Coping with discrimination: The insidious effects of gender minority stigma on depression and anxiety in transgender individuals.
anxiety
coping
depression
discrimination
mental health
transgender
Journal
Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
pubmed:
14
9
2019
medline:
2
2
2021
entrez:
14
9
2019
Statut:
ppublish
Résumé
We examined types of discrimination encountered by transgender and gender diverse (TGD) individuals and the associations with symptoms of depression and anxiety, as well as the mediating and moderating effects of coping responses. This online study included 695 TGD individuals ages 16 years and over (M = 25.52; standard deviation = 9.68). Most participants (76.1%) reported discrimination over the past year. Greater exposure to discrimination was associated with more symptoms of depression and anxiety. These associations were mediated by coping via detachment and via internalization, although a direct effect remained. Many TGD people will encounter discrimination and this is associated with greater psychological distress. Engagement in the internalization of blame or detachment partially explains the association between discrimination and mental health issues. These findings elucidate possible avenues for interventions to bolster adaptive coping responses for TGD people and highlight that actions to decrease discrimination are urgently needed.
Identifiants
pubmed: 31517999
doi: 10.1002/jclp.22865
pmc: PMC7321837
mid: NIHMS1048192
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
176-194Subventions
Organisme : NIDA NIH HHS
ID : F32 DA038557
Pays : United States
Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
J Clin Psychol. 2018 Jan;74(1):136-146
pubmed: 28608524
Am J Public Health. 2013 May;103(5):943-51
pubmed: 23488522
Health Soc Work. 2005 Feb;30(1):19-26
pubmed: 15847234
J Couns Psychol. 2017 Jan;64(1):41-51
pubmed: 28068130
J Homosex. 2006;51(3):53-69
pubmed: 17135115
J Couns Psychol. 2010 Apr;57(2):167-78
pubmed: 21133568
Clin Psychol Rev. 2018 Dec;66:24-38
pubmed: 29627104
Arch Sex Behav. 2018 May;47(4):973-985
pubmed: 28785919
Health Soc Work. 2015 May;40(2):134-41
pubmed: 26027422
J Couns Psychol. 2009 Jan 1;56(1):202-209
pubmed: 20046949
Transgend Health. 2016 Aug 01;1(1):151-164
pubmed: 29159306
J Abnorm Psychol. 2017 Jan;126(1):125-136
pubmed: 27831708
Int J Environ Res Public Health. 2018 Jun 19;15(6):
pubmed: 29921806
Sex Res Social Policy. 2018 Mar;15(1):48-59
pubmed: 29527241
J Adolesc Health. 2015 Mar;56(3):274-9
pubmed: 25577670
J Couns Psychol. 2017 Jan;64(1):12-25
pubmed: 28068128
Annu Rev Psychol. 2004;55:745-74
pubmed: 14744233
J Sex Res. 2018 May -Jun;55(4-5):591-603
pubmed: 29148860
J Couns Psychol. 2019 Jan;66(1):14-29
pubmed: 30035589
Psychol Bull. 2003 Sep;129(5):674-697
pubmed: 12956539
J Couns Psychol. 2019 Jul;66(4):385-395
pubmed: 30896208
LGBT Health. 2015 Dec;2(4):306-12
pubmed: 26788771
Soc Sci Med. 2015 Dec;147:222-31
pubmed: 26599625
J Pers Soc Psychol. 1988 Mar;54(3):466-75
pubmed: 3361419
LGBT Health. 2018 Apr;5(3):171-179
pubmed: 29589995
J Couns Psychol. 2010 Jul;57(3):328-44
pubmed: 21133583
LGBT Health. 2018 Aug/Sep;5(6):350-358
pubmed: 30070960
J Homosex. 2018;65(11):1435-1456
pubmed: 28901829
J Clin Epidemiol. 2010 Nov;63(11):1179-94
pubmed: 20685078
J Homosex. 2014;61(7):1003-24
pubmed: 24325286
Lancet. 2017 Oct 28;390(10106):1933-1935
pubmed: 29115217
J Clin Nurs. 2017 Dec;26(23-24):4080-4093
pubmed: 28597989
Am J Public Health. 2013 Oct;103(10):1820-9
pubmed: 23153142
J Consult Clin Psychol. 2013 Jun;81(3):545-57
pubmed: 23398495
BMC Public Health. 2012 Aug 15;12:663
pubmed: 22894701
J Am Acad Child Adolesc Psychiatry. 2017 Sep;56(9):739-746
pubmed: 28838578
J Am Coll Health. 2019 Feb-Mar;67(2):161-173
pubmed: 29672234