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

被引:175
作者
Bariola, Emily [1 ]
Lyons, Anthony [1 ]
Leonard, William [1 ]
Pitts, Marian [1 ]
Badcock, Paul [1 ,2 ,3 ]
Couch, Murray [1 ]
机构
[1] La Trobe Univ, Sch Psychol & Publ Hlth, Australian Res Ctr Sex Hlth & Soc, Melbourne, Vic 3000, Australia
[2] Univ Melbourne, Ctr Youth Mental Hlth, Melbourne, Vic 3010, Australia
[3] Orygen, Melbourne, Vic, Australia
关键词
MENTAL-HEALTH; SOCIAL SUPPORT; DEPRESSIVE SYMPTOMS; MINORITY STRESS; RISK BEHAVIORS; LIFE-COURSE; GENDER; GAY; FAMILY; IMPACT;
D O I
10.2105/AJPH.2015.302763
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We examined the independent demographic and psychosocial factors associated with psychological distress and resilience among transgender men and women. Methods. Our data came from an online survey involving a national Australian sample of 169 transgender men and women in 2011. Survey questions assessed demographics; sources of support; contact with lesbian, gay, bisexual, and transgender peers; and experiences of victimization. We assessed the outcomes with the Kessler Psychological Distress Scale and the Brief Resilience Scale. Results. In all, 46.0% of the sample reported high or very high levels of psychological distress. Multivariable regression analyses identified considerably different independent factors for psychological distress and resilience. Younger age, feeling unable to turn to family for support, and victimization experiences were associated with greater psychological distress, whereas higher income, identifying as heterosexual, and having frequent contact with lesbian, gay, bisexual, and transgender peers were associated with greater resilience. Conclusions. 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.
引用
收藏
页码:2108 / 2116
页数:9
相关论文
共 53 条
[21]   Do Parental Acceptance and Family Support Moderate Associations Between Dimensions of Minority Stress and Depressive Symptoms Among Lesbians and Gay Men? [J].
Feinstein, Brian A. ;
Wadsworth, Lauren P. ;
Davila, Joanne ;
Goldfried, Marvin R. .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2014, 45 (04) :239-246
[22]   Physical and Mental Health of Transgender Older Adults: An At-Risk and Underserved Population [J].
Fredriksen-Goldsen, Karen I. ;
Cook-Daniels, Loree ;
Kim, Hyun-Jun ;
Erosheva, Elena A. ;
Emlet, Charles A. ;
Hoy-Ellis, Charles P. ;
Goldsen, Jayn ;
Muraco, Anna .
GERONTOLOGIST, 2014, 54 (03) :488-500
[23]   Agentic and Communal Personality Traits: Their Associations with Depression and Resilience among Transgender Women [J].
Gonzalez, Cesar A. ;
Bockting, Walter O. ;
Beckman, Linda J. ;
Duran, Ron E. .
SEX ROLES, 2012, 67 (9-10) :528-543
[24]  
Grant JM, 2011, Injustice at every turn: a report of the National Transgender Discrimination Survey
[25]   Changes in psychosocial well-being during stages of gay identity development [J].
Halpin, SA ;
Allen, MW .
JOURNAL OF HOMOSEXUALITY, 2004, 47 (02) :109-126
[26]   Psychological resilience in disadvantaged youth: A critical overview [J].
Harvey, J ;
Delfabbro, PH .
AUSTRALIAN PSYCHOLOGIST, 2004, 39 (01) :3-13
[27]   A Conceptual Framework for Clinical Work With Transgender and Gender Nonconforming Clients: An Adaptation of the Minority Stress Model [J].
Hendricks, Michael L. ;
Testa, Rylan J. .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2012, 43 (05) :460-467
[28]   A Comparison of Mental Health, Substance Use, and Sexual Risk Behaviors Between Rural and Non-Rural Transgender Persons [J].
Horvath, Keith J. ;
Iantaffi, Alex ;
Swinburne-Romine, Rebecca ;
Bockting, Walter .
JOURNAL OF HOMOSEXUALITY, 2014, 61 (08) :1117-1130
[29]   Substance abuse and mental health disparities: Comparisons across sexual identity groups in a national sample of young Australian women [J].
Hughes, Tonda ;
Szalacha, Laura A. ;
McNair, Ruth .
SOCIAL SCIENCE & MEDICINE, 2010, 71 (04) :824-831
[30]   Social and Psychological Well-Being in Lesbians, Gay Men, and Bisexuals: The Effects of Race, Gender, Age, and Sexual Identity [J].
Kertzner, Robert M. ;
Meyer, Ilan H. ;
Frost, David M. ;
Stirratt, Michael J. .
AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 2009, 79 (04) :500-510