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21-12-2023 | Original Paper

Longitudinal Family Functioning and Mental Health in Transgender and Nonbinary Youth and Their Families

Auteurs: Sabra L. Katz-Wise, Vishnudas Sarda, Emmett C. Line, Breana Marchwinski, Stephanie L. Budge, Eli G. Godwin, L. B. M. Moore, Diane Ehrensaft, Milagros C. Rosal, Katharine A. Thomson

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2024

Abstract

This study examined concordance of family members’ perspectives of family functioning and mental health across two years in families with transgender and/or nonbinary youth (TNBY). Participants were 89 family members (30 TNBY, age 13–17 years; 44 cisgender caregivers; 15 cisgender siblings, age 14–24 years) from 30 families from the U.S. New England region. Family members completed an online survey every 6–8 months for 5 waves between December 2015 and Feb 2019. Surveys assessed family functioning (quality of communication, satisfaction with family) and the following mental health-related outcomes: depression and anxiety symptoms, non-suicidal self-injury, suicidality, self-esteem, and resilience. Analyses tested concordance of family functioning and mental health across family members. Reports of family functioning changed over time, and family members were not consistently concordant in their reports of family functioning. Caregivers perceived a higher quality family communication than TNBY at all waves and higher than siblings at some waves. Perceptions of family satisfaction did not show a clear pattern between family member types across waves. The greatest concordance of perceived family functioning was between caregivers and siblings and between TNBY and siblings. Across all waves, TNBY reported more severe depression and anxiety symptoms than their caregivers and siblings, and more non-suicidal self-injury than their siblings. Compared to siblings, TNBY reported higher self-esteem, but less resilience. This study highlights opportunities for intervention in clinical work with TNBY and their families. Providers working with families with TNBY should use family systems approaches to support the mental health of all family members.

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Andersen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10(2), 77–84. https://doi.org/10.1016/S0749-3797(18)30622-6.CrossRef

Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Harvard University Press.

Brown, C., Porta, C. M., Eisenberg, M. E., McMorris, B. J., & Sieving, R. E. (2020). Family relationships and the health and well-being of transgender and gender-diverse youth: a critical review. LGBT Health, 7(8), 407–419. https://doi.org/10.1089/lgbt.2019.0200.CrossRefPubMed

Budge, S. L., Guo, E., Mauk, E., & Tebbe, E. A. (2021). The development of an observational coding scheme to assess transgender and nonbinary clients’ reported minority stress experiences. Psychotherapy, 58(2), 288–300. https://doi.org/10.1037/pst0000368.CrossRefPubMed

Buehler, C. (2020). Family processes and children’s and adolescents’ well-being. Journal of Marriage and Family, 82(1), 145–174. https://doi.org/10.1111/jomf.12637.CrossRef

Centers for Disease Control and Prevention. (2013). Youth risk behavior survey. https://www.cdc.gov/YRBSS

Chang, S. C., Singh, A. A., & Dickey, L. M. (2018). A clinician’s guide to gender-affirming care: Working with transgender and gender nonconforming clients. New Harbinger Publications.

Chodzen, G., Hidalgo, M. A., Chen, D., & Garofalo, R. (2019). Minority stress factors associated with depression and anxiety among transgender and gender-nonconforming youth. Journal of Adolescent Health, 64(4), 467–471. https://doi.org/10.1016/j.jadohealth.2018.07.006.CrossRef

Corrigan, P. W., & Miller, F. E. (2004). Shame, blame, and contamination: a review of the impact of mental illness stigma on family members. Journal of Mental Health, 13(6), 537–548. https://doi.org/10.1080/09638230400017004.CrossRef

Cox, M. J., & Paley, B. (1997). Families as systems. Annual Review of Psychology, 48, 243–267. https://doi.org/10.1146/annurev.psych.48.1.243.CrossRefPubMed

Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241–1299. https://doi.org/10.2307/1229039.CrossRef

Delozier, A. M., Kamody, R. C., Rodgers, S., & Chen, D. (2020). Health disparities in transgender and gender expansive adolescents: A topical review from a minority stress framework. Journal of Pediatric Psychology, 45(8), 842–847. https://doi.org/10.1093/jpepsy/jsaa040.CrossRefPubMed

Didericksen, K. W., Berge, J. M., Hannan, P. J., Harris, S. M., MacLehose, R. F., & Neumark- Sztainer, D. (2018). Mother-father-adolescent triadic concordance and discordance on home environment factors and adolescent disordered eating behaviors. Families, Systems, & Health, 36(3), 338–46. https://doi.org/10.1037/fsh0000325.CrossRef

Flaskerud, J. H., & Lesser, J. (2018). The current socio-political climate and psychological distress among transgender people. Issues in Mental Health Nursing, 39(1), 93–96. https://doi.org/10.1080/01612840.2017.1368751.CrossRefPubMed

Garoff, F. F., Heinonen, K., Pesonen, A., & Almqvist, F. (2012). Depression youth: Treatment outcome and changes in family functioning in individual and family therapy. Journal of Family Therapy, 34(1), 4–23. https://doi.org/10.1111/j.1467-6427.2011.00541.x.CrossRef

Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Simon and Schuster.

Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the Minority Stress Model. Professional Psychology: Research and Practice, 43(5), 460–467. https://doi.org/10.1037/a0029597.CrossRef

Hidalgo, M. A., & Chen, D. (2019). Experiences of gender minority stress in cisgender parents of transgender/gender-expansive prepubertal children: a qualitative study. Journal of Family Issues, 40(7), 865–886. https://doi.org/10.1177/0192513X19829502.CrossRef

Hjemdal, O., Friborg, O., Stiles, T. C., Martinussen, M., & Rosenvinge, J. H. (2006). A new scale for adolescent resilience: Grasping the central protective resources behind healthy development. Measurement and Evaluation in Counseling and Development, 39(2), 84–96. https://doi.org/10.1080/07481756.2006.11909791.CrossRef

Hope, E. C., Brugh, C. S., & Nance, A. (2019). In search of a critical stance: applying qualitative research practices for critical quantitative research in psychology. Community Psychology in Global Perspective, 5(2), 63–69. https://doi.org/10.1285/i24212113v5i2p63.CrossRef

Jafar, A. J. N. (2018). What is positionality and should it be expressed in quantitative studies? Emergency Medicine Journal, 35(5), 323–324. https://doi.org/10.1136/emermed-2017-207158.CrossRefPubMed

James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. Transgender survey. National Center for Transgender Equality.

Katz-Wise, S. L., Budge, S. L., Fugate, E., Flanagan, K., Touloumtzis, C., Rood, B., Perez-Brumer, A., & Leibowitz, S. (2017). Transactional pathways of transgender identity development in transgender and gender-nonconforming youth and caregiver perspectives from the Trans Youth Family Study. International Journal of Transgenderism, 18(3), 243–263. https://doi.org/10.1080/15532739.2017.1304312.CrossRefPubMed

Katz-Wise, S. L., Budge, S. L., Orovecz, J. J., Nguyen, B., Nava-Coulter, B., & Thomson, K. (2017). Imagining the future: Perspectives among youth and caregivers in the Trans Youth Family Study. Journal of Counseling Psychology, 64(1), 26–40. https://doi.org/10.1037/cou0000186.CrossRefPubMedPubMedCentral

Katz-Wise, S. L., Ehrensaft, D., Vetters, R., Forcier, M., & Bryn Austin, S. (2018). Family functioning and mental health of transgender and gender-nonconforming youth in the Trans Teen and Family Narratives Project. The Journal of Sex Research, 55(4-5), 582–590. https://doi.org/10.1080/00224499.2017.1415291.CrossRefPubMed

Katz-Wise, S. L., Godwin, E. G., Parsa, N., Brown, C. A., Pullen Sansfaçon, A., Goldman, R., MacNish, M., Rosal, M. C., & Austin, S. B. (2022). Using family and ecological systems approaches to conceptualize family- and community-based experiences of transgender and/or nonbinary youth from the Trans Teen and Family Narratives Project. Psychology of Sexual Orientation and Gender Diversity, 9(1), 21–36. https://doi.org/10.1037/sgd0000442.CrossRefPubMed

Katz-Wise, S. L., Sarda, V., Austin, S. B., & Harris, S. K. (2021). Longitudinal effects of gender minority stressors on substance use and related risk and protective factors among gender minority adolescents. PLoS ONE, 16(6), e0250500 https://doi.org/10.1371/journal.pone.0250500.CrossRefPubMedPubMedCentral

Kelada, L., Hasking, P., & Melvin, G. (2018). Adolescent NSSI and recovery: The role of family functioning and emotion regulation. Youth & Society, 50(8), 1056–1077. https://doi.org/10.1177/0044118X16653153.CrossRef

Kidd, K. M., Sequeira, G. M., Paglisotti, T., Katz-Wise, S. L., Kazmerski, T. M., Hillier, A., Miller, E., & Dowshen, N. (2020). “This could mean death for my child”: Parent perspectives on laws banning gender-affirming care for transgender adolescents. Journal of Adolescent Health, 68(6), 1082–1088. https://doi.org/10.1016/j.jadohealth.2020.09.010.CrossRef

Kosciw, J. G., Clark, C. M., Truong, N. L., & Zongrone, A. D. (2020). The 2019 National School Climate Survey: The experiences of lesbian, gay, bisexual, transgender, and queer youth in our nation’s schools. GLSEN. https://www.glsen.org/sites/default/files/2021-04/NSCS19-FullReport-032421-Web_0.pdf

Mak, W. W., & Cheung, R. Y. (2012). Psychological distress and subjective burden of caregivers of people with mental illness: The role of affiliate stigma and face concern. Community Mental Health Journal, 48(3), 270–274. https://doi.org/10.1007/s10597-011-9422-9.CrossRefPubMed

McConnell, E. A., Birkett, M., & Mustanski, B. (2016). Families matter: Social support and mental health trajectories among lesbian, gay, bisexual, and transgender youth. Journal of Adolescent Health, 59(6), 674–680. https://doi.org/10.1016/j.jadohealth.2016.07.026.CrossRef

