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Clinical Child and Family Psychology Review

Gepubliceerd in:

17-02-2021

Risk and Resilience Factors for Mental Health among Transgender and Gender Nonconforming (TGNC) Youth: A Systematic Review

Auteurs: Amelia P. Tankersley, Erika L. Grafsky, Janey Dike, Russell T. Jones

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 2/2021

Abstract

In recent years, there has been a proliferation of research regarding transgender and gender nonconforming (TGNC) people. The stigma and legal discriminations that this population faces have obvious and documented repercussions for mental health. In 2015, the American Psychological Association (APA) published Guidelines for Psychological Practice with TGNC People. The APA noted that due to the nuances of working with TGNC youth and the dearth of related literature, the guidelines focus primarily on TGNC adults. To date, there has not been a systematic review of risk and resilience factors for mental health among TGNC children, adolescents, and young adults under the age of 25. Forty-four peer-reviewed articles met inclusion criteria for this systematic review, and were evaluated for their methodological rigor and their findings. Common risk factors for negative mental health variables included physical and verbal abuse, exposure to discrimination, social isolation, poor peer relations, low self-esteem, weight dissatisfaction, and age. Across studies, older children and adolescents tended to report higher rates of psychological distress. Resilience-promoting factors for mental health were also documented, including parent connectedness, social support, school safety and belonging, and the ability to use one’s chosen name. By synthesizing the existing literature using a resilience-focused and minority stress framework, the present review provides clinicians and researchers with a coherent evidence-base to better equip them to promote psychological adaptation and wellbeing among TGNC youth.

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Aitken, M., VanderLaan, D. P., Wasserman, L., Stojanovski, S., & Zucker, K. J. (2016). Self-harm and suicidality in children referred for gender dysphoria. Journal of the American Academy of Child and Adolescent Psychiatry, 55(6), 513–520. https://doi.org/10.1016/j.jaac.2016.04.001.CrossRefPubMed

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Philadelphia: American Psychiatric Association.CrossRef

American Psychological Association (2017). The road to resilience. Retrieved online from:

American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832–864.CrossRef

Arcelus, J., Claes, L., Witcomb, G. L., Marshall, E., & Bouman, W. P. (2016). Risk factors for non-suicidal self-injury among trans youth. The Journal of Sexual Medicine, 13(3), 402–412. https://doi.org/10.1016/j.jsxm.2016.01.003.CrossRefPubMed

Bechard, M., VanderLaan, D. P., Wood, H., Wasserman, L., & Zucker, K. J. (2017). Psychosocial and psychological vulnerability in adolescents with gender dysphoria: A “Proof of Principle” study. Journal of Sex & Marital Therapy, 43(7), 678–688. https://doi.org/10.1080/0092623X.2016.1232325.CrossRef

Bockting, W., Benner, A., & Coleman, E. (2009). Gay and bisexual identity development among female-to-male transsexuals in North America: Emergence of a transgender sexuality. Archives of Sexual Behavior, 38(5), 688–701.CrossRef

Bramer, W. M. (2016). Variation in number of hits for complex searches in Google Scholar. Journal of the Medical Library Association: JMLA, 104(2), 143.CrossRef

Budge, S. L. (2015). Psychotherapists as gatekeepers: An evidence-based case study highlighting the role and process of letter writing for transgender clients. Psychotherapy, 52(3), 287–297. https://doi.org/10.1037/pst0000034.CrossRefPubMed

Centre for Reviews and Dissemination. (2019). PROSPERO: International Prospective Register of Systematic Reviews. Retrieved from https://www.crd.york.ac.uk/prospero/

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

Cohen-Kettenis, P. T., Owen, A., Kaijser, V. G., Bradley, S. J., & Zucker, K. J. (2003). Demographic characteristics, social competence, and behavior problems in children with gender identity disorder: A cross-national, cross-clinic comparative analysis. Journal of Abnormal Child Psychology, 31(1), 41–53. https://doi.org/10.1023/A:1021769215342.CrossRefPubMed

Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.CrossRef

Costa, R., Dunsford, M., Skagerberg, E., Holt, V., Carmichael, P., & Colizzi, M. (2015). Psychological support, puberty suppression, and psychosocial functioning in adolescents with gender dysphoria. The Journal of Sexual Medicine, 12(11), 2206–2214.CrossRef

