Anxiety and depression in transgender individuals: The roles of transition status, loss, social support, and coping.

Budge, Stephanie L.; Adelson, Jill L.; Howard, Kimberly A. S.

doi:10.1037/a0031774

Cited by 564 publications

(539 citation statements)

References 64 publications

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“…This is consistent with recent research showing that transitioning is associated with various losses that may increase psychological distress. 8 Stressors associated with the transition process, such as disclosure, financial costs, or encountering discrimination within healthcare settings, 26 might increase risk for SI.…”

Section: Discussionmentioning

confidence: 99%

“…21 Further, quantitative data show that the use of avoidant coping strategies during transitioning, to manage gender-related stress, is associated with depression and anxiety, and the experience of loss (e.g., of employment) during the transition is further associated with psychological distress, especially for trans men (female-to-male). 8 Based on the theoretical association between stressful experiences and psychological distress in trans individuals, the current study aimed to investigate (1) whether a history of both physical and sexual violence, and discrimination based on gender identity, increased the odds of trans individuals reporting a lifetime history of SI, and (2) whether there were differences in lifetime SI based on the status of gender transition.…”

Section: Introductionmentioning

confidence: 99%

“…6 Depression and anxiety are associated with experiences of discrimination and victimization, with these cited as prevalent mental health problems in trans samples (e.g., clinically significant depression estimated at 36.2%; clinically significant anxiety estimated at 40%). 7,8 Of further concern, lifetime prevalence estimates of suicidal ideation (SI) are as high as 60% in community-based samples of trans individuals. [9][10][11] Used as a proxy for significant psychological distress, researchers have identified SI as a critical construct to assess given its predictive power for suicide attempts.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals

et al. 2015

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Transgender individuals experience violence and discrimination, which, in addition to gender transitioning, are established correlates of psychological distress. In a statewide sample of 350 transgender adults, we investigated whether a history of violence and discrimination increased the odds of reporting lifetime suicidal ideation (SI) and whether differences in SI were predicted by gender transition status. Violence, discrimination, and transition status significantly predicted SI. Compared with individuals with no plans to transition, individuals with plans or who were living as their identified gender reported greater odds of lifetime SI. We discuss implications for SI disparities using Meyer's minority stress model.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals

et al. 2015

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“…This cycle contributes to increased workplace exclusion for trans individuals, and tacitly condones the continuation of discrimination towards and abuse of trans members of staff. This is disadvantageous from a health and safety perspective, as trans individuals experience higher levels of depression and anxiety than the general population, in part due to experiencing harassment, bullying, and other forms of mistreatment at work (Bockting, Miner, Swinburne Romine, Hamilton, & Coleman, 2013;Budge, Adelson, & Howard, 2013).…”

Section: Outcomes For Transgender Individualsmentioning

confidence: 99%

“…By preventing organizational leaders from having the information necessary to make effective decisions or to correct problems regarding the treatment of trans employees, unheard voices contribute to the intensification of those problems (Morrison & Rothman, 2009). Given the high rates of discrimination and abuse perpetrated against transgender individuals, as reviewed earlier in this paper, and the high incidence of depression and attempted suicide among members of the trans community (Budge et al, 2013;Clements-Nolle, Marx, & Katz, 2006), any increase in voice that may increase awareness and acceptance of transgender issues has the potential to make a considerable impact on the lives of trans employees.…”

Section: Outcomes For Transgender Individualsmentioning

confidence: 99%

Listen carefully: transgender voices in the workplace

Beauregard

Arevshatian

Booth

et al. 2016

The International Journal of Human Resource Management

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We find that only 17% of FTSE 100 company websites refer directly to transgender ('trans') individuals, illustrating the extent to which trans voices are unheard in the workplace. We propose that these voices are missing for a number of reasons:voluntary silence to protect oneself from adverse circumstances; the subsumption of trans voices within the larger 'LGBT' community; assimilation, wherein many trans voices become affiliated with those of their post-transition gender; multiple trans voices arising from diversity within the transgender community; and limited access to voice mechanisms for transgender employees. We identify the negative implications of being unheard for individual trans employees, for organizational outcomes, and for business and management scholarship, and propose ways in which organizations can listen more carefully to trans voices. Finally, we introduce an agenda for future research that tests the applicability of the theoretical framework of invisible stigma disclosure to transgender individuals, and calls for new theoretical and empirical developments to identify HRM challenges and best practices for respecting trans employees and their choices to remain silent or be heard.

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Lived Experience of Acne and Acne Treatment in Transgender Patients

Gold,

Siira,

Willner

et al. 2024

JAMA Dermatol

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ImportanceWhile acne is common in transgender and gender-diverse people and is associated with gender-affirming hormone therapy, little research has examined these factors and their impact in gender minority groups.ObjectiveTo examine the lived experiences of acne and acne treatment in transgender and gender-diverse participants.Design, Setting, and ParticipantsThis mixed-methods analysis was conducted at a multidisciplinary gender center at a public safety-net hospital and endocrinology and dermatology clinics at a tertiary academic center from January 4, 2021, to April 7, 2022, using semistructured interviews and surveys. Participants were transgender or gender-diverse adults who had received gender-affirming hormone therapy. Data analysis was performed from November 11, 2021, to March 31, 2023.ExposureCurrent diagnosis of acne.Main Outcomes and MeasuresInterviews exploring the experience of acne and acne treatment were audio recorded, transcribed verbatim, coded using minority stress theory and the socioecological model, and analyzed using thematic analysis. Themes were triangulated with survey data on gender, self-reported acne severity, skin-specific quality-of-life impact, and treatment experience.ResultsA total of 32 participants were included in the study (mean [range] age, 32 [18-57] years; 17 transgender men, 11 transgender women, and 4 nonbinary participants). Ten participants (31%) self-rated their skin as currently clear or almost clear, 11 (34%) reported mild acne, and 11 (34%) had moderate to severe acne. Participants described experiences of rejection and bullying related to acne and admitted avoiding social interactions in which they anticipated acne-related discrimination, which led to feelings of depression and anxiety. Acne worsened body appearance dissatisfaction. Transgender women reported acne interfering with feminine gender expression. Transgender men often normalized acne development, sometimes viewing acne positively as an early sign of testosterone action. Most participants tried over-the-counter acne treatments and commonly sought acne treatment advice from physicians, peers, online forums, and social media. Barriers to acne treatments included cost, lack of multidisciplinary care, mistrust toward the health care system, and lack of transgender-specific acne care education.Conclusions and RelevanceIn this mixed-methods study, transgender and gender-diverse individuals reported experiencing acne-related stigma and facing barriers to acne treatment. Multilevel changes, such as developing strategies to reduce acne stigma, providing transgender-specific acne care education, facilitating multidisciplinary acne care, and expanding transgender-friendly clinical environments, are recommended to reduce the impact of acne in transgender individuals.

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Anxiety and depression in transgender individuals: The roles of transition status, loss, social support, and coping.

Cited by 564 publications

References 64 publications

Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals

Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals

Listen carefully: transgender voices in the workplace

Lived Experience of Acne and Acne Treatment in Transgender Patients

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