Demographic and Psychosocial Factors Associated With Psychological Distress and Resilience Among Transgender Individuals

Bariola, Emily; Lyons, Anthony; Leonard, William; Pitts, Marian; Badcock, Paul B.; Couch, Murray

doi:10.2105/ajph.2015.302763

Cited by 211 publications

(190 citation statements)

References 42 publications

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“…(20) The results of our study also showed that 78.3% of respondents did not receive family support, 64.1% did not receive social support, and 36% had extreme family relations. This study is in accordance with the study by Simon et al (21) which showed that 74% of gender dysphoric individuals did not have family support, 59.2% were not socially supported, and 27% had extreme family relations. Gender dysphoric individuals who do not get family or social support have a greater risk of depression and suicidal ideation than those who get family or social support.…”

Section: Discussionsupporting

confidence: 93%

High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria

et al. 2017

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Background Family support and low discrimination perceptions are a factor in protecting against mental disorders and poor quality of life in male to female (MtF) gender dysphoric individuals. The aim of this study was to determine the role of family factors, peer support, self-esteem, perceived discrimination, depression, anxiety, and stress on the quality of life among MtF gender dysphoric individuals. Methods A cross-sectional study was conducted involving 106 MtF gender dysphoric individuals of Sanggar Swara Jakarta. Respondents filled out questionnaires on demographics, WHOQL-BREF, perceived discrimination, Rosenberg self-esteem, family support, social support (SSQ6), family relations (FACES III), and depression anxiety stress scale (DASS). Simple and multivariate logistic regression tests were used to analyze the data. Results Among the 106 MtF gender dysphoric individuals of Sanggar Swara Jakarta with an age range of 18-45 years, 78.3% had no family support, 64.1% no peer support, 62.3% high perception discrimination, 64.1% low self-esteem, 36% extreme family relations, 44.3% depression, 59.4% anxiety, 35.8% stress and 62.3% poor quality of life. Employment, perception of discrimination, self-esteem, family support, and anxiety were significantly associated with quality of life (p<0.05). Multiple logistic regression analysis showed that perceived discrimination (Odds Ratio=13.89; 95% CI: 5.89-11.99), and family support (Odds Ratio=29.11; 95% CI: 2.45-8.21) were significantly associated with quality of life. Conclusion High perceived discrimination and no family support increase the risk of poor quality of life in MtF gender dysphoric individuals. These findings suggest the need for prevention and intervention of stigmatization and discrimination that should have a special focus on families with MtF gender dysphoric individuals.

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Section: Discussionsupporting

confidence: 93%

High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria

et al. 2017

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“…Community creates social support and fosters love, not just love specific to physical intimacy, but love that is specific to self-appreciation and values related to resiliency and transcendence, as noted in positive psychology theories. To illustrate the importance of specific social support, a study conducted in a national sample of 169 transgender Australians showed that transgender individuals having frequent contact with LGBT peers, having higher income, and identifying as heterosexual showed greater resilience (Bariola et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Moreno

Laoch

Zasler

2017

NRE

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Abstract. BACKGROUND:There is an increasing interest in sexual and gender diversity in neurorehabilitation. Healthcare professionals wanting to improve their practice know the importance of understanding the needs and expectations of specific communities. OBJECTIVE: To critically review the literature about neurological disorders in people who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and people with other sexual orientations and forms of gender expression (LGBTQIA+). METHODS: Systematic search in electronic databases (CINAHL, EMBASE, Medline, PsycINFO, Scopus, and Web of Science) and identification of relevant studies. RESULTS: Quantitative and qualitative findings are summarized and reported by neurological disorders: a) neurodisability/epilepsy (17.7%), b) intellectual disability/autism spectrum disorders (19.6%), c) dementia/HIV-related dementia (39.2%), d) spinal cord injury (7.8%), and e) traumatic brain injury/stroke (15.7%). CONCLUSIONS:LGBTQIA+ people with neurodisabilities and their partners/families of choice can conceal their sexual orientation or gender identity for fear of diminished quality of care. Their invisibility translates into health disparities, lack of policies and services that meet their unique needs. Dementia is the most common neurodisability documented in LGBTQIA+ people. We provide recommendations to increase LGBTQIA+ cultural competency for clinical practice, research, and policy to help different stakeholders to promote a positive change in the culture of neurodisability.

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“…In particular, in the case of transsexuals, these attitudes-including refusal of care and harassment or violence in medical settings [69]-could be notably critical, considering the frequency of transsexuals' contact with public hospitals (e.g., psychometric and clinical evaluations). Therefore, they are probably in a highly vulnerable condition, in which contact with informed, empathic, and welcoming professionals could provide psychosocial support and prevent psychological distress and other poor outcomes for general health [37,40].…”

Section: Discussionmentioning

confidence: 99%

“…Concerning transphobia, different studies showed that also transgender individuals reported frequent experiences of violence and discrimination, which they ascribed to their belonging to a sexual minority group [37][38][39][40][41]. There is some evidence to support the idea that, among sexual minorities, transgender people are the most stigmatized, as they clearly violate the rules concerning gender roles [38,[42][43][44].…”

Section: Introductionmentioning

confidence: 99%

Who has the worst attitudes toward sexual minorities? Comparison of transphobia and homophobia levels in gender dysphoric individuals, the general population and health care providers

Fisher

Castellini

Ristori

et al. 2016

J Endocrinol Invest

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Participants completed the Modern Homophobia Scale (MHS) and the Attitudes Toward Transgendered Individuals Scale (ATTI) in order to assess attitudes toward gay men and lesbian women and toward transgender individuals, respectively. In addition, GDs completed the Gender Identity/Gender Dysphoria Questionnaire (GIDYQ-AA) and ATTI to measure, respectively, gender dysphoria levels and internalized transphobia. Religious attitudes were evaluated by means of the Religious Fundamentalism Scale (RFS), and Discrimination and Stigma Scale (DISC-12) was used to measure perceived discrimination. AbstractPurpose To date, few studies have addressed attitudes toward transgender individuals. In addition, little is known about health care providers' (HCP) attitudes toward sexual minorities. The aim of the present study is to compare attitudes toward homosexual and transgender individuals between gender dysphoric individuals (GDs), general population controls (C) and HCP. Methods A total of 310 subjects were considered, including 122 GDs (63 transwomen and 59 transmen), 53 heterosexual HCP (26 males and 27 females) and 135 C. Results (1) Men showed significantly higher levels of homophobia and transphobia when compared to women (p < 0.001); (2) perceived discrimination was higher in lesbian women compared to gay men and in transwomen compared to transmen (p < 0.001 and p < 0.05, respectively); and (3) religious fundamentalism was associated with both homophobia and transphobia (both p < 0.001).Conclusions Our results underline the need to promote awareness and acceptance of the sexual minorities, who are more at risk of discriminatory attitudes, which are strongly dependent on religious precepts and dogma.

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Demographic and Psychosocial Factors Associated With Psychological Distress and Resilience Among Transgender Individuals

Abstract: With different factors identified for psychological distress and resilience, these findings may help inform the development of tailored mental health interventions and resilience-building programs for this vulnerable population.

Cited by 211 publications

References 42 publications

High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria

High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Who has the worst attitudes toward sexual minorities? Comparison of transphobia and homophobia levels in gender dysphoric individuals, the general population and health care providers

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