Dank, M., Lachman, P., Zweig, J. M., & Yahner, J. (2014). Dating violence experiences of lesbian, gay, bisexual, and transgender youth. Journal of Youth and Adolescence, 43(5), 846–857.CrossRef

De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131(4), 483.CrossRef

de Vries, A. L. C., Steensma, T. D., Cohen-Kettenis, P. T., VanderLaan, D. P., & Zucker, K. J. (2016). Poor peer relations predict parent- and self-reported behavioral and emotional problems of adolescents with gender dysphoria: A cross-national, cross-clinic comparative analysis. European Child & Adolescent Psychiatry, 25(6), 579–588. https://doi.org/10.1007/s00787-015-0764-7.CrossRef

Dowshen, N., Matone, M., Luan, X., Lee, S., Belzer, M., Fernandez, M. I., & Adolescent Medicine Trials Network for HIV/AIDS Interventions. (2016). Behavioral and health outcomes for HIV+ young transgender women (YTW) linked to and engaged in medical care. LGBT Health, 3(2), 162–167. https://doi.org/10.1089/lgbt.2014.0062.CrossRefPubMedPubMedCentral

Earnshaw, V. A., Bogart, L. M., Poteat, V. P., Reisner, S. L., & Schuster, M. A. (2016). Bullying among lesbian, gay, bisexual, and transgender youth. Pediatric Clinics, 63(6), 999–1010.PubMed

Edwards-Leeper, L., Feldman, H. A., Lash, B. R., Shumer, D. E., & Tishelman, A. C. (2017). Psychological profile of the first sample of transgender youth presenting for medical intervention in a U.S. pediatric gender center. Psychology of Sexual Orientation and Gender Diversity, 4(3), 374–382. https://doi.org/10.1037/sgd0000239.CrossRef

Eisenberg, M. E., Gower, A. L., McMorris, B. J., Rider, G. N., & Coleman, E. (2019). Emotional distress, bullying victimization, and protective factors among transgender and gender diverse adolescents in city, suburban, town, and rural locations. The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association, 35(2), 270–281. https://doi.org/10.1111/jrh.12311.CrossRef

Gower, A. L., Rider, G. N., Brown, C., McMorris, B. J., Coleman, E., Taliaferro, L. A., & Eisenberg, M. E. (2018). Supporting transgender and gender diverse youth: Protection against emotional distress and substance use. American Journal of Preventive Medicine, 55(6), 787–794. https://doi.org/10.1016/j.amepre.2018.06.030.CrossRefPubMedPubMedCentral

Grossman, A. H., & D’Augelli, A. R. (2007). Transgender youth and life-threatening behaviors. Suicide and Life-Threatening Behavior, 37(5), 527–537. https://doi.org/10.1521/suli.2007.37.5.527.CrossRefPubMed

Grossman, A. H., D’Augelli, A. R., & Frank, J. A. (2011). Aspects of psychological resilience among transgender youth. Journal of Lgbt Youth, 8(2), 103–115. https://doi.org/10.1080/19361653.2011.541347.CrossRef

Grossman, A. H., Park, J. Y., & Russell, S. T. (2016). Transgender youth and suicidal behaviors: Applying the interpersonal psychological theory of suicide. Journal of Gay & Lesbian Mental Health, 20(4), 329–349. https://doi.org/10.1080/19359705.2016.1207581.CrossRef

Hall, L. K. (2011). The importance of understanding military culture. Social Work in Health Care, 50(1), 4–18.CrossRef

Hatchel, T., Valido, A., Pedro, K. T., Huang, Y., & Espelage, D. L. (2018). Minority stress among transgender adolescents: The role of peer victimization, school belonging, and ethnicity. Journal of Child and Family Studies, No Pagination Specified-No Pagination Specified. https://doi.org/10.1007/s10826-018-1168-3.CrossRef

Heard, J., Morris, A., Kirouac, N., Ducharme, J., Trepel, S., & Wicklow, B. (2018). Gender dysphoria assessment and action for youth: Review of health care services and experiences of trans youth in Manitoba. Paediatrics & Child Health, 23(3), 179–184. https://doi.org/10.1093/pch/pxx156.CrossRef

