A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder

Busa, Samantha; Janssen, Aron; Lakshman, Mallika

doi:10.1089/trgh.2017.0037

Cited by 21 publications

(10 citation statements)

References 41 publications

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“… Psychological n = 28 Psycho-social n = 27 Social/Youth work n = 33 Abbott et al. (2014) Austin, Craig, and D'Souza (2018) Burns, Montague, and Mohr (2013) Busa, Janssen, and Lakshman (2018) Coulter et al. (2019) Craig and Austin (2016) Craig, Austin, and Alessi (2013) Craig, Austin, and Huang (2018) Fleming, Hill, and Burns (2017) a Hatzenbeuhler (2009) Hatzenbluer and Pachankis 2016 Heck (2015) Hobaica, Alman, Jackowich, and Kwon (2018) Iacono (2018) Ioverno, Belser, Baiocco, Grossman, and Russell (2016) Lucassen et al.…”

Section: Resultsmentioning

confidence: 99%

Explaining effective mental health support for LGBTQ+ youth: A meta-narrative review

McDermott

Eastham

Hughes

et al. 2021

SSM - Mental Health

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This meta-narrative review on mental health early intervention support for LGBTQ+ youth aimed to develop a theoretical framework to explain effective mental health support. Using the RAMESES standards for meta-narrative reviews, we identified studies from database searches and citation-tracking. Data extraction and synthesis was conducted through conceptual coding in Atlas.ti. in two stages: 1) conceptual mapping of the meta-narratives; 2) comparing the key concepts across the meta-narratives to produce a theoretical framework. In total, 2951 titles and abstracts were screened and 200 full papers reviewed. 88 studies were included in the final review. Stage 1 synthesis identified three meta-narratives - psychological, psycho-social, and social/youth work. Stage 2 synthesis resulted in a non-pathological theoretical framework for mental health support that acknowledged the intersectional aspects of LGBTQ+ youth lives, and placed youth at the centre of their own mental health care. The study of LGBTQ+ youth mental health has largely occurred independently across a range of disciplines such as psychology, sociology, public health, social work and youth studies. The interdisciplinary theoretical framework produced indicates that effective early intervention mental health support for LGBTQ+ youth must prioritise addressing normative environments that marginalises youth, LGBTQ+ identities and mental health problems.

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Section: Resultsmentioning

confidence: 99%

Explaining effective mental health support for LGBTQ+ youth: A meta-narrative review

McDermott

Eastham

Hughes

et al. 2021

SSM - Mental Health

View full text Add to dashboard Cite

show abstract

“…Other reports have concluded that mental health outcomes were similar between transgender children and age-matched controls and did not mention even minimal differences in anxiety symptoms (Becerra-Culqui et al 2018, 8; Busa, Janssen, and Lakshman 2018, 28; Chodzen et al 2019, 468; Cicero and Wesp 2017, 7; Ehrensaft et al 2018, 255; Green 2017, 81; Nahata et al 2017, 189; Newhook et al 2018, 333; Telfer et al 2018, 134; Turban and Ehransaft 2018, 1232).…”

Section: Discussionmentioning

confidence: 95%

Is Research on Transgender Children What It Seems? Comments on Recent Research on Transgender Children with High Levels of Parental Support

Schumm

Crawford

2019

Linacre Q

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Recent research on transgender children who have had support from their parents for their transitioning has concluded that their mental health is virtually no different than that of nontransgender children. Such research has been extensively cited, over 370 times in the past three years. Most of the hundreds of reviews received the stated results of the studies with little caution. However, the research featured numerous statistical errors and omissions, the implications of which would likely lead neutral observers to conclude that the mental health of transgender children, even when supported by their parents, was poorer than that of the groups of control children. In particular, levels of anxiety as reported by both parents and their transgender children appear to be significantly higher, and the transgender children’s reports of self-worth appear to be significantly lower. Although reports regarding depression are not as significantly different, the effect sizes were generally in a similar direction as the other outcomes, being less favorable for the transgender children. Such issues highlight the need for careful examination of statistical research, even when published in highly regarded medical journals. As with other research, findings from the early stages of controversial research may often be premature. Further research is needed to explore factors underlying these results. Summary: Some scholars have believed that if transgender children were supported by their parents before the children reached puberty, the generally higher rates of mental illness experienced by many transgender persons might be prevented or alleviated. Dr. Kristina Olson of the Department of Psychology at the University of Seattle was the first scholar to have studied groups of transgender children who were being supported by their parents and to have compared them to a control group of children and to siblings of the same transgender children. Her conclusion was that there were minimal, if any, differences in anxiety, depression, and self-worth among the groups of children; her research has since been cited extensively as having found just that. We reanalyzed her raw data and found that, to the contrary, the transgender children, even when supported by their parents, had significantly lower average scores on anxiety and self-worth. Often, a significantly higher percentage of transgender children, compared to controls, featured preclinical or clinical levels of anxiety. Parental support of transgender children may temporarily reduce levels of poor mental health for some transgender children, but it does not appear to eliminate those problems for all transgender children. Our findings should serve as a warning against accepting research at a surface level, which can lead to acceptance of invalid information and pursuit of ineffective interventions.

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“…Deleterious impacts of minority stressors on mental health, such as pervasive discrimination, victimization and rejection experienced by many TGD individuals are well-documented (Griffin et al, 2019;Hendricks and Testa, 2012;Jäggi et al, 2018), although adequate treatment options addressing the consequences of minority stress-related experiences remain scarce (Busa et al, 2018). Whether TGD individuals meet diagnostic criteria for BPD or core symptoms of BPD as a result of a chronically invalidating environment , is a critical area for future study.…”

Section: Future Directionsmentioning

confidence: 99%

Sex and gender in treatment response to dialectical behaviour therapy: current knowledge, gaps, and future directions

Penta,

Correia,

Schneider

et al. 2022

tCBT

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Borderline personality disorder (BPD) is a mental health condition characterized by emotion dysregulation, interpersonal impairment, and high suicidality. Dialectical behaviour therapy (DBT) is the most widely studied psychotherapeutic treatment for BPD. To date, the vast majority of DBT research has focused on cisgender women, with a notable lack of systematic investigation of sex and/or gender differences in treatment response. In order to encourage effective, equitable treatment of BPD, further investigation into treatment targets in this population is critical. Here, we employed a systematic strategy to delineate gaps in the DBT literature pertaining to sex and gender differences and propose directions for future research. Findings demonstrate a significant discrepancy in measurement of sex and gender, particularly among gender-diverse individuals. Exploring DBT treatment response across the full spectrum of genders will facilitate the provision of more tailored, impactful care to all individuals who suffer from BPD. Key learning aims (1) To date, DBT treatment literature has focused almost exclusively on cisgender women, with only two of 253 DBT studies in current literature accounting for transgender and gender diverse (TGD) individuals. (2) Recognize how gender minority stress may impact the prevalence of BPD among TGD individuals. (3) Learn how future research initiatives can be employed to rectify this gap in the DBT literature.

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A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder

Cited by 21 publications

References 41 publications

Explaining effective mental health support for LGBTQ+ youth: A meta-narrative review

Explaining effective mental health support for LGBTQ+ youth: A meta-narrative review

Is Research on Transgender Children What It Seems? Comments on Recent Research on Transgender Children with High Levels of Parental Support

Sex and gender in treatment response to dialectical behaviour therapy: current knowledge, gaps, and future directions

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