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The Transgender Population Risk Resilience And Clinical	4 days ago · Resilience science in psychology and related fields emerged from clinical research on risk for psychopathology in the s and matured over the ensuing decades with advances in theory, methods, and knowledge. Definitions and models of resilience shifted to reflect the expanding influence of developmental systems theory and the growing need to integrate knowledge about resilience . 2 days ago · Purpose: To understand the relationships between stigma, resilience, and health care use among transgender and other gender diverse youth (TGDY). Methods: Data include a national sample of TGDY (ages 15–24). Previously developed Gender Minority Stress Theory scales were used to measure experiences of stigma and resilience. Health care use included two outcomes: difficulty . 5 days ago · Coping and resilience in transgender individuals who have experienced transphobic hostility: an interpretative phenomenological analysis DSpace Repository. ULIR Home → Faculty of Education & Health Sciences → Theses: Faculty of Education & Health Sciences → Ph.D. in Clinical .
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Show full item record. University of Limerick Institutional Repository Coping and resilience in transgender individuals who have experienced transphobic hostility: an interpretative phenomenological analysis DSpace Repository. JavaScript is disabled for your browser. Some features of this site may not work without it. Coping and resilience in transgender individuals who have experienced transphobic hostility: an interpretative phenomenological analysis Cahill, Kristina. Date: Publication type: Doctoral Thesis. Supervisor: Coughlan, Barry ; Haynes, Amanda. Abstract: Introduction: Trans individuals report experiencing pervasive discrimination, microaggressions, harassment and stigma across their lifespan. The Transgender Population Risk Resilience And Clinical

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Transtender health disparities among transgender and gender diverse TGD populations have been documented. However, few studies have assessed differences in mental health symptom severity, substance use behavior severity, and engagement in care across TGD subgroups. Using data from the electronic health record of a community health center specializing in sexual and gender minority health, we compared the 1 severity of self-reported depression, anxiety, alcohol use, and other substance use symptoms; 2 likelihood of meeting clinical thresholds for these disorders; and 3 number of behavioral health and substance use appointments attended among cisgender, transgender, and non-binary patients.

Relative to cisgender and transgender individuals, non-binary individuals are at elevated risk for depression, anxiety, and substance use disorders. Engagement in treatment among certain gender groups is poor; cisgender women and non-binary patients assigned male at birth were the least likely to have attended a behavioral health appointment, whereas transgender men and cisgender women had attended the lowest number of substance use appointments.

These data demonstrate the importance of 1 assessing gender diversity and 2 addressing the barriers that prevent TGD patients from receiving affirming care. This is an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, continue reading, and reproduction in any medium, provided the original author and source are credited.

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Researchers with a reasonable request for a deidentified data set can contact the Fenway Health IRB at regulatory fenwayhealth. Funding: We have also noted that two of the authors are funded by the National Institutes of Health: Dr. Competing interests: The authors have declared that no competing interests exist. Transgender and gender diverse TGD; see The Transgender Population Risk Resilience And Clinical 1 for definitions individuals experience significantly greater mental health symptom severity and increased substance use compared to their cisgender counterparts [ 1 — 3 ], but data on the prevalence of specific mental health conditions across TGD groups is limited.

The few studies that have addressed TGD-specific mental health disparities have widely neglected the heterogeneity of TGD populations e. This approach makes it difficult to distinguish potentially critical mental health differences across subgroups, compromising efforts to determine which populations are most likely to be at increased risk for specific psychological challenges and limiting efforts to improve engagement in treatment. The psychological health of non-binary individuals has been particularly under-addressed, even though this group may comprise more than a third of the TGD population in the United States [ 7 ], and very few studies have assessed differences among non-binary oPpulation based on assigned sex at birth [ 89 ]. Recent research indicates that non-binary individuals have higher odds of self-reported poor health due to mental or emotional difficulties and are likely Resillence experience more symptoms and worse mental health outcomes compared to binary transgender i.

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The Transgender Population Risk Resilience And Clinical These findings can be interpreted through the lens of minority stress theory [ 1718 ], which proposes that health disparities result from exposure to unique forms of stress, additive to the stress experienced by the general population. According to this theory, both distal e. Extending sexual minority stress theory, first proposed by Virginia Brooks [ 22 ], to examine mental health disparities among non-binary individuals, Lefevor and colleagues found that non-binary individuals face heightened and unique stressors that differentially impact their psychological well-being [ 12 ]. Relative to binary transgender and cisgender individuals, non-binary participants were harassed, sexually abused, and subjected to traumatic events at higher rates; non-binary individuals were also more likely than those with binary genders to report symptoms of anxiety, depression, and eating disorders, as well as general psychological distress.

The authors suggest that structural factors may exacerbate these non-binary mental health disparities, including a lack of cultural or continue reading knowledge about non-binary identities and experiences, decreased receipt of preventative health services, limited access to legal resources, and systemic discrimination. Given these findings, it is important not only to include non-binary individuals in assessments of mental health disparities but also to separate them from binary transgender individuals in analyses, as they likely face distinct stressors that may not be shared by individuals in other TGD groups. Information on linkage to and engagement in mental health treatment among gender minority individuals who meet clinical criteria for psychological and substance use disorders SUDs is also limited [ 2324 ], even though mental health services The Transgender Population Risk Resilience And Clinical required to access some gender-affirming procedures e.

However, there is strong evidence that TGD individuals have poor access to general healthcare services [ 7 ] as well as decreased adherence to preventative screening recommendations e. Other data indicates that non-binary individuals face layered barriers to primary care and gender-affirming services [ 1426 ]. Other participants in this sample personally modified their prescribed healthcare because they felt that the information did not apply to them, and others went without healthcare entirely. Additional studies have reported both significantly decreased access to care e.

Yet, assessments of engagement in psychological and substance use treatment across TGD groups, who may be in greatest need of these services, have not yet been thoroughly conducted.]