Evaluating the Feasibility and Acceptability of Mindful Self-Compassion Among Gender Minority Young Adults

项目摘要 性别少数年轻人（GMYA; 18-25岁），他们的性别与分配的性别不同 出生时性别相同的人患抑郁症和焦虑症的风险是性别相同的人的3-4倍。 他们出生时指定的性别（即，顺性）。少数性别压力（GM压力）的积累， 与一个人的性别认同和/或表达有关的污名化是造成这种差异的一个原因。GM胁迫 可以成为内在的，羞耻感和重复的想法（反刍）可以使心理健康 糟了尽管转基因压力、心理健康、羞耻感和沉思之间存在已知的联系， 在全球多年期评估中，存在解决全球机制压力的干预措施。自我同情，善待自己，而不是 在痛苦或困难时期的自我批评，已被确定为一个有用的战略，以减轻转基因压力， 转基因人，是一个可以加强的特质。正念自我同情（MSC），为期8周的干预， 将正念和自我同情技巧结合起来是增加自我同情的一种方法。然而，MSC 尚未与GYMA测试，目前还不知道是否性别焦虑症（由于身体不适的痛苦）， 匹配身份）可能难以充分参与基于身体的做法。我的长期研究目标 是通过识别和干预可改变的风险，改善GMYA的心理健康和福祉， 保护性因素使用社区参与，创伤知情干预。目前的项目建立在 我之前对GMYA心理健康的横断面研究，通过探索现有的 干预新的人口。本提案的目标是获得培训和认证， MSC教师以及创伤知情正念和具体实践，干预的额外技能 科学（实施、评估和适应）、高级数据分析和社区参与 research.在导师的指导下，我将追求以下具体目标：1）评估 为期8周的MSC干预和数据收集计划（前、后、3个月随访），连续5个月 GMYA组，2）通过GMYA评估MSC干预活动的可用性，并确定是否 MSC活动需要为GMYA量身定制，3）探索GMYA的干预前后和3个月 随访数据，以检查羞耻，沉思，自我同情，抑郁和焦虑是否敏感 改变这个项目的目标是与NCCIH在身心干预方面的兴趣一致的， 减少性取向和性别少数人群的压力、焦虑和抑郁（NOT-MD-22-012）， 推进健康促进、复原力和症状管理科学的目标（目标3），以及 致力于研究不同的人群和不同的科学工作者（目标4）。下 指导专家导师在人口，方法，方法，并具有强大的研究历史 资金-拟议的项目将为我提供必要的技能，独立进行严格的 补充和综合健康研究，以改善GMYA的心理健康和福祉。

PROJECT SUMMARY Gender minority young adults (GMYA; 18-25 years old), who have a gender that is different than their assigned sex at birth, have 3-4 times greater risk of depression and anxiety than those whose gender is congruent with their assigned sex at birth (i.e., cisgender). The accumulation of gender minority stress (GM stress), stress due to stigma related to one’s gender identity and/or expression is one proposed cause of this disparity. GM stress can become internalized, and feelings of shame and repetitive thoughts (rumination) can make mental health worse. Despite the known associations between GM stress, mental health, shame and rumination, few interventions exist to address GM stress in GMYA. Self-compassion, treating oneself with kindness instead of self-criticism in painful or difficult times, has been identified as a useful strategy to alleviate GM stress among GM people, and is a trait that can be strengthened. Mindful self-compassion (MSC), an 8-week intervention, combining mindfulness and self-compassion skills is one way to increase self-compassion. However, MSC has not yet been tested with GYMA and it is not known whether gender dysphoria (distress due to body not matching identity) could make it difficult to fully engage with body-based practices. My long-term research goal is to improve the mental health and wellbeing of GMYA by identifying, and intervening on, modifiable risk and protective factors using community-engaged, trauma-informed interventions. The current project builds upon my prior cross-sectional research on GMYA’ mental health by exploring the feasibility of an existing intervention with a new population. The objective for this proposal is to obtain training and certification as an MSC teacher as well as additional skills in trauma-informed mindfulness and embodied practice, intervention science (implementation, evaluation, and adaptation), advanced data analysis, and community engaged research. With guidance from my mentors, I will pursue the following specific aims: 1) evaluate the feasibility of an 8-week MSC intervention and data collection plan (pre-, post-, 3-month follow-up) with 5 consecutive groups of GMYA, 2) evaluate the usability of MSC intervention activities by GMYA and determine whether MSC activities need to be tailored for GMYA, and 3) explore GMYA’s pre- and post- intervention and 3-month follow-up data to examine whether shame, rumination, self-compassion, depression, and anxiety are sensitive to change. The goals of this project are consistent with NCCIH’s interest in mind-body interventions to help reduce stress, anxiety, and depression among sexual and gender minority populations (NOT-MD-22-012), objectives to advance science on health promotion, resilience, and symptom management (Obj. 3), and commitment to research with diverse populations and a diverse scientific workforce (Obj. 4). Under the guidance of expert mentors in the population, methods, approaches, and with a strong history of research funding- the proposed project will provide me with the necessary skills to independently conduct rigorous complementary and integrative health research to improve mental health and wellbeing among GMYA.