Higgins, J. P., Sterne, J. A., Savović, J., Page, M. J., Hróbjartsson, A., Boutron, I., et al. (2019). A revised tool for assessing risk of bias in randomized trials. In J. Chandler, J. McKenzie, I. Boutron, & V. Welch (Eds.), Cochrane methods. Cochrane database of systematic reviews. Hoboken: Wiley. https://doi.org/10.1002/14651858.CD201601.CrossRef

Hill, D. B., Menvielle, E., Sica, K. M., & Johnson, A. (2010). An affirmative intervention for families with gender variant children: Parental ratings of child mental health and gender. Journal of Sex & Marital Therapy, 36(1), 6–23. https://doi.org/10.1080/00926230903375560.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, 84–96. https://doi.org/https://doi.org/10.1080/07481756.2006.11909791. http://www.apa.org/helpcenter/road-resilience.aspx

Human Rights Campaign. (2020). Violence against the transgender community in 2019. Retrieved July 14, 2020, from https://www.hrc.org/resources/violence-against-the-transgender-community-in-2019

Janssen, A., Huang, H., & Duncan, C. (2016). Gender variance among youth with autism spectrum disorders: A retrospective chart review. Transgender Health, 1(1), 63–68.CrossRef

Jones, T., & Hillier, L. (2013). Comparing trans-spectrum and same-sex-attracted youth in Australia: Increased risks, increased activisms. Journal of Lgbt Youth, 10(4), 287–307. https://doi.org/10.1080/19361653.2013.825197.CrossRef

Kaltiala-Heino, R., Sumia, M., Työläjärvi, M., & Lindberg, N. (2015). Two years of gender identity service for minors: Overrepresentation of natal girls with severe problems in adolescent development. Child and Adolescent Psychiatry and Mental Health, 9(1), 9.CrossRef

Kaltiala-Heino, R., Tyolajarvi, M., & Lindberg, N. (2019). Sexual experiences of clinically referred adolescents with features of gender dysphoria. Clinical Child Psychology and Psychiatry, 24(2), 365–378. https://doi.org/10.1177/1359104519827069.CrossRefPubMed

Katz-Wise, S. L., Ehrensaft, D., Vetters, R., Forcier, M., & Austin, S. B. (2018). Family functioning and mental health of transgender and gender-nonconforming youth in the trans teen and family narratives project. Journal of Sex Research, 55(4–5), 582–590. https://doi.org/10.1080/00224499.2017.1415291.CrossRefPubMedPubMedCentral

Keuroghlian, A. S., Shtasel, D., & Bassuk, E. L. (2014). Out on the street: A public health and policy agenda for lesbian, gay, bisexual, and transgender youth who are homeless. American Journal of Orthopsychiatry, 84(1), 66.CrossRef

Kuvalanka, K. A., Weiner, J. L., Munroe, C., Goldberg, A. E., & Gardner, M. (2017). Trans and gender-nonconforming children and their caregivers: Gender presentations, peer relations, and well-being at baseline. Journal of Family Psychology JFP Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 31(7), 889–899. https://doi.org/10.1037/fam0000338.CrossRef

Le, V., Arayasirikul, S., Chen, Y.-H., Jin, H., & Wilson, E. C. (2016). Types of social support and parental acceptance among transfemale youth and their impact on mental health, sexual debut, history of sex work and condomless anal intercourse. Journal of the International AIDS Society, 19(3 Suppl 2), 20781. https://doi.org/10.7448/IAS.19.3.20781.CrossRefPubMedPubMedCentral

Levitan, N., Barkmann, C., Richter-Appelt, H., Schulte-Markwort, M., & Becker-Hebly, I. (2019). Risk factors for psychological functioning in german adolescents with gender dysphoria: Poor peer relations and general family functioning. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-019-01308-6.CrossRef

Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562.CrossRef

Meyer, I. H. (2003). Prejudice as stress: Conceptual and measurement problems. American Journal of Public Health, 93(2), 262–265.CrossRef

National Institute of Health. (2014). Study quality assessment tools. Retrieved from https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools

Nguyen, H. B., Loughead, J., Lipner, E., Hantsoo, L., Kornfield, S. L., & Epperson, C. N. (2019). What has sex got to do with it? The role of hormones in the transgender brain. Neuropsychopharmacology, 44(1), 22.CrossRef

Olson, K. R., Durwood, L., DeMeules, M., & McLaughlin, K. A. (2016). Mental health of transgender children who are supported in their identities. Pediatrics, 137(3), e20153223. https://www.pewsocialtrends.org/essay/on-the-cusp-of-adulthood-and-facing-an-uncertain-future-what-we-know-about-gen-z-so-far/

