Depression Among Transgender Older Adults: General and Minority Stress

Hoy-Ellis, Charles P.; Fredriksen-Goldsen, Karen I.

doi:10.1002/ajcp.12138

Cited by 83 publications

(63 citation statements)

References 52 publications

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“…Due to lack of understanding, a non-binary transgender individuals may well also meet some resistance when asking friends and family to respect their gender when choosing their language. The Minority Stress Model would suggest that as a minority group, non-binary identifying individuals are at risk from various mental and physical health issues, and the results of this study certainly support this model (Hoy-Ellis & Fredriksen-Goldsen., 2017).…”

Section: Discussionmentioning

confidence: 53%

A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary

Thorne

Witcomb

Nieder

et al. 2018

International Journal of Transgenderism

135

100

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Background: Previous research has consistently reported high rates of mental health symptomatology and lower social support in young treatment seeking transgender individuals. However, these studies have failed to distinguish between transgender people who identify within the gender binary and those who identify as non-binary. Aims: This study aimed to compare levels of mental health symptomatology (anxiety, depression, and non-suicidal self-injury behaviour) and social support of treatment seeking non-binary transgender young individuals with those self-identified as binary transgender young individuals. All participants were attended a national transgender health service in the UK during a 2 years period. Measures: Age and gender identity descriptors were collected, as well as clinical measures of anxiety and depression (Hospital Anxiety and Depression Scale), self-esteem (The Rosenberg Self-Esteem Scale), non-suicidal self-injury (Non-Suicidal Self-Injury: Treatment Related), and social support (Multidimensional Scale of Perceived Social Support). Results: A total of 388 young people, aged 16-25 years, agreed participation; 331 (85.3 %) identified as binary and 57 (14.7 %) as non-binary. Analysis of the data showed the nonbinary group experienced significantly more anxiety and depression and had significantly lower self-esteem that the binary group. There were no significant differences between groups in the likelihood of engaging in non-suicidal self-injury behaviour or levels of social support. Conclusions: Non-binary identifying treatment seeking transgender youth are at increased risk of developing anxiety, depression and low self-esteem compared to binary transgender youth. This may reflect the even greater barriers and feelings of discrimination that may be faced by those whose identity does not fit the notion of binary gender that is pervasive in how society views both cis-and transgender populations.

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Section: Discussionmentioning

confidence: 53%

A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary

Thorne

Witcomb

Nieder

et al. 2018

International Journal of Transgenderism

135

100

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“…Transgender suicide attempt rates, for example, are nine times the national average (45), often worst among transmasculine youth (46). Predictors of depression among transgender people, exacerbated by intersections of race, gender, class, and sexuality (47), include minority stress, low self-esteem, overt discrimination and victimization, lack of social support, and little or no access to medical transition technologies where desired (48)(49)(50). Given higher rates of depression and lower rates of physical activity (51), the study of curiosity within trans populations requires further study (52).…”

Section: Discussionmentioning

confidence: 99%

Inconsistent curiosity: Augmentation and blunting of curiosity in daily life and implications for well-being

Lydon‐Staley¹,

Zurn²,

Ds³

2018

Preprint

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Curiosity promotes focused engagement in novel and challenging situations and the accruement of resources that promote well-being. A critical open question is the extent to which curiosity lability, the degree to which curiosity fluctuates over short timescales, impacts well-being. We use data from a 21-day daily diary protocol as well as trait measures collected prior to the daily diary in 167 participants (mean age = 25.37 years, SD = 7.34) to test (i) the importance of curiosity lability for depression, flourishing, and life satisfaction, (ii) day-to-day associations among curiosity and happiness, depressed mood, anxiety, and physical activity, and (iii) the extent to which day’s mood acts as a mediator between day’s physical activity and day’s curiosity. Regression analyses indicate positive associations among curiosity lability and depression, as well as negative associations among curiosity lability and life satisfaction, above and beyond trait curiosity. No evidence for an association between curiosity lability and flourishing emerge when controlling for trait curiosity. Multilevel model results indicate that curiosity is higher on days of greater happiness and physical activity, and that curiosity is lower on days of greater depressed mood. We observe no association between curiosity and anxiety. Multilevel mediation models indicate evidence consistent with day’s depressed mood and happiness as mediators between physical activity and curiosity. In sum, we find that greater consistency in curiosity is associated with well-being, identify several sources of augmentation and blunting of curiosity in daily life, and provide support for purported mechanisms linking physical activity to curiosity via mood.

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“…Notwithstanding, although several studies have underlined the role of minority stress in increasing the risk for mood disorders in sexual minorities, only a few focused specifically on the transgender population [5,73], and none on the impact of minority stress in shaping long-lasting, and stable depressive personality traits (i.e. pessimism, shame, low self-esteem, lack of motivation, guilt-proneness), which seem to be pervasively characteristic of transgender people [74].…”

Section: Personality Facets and Domains According To The Ampdmentioning

confidence: 99%

Personality Disorders and Personality Profiles in a Sample of Transgender Individuals Requesting Gender-Affirming Treatments

Anzani

Panfilis

Scandurra

et al. 2020

IJERPH

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The study aims to explore the personality patterns of a group of transgender individuals who accessed an Italian gender clinic to undergo gender affirming treatments, by evaluating both dimensional personality domains proposed by the Alternative Model of Personality Disorders and categorical DSM-IV personality disorder (PD) diagnoses. Eighty-seven participants (40 transgender women and 47 transgender men) completed the Personality Inventory for DSM-5 and the Structured Clinical Interview for DSM-IV Axis II personality disorders. Scores obtained were compared to those of the normative samples of cisgender women and men. Results indicated that transgender women scored lower than cisgender women on two main domains (Negative Affectivity and Psychoticism) and on seven facets. As for transgender men, lower scores than cisgender men were found on Antagonism and on five facets. Transgender men scored higher than cisgender men on Depressivity. Nearly 50% of participants showed at least one PD diagnosis, with no gender differences in prevalence. Borderline PD was the most frequent diagnosis in the overall sample. Self-report measures provide a less maladaptive profile of personality functioning than the clinician-based categorical assessment. Results are interpreted in the light of the Minority Stress Model and support the need for a multi-method assessment of personality in medicalized transgender people.

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Depression Among Transgender Older Adults: General and Minority Stress

Cited by 83 publications

References 52 publications

A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary

A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary

Inconsistent curiosity: Augmentation and blunting of curiosity in daily life and implications for well-being

Personality Disorders and Personality Profiles in a Sample of Transgender Individuals Requesting Gender-Affirming Treatments

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