Gender Minority Stressors and Psychological Distress Among Chinese Transgender and Gender Diverse People: Variable-Centered, Person-Centered, and Psychological Network Approaches.

Autor: Cao H; Department of Psychology, The University of Hong Kong, Hong Kong SAR, China., Zhou N; Faculty of Education, University of Macau, Macau SAR, China., Qiao J; Faculty of Education, University of Macau, Macau SAR, China., Wang LX; Beijing Key Laboratory of Applied Experimental Psychology, Institute of Developmental Psychology, Beijing Normal University, Beijing, China., Liang Y; School of Sociology, Beijing Normal University, Beijing, China., Li Y; Division of Applied Psychology, School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, 518172, Guangdong, China., Wu S; Division of Applied Psychology, School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, 518172, Guangdong, China., Jiang Z; Division of Applied Psychology, School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, 518172, Guangdong, China., He J; Division of Applied Psychology, School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, 518172, Guangdong, China. anlfhe@gmail.com.
Jazyk: angličtina
Zdroj: Archives of sexual behavior [Arch Sex Behav] 2024 Nov; Vol. 53 (10), pp. 3945-3972. Date of Electronic Publication: 2024 Sep 26.
DOI: 10.1007/s10508-024-03003-3
Abstrakt: Mental health disparities in transgender and gender diverse (TGD) populations call for more research examining gender minority stressors (GMS) as antecedents to their psychological distress, especially for the long-underrepresented groups living in conservative societies towards gender minorities. Furthermore, some questions remain underexamined, including the relative, independent influences of various GMS on TGD people's mental well-being (i.e., uniqueness of each stressor); how these stressors would configurate with each other in distinctive patterns to characterize subgroups of TGD people (i.e., beyond-average heterogeneity); and how these stressors would constitute a psychological network and vary in their centrality in that network (i.e., holistic complexity). To narrow such gaps, we examined the links between GMS and TGD people's psychological distress, using survey data collected in 2023 from 410 Chinese TGD people (Mean age  = 22.33 years, SD = 4.27; 306 transgender, 70 non-binary/gender-queer/gender-fluid, 26 agender/gender-neutral, 3 intersex, and 5 others). We approached such links from three perspectives. First, variable-centered analyses indicated that while different GMS were considered simultaneously, internalized transphobia, preoccupation with gender dysphoria, and gender-related victimization were uniquely associated with psychological distress. Second, person-centered analyses yielded a 3-profile solution. Psychological distress varied systematically across profiles. Last, network analyses revealed a 3-cluster structure: Distal, Proximal Internal, and TGD-Specific Stressors. Preoccupation with gender dysphoria was the most central node. These findings contribute to a more nuanced understanding of the implications of GMS for TGD people's mental well-being. GMS related to internal struggles with gender identity might be among the central intervention targets to prevent/reduce TGD people's psychological distress.
Competing Interests: Declarations. Conflicts of interest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Ethics Approval: This study was performed in line with the principles of the Declaration of Helsinki, in accord with APA ethical standards and within the terms of the institutional review board at the study’s home institution (Project Title: Body Image and Eating Disorders of Transgenders in Chinese Context; IRB approval institution: The Chinese University of Hong Kong, Shenzhen, Protocol No. EF20230329001). Informed Consent: Freely-given, informed consent to participate in the study had been appropriately obtained from all participants. Transparency and Openness: This study’s design and its analysis plan were not pre-registered. All data, materials, and analysis code for this study are available upon reasonable request by emailing the corresponding author. The data and narrative interpretation presented in this article have not been previously disseminated or shared in any form on any platforms.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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