Perez-Brumer, A., Day, J. K., Russell, S. T., & Hatzenbuehler, M. L. (2017). Prevalence and correlates of suicidal ideation among transgender youth in California: Findings from a representative, population-based sample of high school students. Journal of the American Academy of Child and Adolescent Psychiatry, 56(9), 739–746. https://doi.org/10.1016/j.jaac.2017.06.010.CrossRefPubMedPubMedCentral

Peterson, C. M., Matthews, A., Copps-Smith, E., & Conard, L. A. (2017). Suicidality, self-harm, and body dissatisfaction in transgender adolescents and emerging adults with gender dysphoria. Suicide and Life-Threatening Behavior, 47(4), 475–482.CrossRef

Reisner, S. L., Biello, K. B., White Hughto, J. M., Kuhns, L., Mayer, K. H., Garofalo, R., & Mimiaga, M. J. (2016). Psychiatric diagnoses and comorbidities in a diverse, multicity cohort of young transgender women: Baseline findings from project LifeSkills. JAMA Pediatrics, 170(5), 481–486. https://doi.org/10.1001/jamapediatrics.2016.0067.CrossRefPubMedPubMedCentral

Reisner, S. L., Jadwin-Cakmak, L., Sava, L., Liu, S., & Harper, G. W. (2019). Situated vulnerabilities, sexual risk, and sexually transmitted infections’ diagnoses in a sample of transgender youth in the United States. Aids Patient Care and Stds, 33(3), 120–130. https://doi.org/10.1089/apc.2018.0249.CrossRefPubMedPubMedCentral

Rider, G. N., McMorris, B. J., Gower, A. L., Coleman, E., & Eisenberg, M. E. (2018). Health and care utilization of transgender and gender nonconforming youth: A population-based study. Pediatrics, 141(3), 20171683.CrossRef

Röder, M., Barkmann, C., Richter-Appelt, H., Schulte-Markwort, M., Ravens-Sieberer, U., & Becker, I. (2018). Health-related quality of life in transgender adolescents: Associations with body image and emotional and behavioral problems. International Journal of Transgenderism, 19(1), 78–91. https://doi.org/10.1080/15532739.2018.1425649.CrossRef

Rowe, C., Santos, G.-M., McFarland, W., & Wilson, E. C. (2015). Prevalence and correlates of substance use among trans*female youth ages 16–24 years in the San Francisco Bay Area. Drug and Alcohol Dependence, 147, 160–166. https://doi.org/10.1016/j.drugalcdep.2014.11.023.CrossRefPubMed

Roy Rosenzweig Center for History and New Media. (2016). Zotero [Computer software]. Retrieved from www.zotero.org/download

Russell, S. T., Pollitt, A. M., Li, G., & Grossman, A. H. (2018). Chosen Name use is linked to reduced depressive symptoms, suicidal ideation, and suicidal behavior among transgender youth. Journal of Adolescent Health, 63(4), 503–505. https://doi.org/10.1016/j.jadohealth.2018.02.003.CrossRef

Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., & Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ, 349, g7647.CrossRef

Shea, B. J., Reeves, B. C., Wells, G., Thuku, M., Hamel, C., Moran, J., & Henry, D. A. (2017). AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. Bmj, 358, j4008. Retrieved from https://www.npr.org/sections/health-shots/2020/06/12/868073068/transgender-health-protections-reversed-by-trump-administration

Simons, L., Schrager, S. M., Clark, L. F., Belzer, M., & Olson, J. (2013). Parental support and mental health among transgender adolescents. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 53(6), 791–793. https://doi.org/10.1016/j.jadohealth.2013.07.019.CrossRef

Soeters, J. L., Winslow, D. J., & Weibull, A. (2006). Military culture. In G. Caforio (Ed.), Handbook of the sociology of the military (pp. 237–254). Boston, MA: Springer.CrossRef

Steensma, T. D., Zucker, K. J., Kreukels, B. P. C., Vanderlaan, D. P., Wood, H., Fuentes, A., & Cohen-Kettenis, P. T. (2014). Behavioral and emotional problems on the Teacher’s Report Form: A cross-national, cross-clinic comparative analysis of gender dysphoric children and adolescents. Journal of Abnormal Child Psychology, 42(4), 635–647. https://doi.org/10.1007/s10802-013-9804-2.CrossRefPubMed