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674.CrossRefPubMedPubMedCentral

Minuchin, P. (1985). Families and individual development: provocations from the field of family therapy. Child Development, 56(2), 289–302. https://doi.org/10.2307/1129720.CrossRefPubMed

Mota, C. P., & Matos, P. M. (2015). Does sibling relationship matter to self-concept and resilience in adolescents under residential care? Children and Youth Services Review, 56, 97–106. https://doi.org/10.1016/j.childyouth.2015.06.017.CrossRef

Munroe, C., Clerkin, E. M., & Kuvalanka, K. A. (2020). The impact of peer and family functioning on transgender and gender-diverse children’s mental health. Journal of Child and Family Studies, 29, 2080–2089. https://doi.org/10.1007/s10826-020-01729-x.CrossRefPubMedPubMedCentral

Olson, D. (2011). FACES IV and the circumplex model: validation study. Journal of Marital and Family Therapy, 37(1), 64–80. https://doi.org/10.1111/j.1752-0606.2009.00175.x.CrossRefPubMed

Parker, E., & Davis-McCabe, C. (2021). The sibling experience: growing up with a trans sibling. Australian Journal of Psychology, 73(2), 188–199. https://doi.org/10.1080/00049530.2021.1882269.CrossRef

Pletta, D. R., Kant, J. D., Ehrensaft, D., MacNish, M., Cahill, S., & Katz-Wise, S. L. (2022). The 2016 United States presidential election’s impact on families with transgender adolescents in New England. Journal of Family Psychology, 36(1), 23–34. https://doi.org/10.1037/fam0000873.CrossRefPubMed

Priest, J. B., Parker, E. O., Hiefner, A., Woods, S. B., & Roberson, P. N. (2020). The development and validation of the FACES‐IV‐SF. Journal of Marital and Family Therapy, 46(4), 674–686. https://doi.org/10.1111/jmft.12423.CrossRefPubMed

Puckett, J. A., Matsuno, E., Dyar, C., Mustanski, B., & Newcomb, M. E. (2019). Mental health and resilience in transgender individuals: What type of support makes a difference? Journal of Family Psychology, 33(8), 954 https://doi.org/10.1037/fam0000561.CrossRefPubMedPubMedCentral

Rafferty, J. (2018). Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Journal of Pediatrics, 142(4), 1–14. https://doi.org/10.1542/peds.2018-2162.CrossRef

Reisner, S. L., Vetters, R., Leclerc, M., Zaslow, S., Wolfrum, S., Shumer, D., & Mimiaga, M. J. (2015). Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study. Journal of Adolescent Health, 56(3), 274–279. https://doi.org/10.1016/j.jadohealth.2014.10.264.CrossRef

Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press.

SAS Institute. (2013). SAS for Windows (Version 9.4). [Computer software]. SAS Institute.

Schwartz, S. J., Mason, C. A., Pantin, H., & Szapocznik, J. (2009). Longitudinal relationships between family functioning and identity development in Hispanic adolescents: Continuity and change. The Journal of Early Adolescence, 29(2), 177–211. https://doi.org/10.1177/0272431608317605.CrossRefPubMedPubMedCentral

Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566. https://doi.org/10.1016/S0005-7967(98)00034-5.CrossRefPubMed

Spence, S. H., Barrett, P. M., & Turner, C. M. (2003). Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. Journal of Anxiety Disorders, 17(6), 605–625. https://doi.org/10.1016/S0887-6185(02)00236-0.CrossRefPubMed

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092.CrossRefPubMed

Veale, J. F., Watson, R. J., Peter, T., & Saewyc, E. M. (2017). Mental health disparities among Canadian transgender youth. Journal of Adolescent Health, 60(1), 44–49. https://doi.org/10.1016/j.jadohealth.2016.09.014.CrossRef

Westwater, J. J., Riley, E. A., & Peterson, G. M. (2019). What about the family in youth gender diversity? A literature review. International Journal of Transgenderism, 20(4), 351–370. https://doi.org/10.1080/15532739.2019.1652130.CrossRefPubMedPubMedCentral

Wheeler, N. L., Langton, T., Lidster, E., & Dallos, R. (2019). Understanding more about how young people make sense of their siblings changing gender identity: How this might affect their relationships with their gender-diverse siblings and their experiences. Clinical Child Psychology and Psychiatry, 24(2), 258–276. https://doi.org/10.1177/1359104519830155.CrossRefPubMed

Wirtz, A. L., Poteat, T. C., Malik, M., & Glass, N. (2020). Gender-based violence against transgender people in the United States: A call for research and programming. Trauma, Violence & Abuse, 21(2), 227–241. https://doi.org/10.1177/1524838018757749.CrossRef

Titel: Longitudinal Family Functioning and Mental Health in Transgender and Nonbinary Youth and Their Families
Auteurs: Sabra L. Katz-Wise
Vishnudas Sarda
Emmett C. Line
Breana Marchwinski
Stephanie L. Budge
Eli G. Godwin
L. B. M. Moore
Diane Ehrensaft
Milagros C. Rosal
Katharine A. Thomson
Publicatiedatum: 21-12-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 4/2024
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-023-02738-2

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