Hidalgo Marco A, Petras Hanno, Chen Diane, Chodzen Gia
Center for Transyouth Health and Development, Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Clin Pract Pediatr Psychol. 2019;7(3):278-290. doi: 10.1037/cpp0000297.
Minority stress contributes to several physical and psychological problems in sexual and gender minorities but is largely understudied in transgender/gender-nonconforming (TGNC) individuals, particularly TGNC adolescents. The availability of psychometrically sound measures of adolescent minority stress can help improve assessment and treatment planning in this area. This original research study examined whether an existing measure of TGNC-related minority stress and resilience among adults could retain construct and psychometric validity when administered to TGNC adolescents.
Respondents were 258 TGNC adolescents, aged 12 -17.99 years (=15.1, ), majority white/European American (70.2%) and assigned female at birth (71.7%) seeking care in an interdisciplinary gender-health clinic within a pediatric academic medical center in the Midwestern United States. Respondents completed a battery of clinical measures as standard of care, including the Gender Minority Stress and Resilience Measure, measures of anxiety and depression symptoms, and parental support.
Findings indicated that minor adaptation of the existing adult measure resulted in high internal consistency and construct validity across 9 subscales assessing domains of minority stress and resilience in this sample of TGNC adolescents.
This study provides evidence of the factor structure, reliability and validity of an adolescent extension of the Gender Minority Stress and Resilience measure (GMSR-A). These findings demonstrate the clinical utility of the GMSR-A, a tool that can help increase understanding of minority stress and resilience phenomena experienced by TGNC adolescents.
少数群体压力会导致性少数和性别少数群体出现多种生理和心理问题，但在跨性别/性别不一致（TGNC）个体，尤其是TGNC青少年中，这方面的研究在很大程度上还不足。具备心理测量学效度的青少年少数群体压力测量工具，有助于改善该领域的评估和治疗规划。这项原创性研究探讨了一种现有的针对成年人的TGNC相关少数群体压力和复原力测量工具，在应用于TGNC青少年时，是否能保持其结构效度和心理测量学效度。
研究对象为258名年龄在12至17.99岁（平均年龄=15.1岁）的TGNC青少年，他们大多是白人/欧裔美国人（70.2%），出生时被指定为女性（71.7%），在美国中西部一家儿科学术医疗中心的跨学科性别健康诊所寻求治疗。作为标准护理的一部分，研究对象完成了一系列临床测量，包括性别少数群体压力与复原力测量工具、焦虑和抑郁症状测量工具以及父母支持测量工具。
研究结果表明，对现有的成人测量工具进行轻微调整后，在评估该TGNC青少年样本中的少数群体压力和复原力领域的9个子量表中，具有较高的内部一致性和结构效度。
本研究为性别少数群体压力与复原力测量工具（GMSR-A）的青少年版的因子结构、信度和效度提供了证据。这些研究结果证明了GMSR-A的临床实用性，该工具有助于增进对TGNC青少年所经历的少数群体压力和复原力现象的理解。