Taliaferro, L. A., McMorris, B. J., & Eisenberg, M. E. (2018). Connections that moderate risk of non-suicidal self-injury among transgender and gender non-conforming youth. Psychiatry Research, 268, 65–67. https://doi.org/10.1016/j.psychres.2018.06.068.CrossRefPubMedPubMedCentral

Taliaferro, L. A., McMorris, B. J., Rider, G. N., & Eisenberg, M. E. (2019). Risk and protective factors for self-harm in a population-based sample of transgender youth. Archives of Suicide Research, 23(2), 203–221. https://doi.org/10.1080/13811118.2018.1430639.CrossRefPubMed

Toomey, R. B., Syvertsen, A. K., & Shramko, M. (2018). Transgender adolescent suicide behavior. Pediatrics, 142(4), e20174218.CrossRef

Valentine, S. E., & Shipherd, J. C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology review, 66, 24–38.CrossRef

Van Donge, N., Schvey, N. A., Roberts, T. A., & Klein, D. A. (2019). Transgender dependent adolescents in the U.S. Military Health Care System: Demographics, treatments sought, and health care service utilization. Military Medicine, 184(5–6), e447–e454. https://doi.org/10.1093/milmed/usy264.CrossRefPubMed

VanderLaan, D. P., Leef, J. H., Wood, H., Hughes, S. K., & Zucker, K. J. (2015). Autism spectrum disorder risk factors and autistic traits in gender dysphoric children. Journal of Autism and Developmental Disorders, 45(6), 1742–1750. https://doi.org/10.1007/s10803-014-2331-3.CrossRefPubMed

VanderLaan, D. P., Santarossa, A., Nabbijohn, A. N., Wood, H., Owen-Anderson, A., & Zucker, K. J. (2018). Separation anxiety among birth-assigned male children in a specialty gender identity service. European Child & Adolescent Psychiatry, 27(1), 89–98. https://doi.org/10.1007/s00787-017-1018-7.CrossRef

Veale, J. F., Peter, T., Travers, R., & Saewyc, E. M. (2017). Enacted stigma, mental health, and protective factors among transgender youth in Canada. Transgender Health, 2(1), 207–216. https://doi.org/10.1089/trgh.2017.0031.CrossRefPubMedPubMedCentral

Wei, C., & Liu, W. (2019). Coming out in mainland china: A national survey of lgbtq students. Journal of LGBT Youth, No Pagination Specified-No Pagination Specified. https://doi.org/10.1080/19361653.2019.1565795.CrossRef

Weinhardt, L. S., Stevens, P., Xie, H., Wesp, L. M., John, S. A., Apchemengich, I., & Lambrou, N. H. (2017). Transgender and gender nonconforming youths’ public facilities use and psychological well-being: A mixed-method study. Transgender Health, 2(1), 140–150. https://doi.org/10.1089/trgh.2017.0020.CrossRefPubMedPubMedCentral

Wilson, E. C., Chen, Y.-H., Arayasirikul, S., Raymond, H. F., & McFarland, W. (2016). The impact of discrimination on the mental health of trans*female youth and the protective effect of parental support. AIDS and Behavior, 20(10), 2203–2211. https://doi.org/10.1007/s10461-016-1409-7.CrossRefPubMedPubMedCentral

Wilson, E. C., Garofalo, R., Harris, R. D., Herrick, A., Martinez, M., Martinez, J., & Interventions, AMTN for H. (2009). Transgender female youth and sex work: HIV risk and a comparison of life factors related to engagement in sex work. AIDS and Behavior, 13(5), 902–913.CrossRef

Wilson, P. H. (2008). Defining military culture. The Journal of Military History, 72(1), 11–41.CrossRef

Titel: Risk and Resilience Factors for Mental Health among Transgender and Gender Nonconforming (TGNC) Youth: A Systematic Review
Auteurs: Amelia P. Tankersley
Erika L. Grafsky
Janey Dike
Russell T. Jones
Publicatiedatum: 17-02-2021
Uitgeverij: Springer US
Gepubliceerd in: Clinical Child and Family Psychology Review / Uitgave 2/2021
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI: https://doi.org/10.1007/s10567-021-00344-6

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