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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

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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.
Literatuur
go back to reference Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Harvard University Press. Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Harvard University Press.
go back to reference 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. 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.
go back to reference 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 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
go back to reference Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Simon and Schuster. Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Simon and Schuster.
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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., 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
go back to reference 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., 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
go back to reference Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press.
go back to reference SAS Institute. (2013). SAS for Windows (Version 9.4). [Computer software]. SAS Institute. SAS Institute. (2013). SAS for Windows (Version 9.4). [Computer software]. SAS Institute.
go back to reference 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 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
Metagegevens
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