进行匹配，3816人来自普通人群。对于第二个和第三个目标，整个跨性别人群都被包括在内。测量方法：社会人口学变量和抑郁和焦虑（HADS）、自尊（RSE）、受害（ETS）、社会支持（MSPSS）和人际功能（IIP-32）的测量。结果：与一般人群相比，变性人患焦虑症的风险增加了近三倍
Background: Anxiety disorders pose serious public health problems. The data available on anxiety disorders in the transgender population is limited by the small numbers, the lack of a matched controlled population and the selection of a nonhomogenous group of transgender people.Aims: The aims of the study were (1) to determine anxiety symptomatology (based on the HADS) in a nontreated transgender population and to compare it to a general population sample matched by age and gender; (2) to investigate the predictive role of specific variables, including experienced gender, self-esteem, victimization, social support, interpersonal functioning, and cross-sex hormone use regarding levels of anxiety symptomatology; and (3) to investigate differences in anxiety symptomatology between transgender people on cross-sex hormone treatment and not on hormone treatment.Methods: A total of 913 individuals who self-identified as transgender attending a transgender health service during a 3-year period agreed to participate. For the first aim of the study, 592 transgender people not on treatment were matched by age and gender, with 3,816 people from the general population. For the second and third aim, the whole transgender population was included.Measurements: Sociodemographic variables and measures of depression and anxiety (HADS), self-esteem (RSE), victimization (ETS), social support (MSPSS), and interpersonal functioning (IIP-32).Results: Compared with the general population transgender people had a nearly threefold increased risk of probable anxiety disorder (all p