How well do various types of support buffer psychological distress among transgender and gender nonconforming students?

Lefevor, G. Tyler; Sprague, Brianna M; Boyd-Rogers, Caroline C; Smack, Abigail C. P.

doi:10.1080/15532739.2018.1452172

Cited by 27 publications

(25 citation statements)

References 48 publications

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“…Twelve articles out of 16 (75%) included discussion of the family relationship construct of family coping ability. 26,[36][37][38][40][41][42][43][44][48][49][50] Because family social support is described as providing practical or emotional assistance to others in times of stress to help them cope, 52 measures of general family support were considered indicators of family coping ability. Family support related to minority identity was also considered an indicator of family coping ability.…”

Section: Family Coping Abilitymentioning

confidence: 99%

“…53 Five of the articles that assessed family coping ability focused on general family support, and these articles are described first. 37,40,43,44,49 Eight of the articles that assessed family coping ability included discussion of family rejection or acceptance of the TGD youth's gender identity or gender presentation. 26,36-38,41,42,48,50 These articles are described sec-ond.…”

Section: Family Coping Abilitymentioning

confidence: 99%

“…Other articles used less extensive measures of family support to assess the impact among youth. For example, Lefevor et al, 40 using a single-item measure of emotional support from family members, found that supportive family relationships were negatively associated with psychological distress for TGD college students. In another article, Stotzer 44 found positive associations between family support and higher levels of self-esteem, sexual self-efficacy, and delay of sexual debut among mahuwahine youth.…”

Section: Family Coping Abilitymentioning

confidence: 99%

See 2 more Smart Citations

Family Relationships and the Health and Well-Being of Transgender and Gender-Diverse Youth: A Critical Review

et al. 2020

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Transgender and gender-diverse (TGD) youth experience significant health and well-being disparities compared to their cisgender peers. However, disparities experienced at a population level might be mitigated by individuallevel factors such as strong family relationships. Discrete aspects of strong family relationships may impact the health and well-being of TGD youth differently. To date, no systematic review known to us has explored the state of the science regarding the association between family relationships and the health and well-being of TGD adolescents and young adults. As such, our review aimed to (1) compile and present the scientific literature addressing the connection between family relationships and the health and well-being of TGD youth in those families;(2) sort results utilizing the Family Strengths Model; and (3) assess the strength of the literature with evidencebased appraisal tools. Sixteen articles met eligibility criteria (10 quantitative and 6 qualitative). These articles discussed family relationship qualities influencing health and well-being outcomes, including mental health, homelessness, sexual health, and substance use. Three of six qualities of strong families-coping ability, appreciation and affection, and positive communication-were represented in the literature. The risk for bias and study strength appraisals suggest that the available literature is moderately strong overall. Certain characteristics of strong families (commitment, enjoyable time spent together, and spiritual well-being) were underrepresented in the literature. Future research should explore these gaps to ensure that health care and community service providers can deliver the most effective support and care for TGD youth and their families.

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Section: Family Coping Abilitymentioning

confidence: 99%

Section: Family Coping Abilitymentioning

confidence: 99%

Section: Family Coping Abilitymentioning

confidence: 99%

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Family Relationships and the Health and Well-Being of Transgender and Gender-Diverse Youth: A Critical Review

et al. 2020

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“…TGNC individuals experience higher rates of anxiety disorders, depression, body dysmorphia, and other psychological disorders than cisgender individuals (Bouman et al, 2016;Bouman et al, 2017;Lefevor, Sprague, Boyd-Rogers, & Smack, 2018;Reisner, Katz-Wise, Gordon, Corliss, & Austin, 2016;Testa et al, 2012). Gender nonconforming individuals may further experience additional discrimination relative to transgender individuals (Harrison, Grant, & Herman, 2012).…”

Section: Mental Health Implications Of Holding a Tgnc Identitymentioning

confidence: 99%

Distress and Therapeutic Outcomes Among Transgender and Gender Nonconforming People of Color

Lefevor

Janis

Franklin

et al. 2019

The Counseling Psychologist

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Transgender and gender nonconforming (TGNC) People of Color experience stressors unique to both TGNC and racial and/or ethnic minority communities, resulting in disparities in mental health. Guided by minority stress and intersectionality theories, we examined initial anxiety and depression, as well as changes in symptoms, in 41,691 clients from the Center for Collegiate Mental Health 2012–2016 dataset. We sought to understand disparities that may exist in distress and therapeutic response between TGNC and cisgender clients. We also examined the intersection of gender and racial and/or ethnic identities to examine how these trends differ for TGNC People of Color. Results from hierarchical linear modeling indicated greater symptom severity, but a slower remission of symptoms of depression and anxiety, among TGNC clients. Interaction effects were nonsignificant; however, TGNC Clients of Color experienced more distress than either White TGNC clients or cisgender Clients of Color. On average, TGNC clients, compared to cisgender clients, utilized an additional 2.5 sessions of therapy.

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“…Much like the broader population, trans people may seek support for issues around their mental health. When trans people have access to social support their overall mental health and self-esteem is improved (Lefevor et al, 2019;Nemoto et al, 2011). However, due to concerns around judgment, trans parents may feel apprehensive about seeking such support (Green, 2006;Hafford-Letchfield et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Negotiating mental health amongst transgender parents in Australia

Charter

Ussher

Perz

et al. 2021

International Journal of Transgender Health

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Background: Many transgender (trans) parents experience challenges related to their mental health, which can affect and impact on their experiences of parenting, however there is scant research on how Australian trans parents contextualize and experience their mental health, the support they receive for it, and impacts within the family context. Aims: The present study aims to address these gaps in the literature, through examining how Australian trans parents contextualize and experience issues around their mental health, and their experience of formal and informal support for their mental health? Methods: This study aimed to explore these experiences, through a qualitative research design using online open-ended survey data and one-on-one interviews, with 66 trans parents, aged 24-67 years old. Data was analyzed using thematic analysis. Results: Many participants reported significant challenges in relation to their mental health: such as depression, anxiety, and suicidal ideation, which reportedly made parenting challenging. However, participants reported that gender affirmation as well as family and social support had a positive impact on their mental health. The majority of participants reported feeling they had to educate their therapist, that they were pigeon-holed by their gender identity or, had concerns about confidentiality. However, some participants expressed positive interactions with therapists, particularly therapists specializing in, or knowledgeable of, trans health. Conclusion: The results reinforced the need for mental health professionals and associated services to be competent in treating trans parents and reiterated the positive impact of family and social support, as well as support for gender affirmation, on the mental health of trans parents and their ability to parent.

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How well do various types of support buffer psychological distress among transgender and gender nonconforming students?

Cited by 27 publications

References 48 publications

Family Relationships and the Health and Well-Being of Transgender and Gender-Diverse Youth: A Critical Review

Family Relationships and the Health and Well-Being of Transgender and Gender-Diverse Youth: A Critical Review

Distress and Therapeutic Outcomes Among Transgender and Gender Nonconforming People of Color

Negotiating mental health amongst transgender parents in Australia

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