Department of Neurosciences and Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Napoli, Italy.
Department of Humanistic Studies, University of Calabria, 87036 Rende, Italy.
Int J Environ Res Public Health. 2018 Mar 13;15(3):508. doi: 10.3390/ijerph15030508.
Transgender and gender nonconforming (TGNC) people are a highly-stigmatized population. For this reason, they might internalize society's normative gender attitudes and develop negative mental health outcomes. As an extension of the minority stress model, the psychological mediation framework sheds light on psychological processes through which anti-transgender discrimination might affect mental health. Within this framework, the current study aimed at assessing in 149 TGNC Italian individuals the role of internalized transphobia as a mediator between anti-transgender discrimination and mental health, considering resilience as the individual-level coping mechanism buffering this relationship. The results suggest that both indicators of internalized transphobia (i.e., shame and alienation) mediate the relationship between anti-transgender discrimination and depression, while only alienation mediates the relationship between anti-transgender discrimination and anxiety. Furthermore, the results suggest that the indirect relation between anti-transgender discrimination and anxiety through alienation is conditional on low and moderate levels of resilience. Findings have important implications for clinical practice and psycho-social interventions to reduce stigma and stress caused by interpersonal and individual stigma.
跨性别和性别不一致者（TGNC）是一个高度受歧视的群体。出于这个原因，他们可能会内化社会的规范性别态度，并产生负面的心理健康结果。作为少数群体应激模型的扩展，心理中介框架通过反跨性别歧视可能影响心理健康的心理过程提供了启示。在这个框架内，本研究旨在评估 149 名意大利 TGNC 个体内化的恐跨症在反跨性别歧视和心理健康之间的中介作用，同时考虑韧性作为缓冲这种关系的个体应对机制。结果表明，内化的恐跨症的两个指标（即羞耻感和异化感）都在反跨性别歧视和抑郁之间起中介作用，而只有异化感在反跨性别歧视和焦虑之间起中介作用。此外，结果表明，通过异化感，反跨性别歧视与焦虑之间的间接关系取决于低和中等水平的韧性。这些发现对减少人际和个人歧视引起的耻辱和压力的临床实践和心理社会干预具有重要意义。
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