Measuring Stress in Diverse Gender Minority Adolescents

测量不同性别少数青少年的压力 项目摘要（30行） 本研究将为TGA-跨性别者制定一个全面的压力测量方法 青少年压力量表（TASS）。TGA经历许多行为的风险显着更高 健康结果，包括焦虑、抑郁、物质使用和自杀。这种差距是 可能与性别焦虑的经历有关，另外，少数民族压力-即，偏见， 对变性人的污名化和受害-但现有的研究通常 这些措施侧重于成年人，现有措施具有次优的心理测量特征。因此，在本发明中， 我们将制定跨性别青少年压力的全面衡量标准，其中包括 性别焦虑和少数民族压力分量表，可独立使用或协同使用 - 作为促进改进临床评估和干预发展的手段。朝向 为此，目标1将利用一种经过修改的德尔菲方法和对现有访谈的数据分析， 跨性别者协会确定并实施影响跨性别者的独特压力源， 青少年，包括与跨性别青少年的认知访谈（n = 20）。基于 团队在开发性少数群体青少年压力量表方面的丰富经验 （SMASI），这些方法将确保目标1产生全面的初步结果， 跨性别青少年压力量表（TASS）准备测试。在目标2中，我们将使用双- 方法社交媒体和受访者驱动抽样（RDS）方法招募450名种族和 种族多样的TGA这些青少年将完成初步的TASS以及 一系列行为健康、物质使用和自杀倾向的测量。Aim 2中的数据分析将 侧重于评估TASS的信度和效标效度，以及趋同/趋异 与现有措施相比，TASS的有效性。在每个阶段，专家的存在 专家小组以及严格的招募、数据清理和分析方法，将确保 所产生的TASS是一种可供研究人员使用的综合措施， 临床医生更好地了解和解决跨性别青少年的压力经历。

Measuring Stress in Diverse Gender Minority Adolescents Project Summary (30 lines) This study will develop a comprehensive measure of stress for TGA—the Transgender Adolescent Stress Scale (TASS). TGA experience significantly higher risks of many behavioral health outcomes, including anxiety, depression, substance use and suicide. Such disparities are likely related to experiences of gender dysphoria, and separately, minority stress – i.e., prejudice, stigma, and victimization against transgender persons – but existing research has typically focused on adults, and existing measures have sub-optimal psychometric characteristics. Thus, we will develop a comprehensive measure of transgender adolescent stress – which includes subscales for gender dysphoria and minority stress that can be used independently or in concert -- as a means to facilitate improved clinical assessment and intervention development. Toward this end, Aim 1 will utilize a modified Delphi process and data analysis of existing interviews with TGAs to identify and operationalize unique stressors that influence transgender persons during adolescence, including cognitive interviews (n=20) with transgender adolescents. Based on the extensive experience of the team in developing the Sexual Minority Adolescent Stress Inventory (SMASI), these methods will ensure that Aim 1 results in a comprehensive preliminary Transgender Adolescent Stress Scale (TASS) ready for testing. In Aim 2, we will utilize a dual- method social media and respondent driven sampling (RDS) approach to recruit 450 racially and ethnically diverse TGAs. These adolescents will complete the preliminary TASS as well as a series of behavioral health, substance use, and suicidality measures. Data analysis in Aim 2 will focus on assessing reliability and criterion validity of the TASS, as well as convergant/divergent validity of the TASS as compared to existing measures. In each stage, the presence of an expert panel, as well as rigorous methods for recruitment, data cleaning, and analysis, will ensure that the produced TASS is a comprehensive measure ready to be utilized by researchers and clinicians to better understand and address stress experiences among transgender adolescents.