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Victimization and depressive symptomology in transgender adults: The mediating role of avoidant coping.

作者信息

White Hughto Jaclyn M, Pachankis John E, Willie Tiara C, Reisner Sari L

机构信息

The Fenway Institute, Fenway Health.

Department of Chronic Disease Epidemiology, Yale School of Public Health.

出版信息

J Couns Psychol. 2017 Jan;64(1):41-51. doi: 10.1037/cou0000184.


DOI:10.1037/cou0000184
PMID:28068130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5226079/
Abstract

Victimization and depressive distress symptoms represent serious and interconnected public health problems facing transgender communities. Avoidant coping is hypothesized to temporarily alleviate the stress of victimization, but has potential long-term mental and behavioral health costs, such as increasing the probability of depressive symptoms. A community sample of 412 transgender adults (M age = 32.7, SD = 12.8) completed a one-time survey capturing multiple forms of victimization (i.e., everyday discrimination, bullying, physical assault by family, verbal harassment by family, childhood sexual abuse, intimate partner violence), avoidant coping, and past-week depressive symptomology. Structural equation modeling examined the mediating role of avoidant coping in the association between victimization and depressive symptomology. A latent victimization variable comprised of 6 measures of victimization was positively associated with avoidant coping, which in turn was positively associated with depressive symptoms. Victimization was also positively associated with depressive symptomology both directly and indirectly through avoidant coping. Avoidant coping represents a potentially useful intervention target for clinicians aiming to reduce the mental health sequelae of victimization in this highly stigmatized and vulnerable population. (PsycINFO Database Record

摘要

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本文引用的文献

[1]
Geographic and Individual Differences in Healthcare Access for U.S. Transgender Adults: A Multilevel Analysis.

LGBT Health. 2016-9-16

[2]
Suicide risk in trans populations: An application of minority stress theory.

J Couns Psychol. 2016-4-18

[3]
Psychiatric Diagnoses and Comorbidities in a Diverse, Multicity Cohort of Young Transgender Women: Baseline Findings From Project LifeSkills.

JAMA Pediatr. 2016-5-1

[4]
Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions.

Soc Sci Med. 2015-12

[5]
LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach.

J Consult Clin Psychol. 2015-10

[6]
Laboratory-confirmed HIV and sexually transmitted infection seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center.

AIDS Care. 2015

[7]
Dyadic effects of gender minority stressors in substance use behaviors among transgender women and their non-transgender male partners.

Psychol Sex Orientat Gend Divers. 2014-3

[8]
Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men.

Clin Psychol (New York). 2014-12

[9]
COPING AS A MEDIATOR OF INTERNALIZED HOMOPHOBIA AND PSYCHOLOGICAL DISTRESS AMONG YOUNG ADULT SEXUAL MINORITY WOMEN.

Psychol Sex Orientat Gend Divers. 2014-9

[10]
Monitoring the health of transgender and other gender minority populations: validity of natal sex and gender identity survey items in a U.S. national cohort of young adults.

BMC Public Health. 2014-11-26

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