Minority Stress Factors Associated With Depression and Anxiety Among Transgender and Gender-Nonconforming Youth
| Autor: | Diane Chen, Gia Chodzen, Robert Garofalo, Marco A. Hidalgo |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Generalized anxiety disorder Adolescent Transgender Persons Article Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Transgender medicine Humans 030212 general & internal medicine Depressive Disorder Major Public Health Environmental and Occupational Health Gender Identity Social Discrimination medicine.disease Mental illness Anxiety Disorders Mental health Minority stress Psychiatry and Mental health Pediatrics Perinatology and Child Health Anxiety Major depressive disorder Female medicine.symptom Psychology Stress Psychological Transphobia Clinical psychology |
| Zdroj: | Journal of Adolescent Health. 64:467-471 |
| ISSN: | 1054-139X |
| DOI: | 10.1016/j.jadohealth.2018.07.006 |
| Popis: | Purpose Transgender and gender-nonconforming (TGNC) adolescents and young adults experience mental health problems, including anxiety and depression, at an elevated rate as compared to their cisgender counterparts. A growing literature suggests that vulnerability to psychiatric problems in TGNC individuals results from social discrimination and minority stress. Methods The sample consisted of adolescent TGNC patients (N = 109) who completed behavior health screening questionnaires as standard of care at their first clinical visit to an interdisciplinary gender program within a pediatric academic medical center in a metropolitan Midwestern city. Binary logistic regressions were used to assess whether the likelihood that participants met clinical diagnostic criteria for Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) was predicted by gender identity appearance congruence, proximal forms of minority stress (e.g., negative expectations of the future related to gender identity; internalized transphobia) and community connectedness (i.e., resilience) . Results Overall, 33% (n = 36) of the sample met diagnostic criteria for MDD and 48% (n = 53) met diagnostic criteria for GAD. Those with high levels of internalized transphobia were significantly more likely to meet diagnostic criteria for both MDD and GAD. Those with low levels of gender identity appearance congruence were significantly more likely to meet diagnostic criteria for MDD but not GAD. Conclusion There are several unique factors that may predict mental illness among TGNC youth. Understanding these factors may offer opportunities for targeted clinical and structural interventions. |
| Databáze: | OpenAIRE |
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