Marshall Ellen, Glazebrook Cris, Robbins-Cherry Sally, Nicholson Serge, Thorne Nat, Arcelus Jon
Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
Nottingham Centre for Transgender Health, Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
Int J Transgend Health. 2020 Jul 21;21(4):373-390. doi: 10.1080/26895269.2020.1765446. eCollection 2020.
Romantic relationships are often a significant area of individuals' lives and can have a positive impact on wellbeing. There is often a belief within society of romantic relationships ending upon the start of gender affirming transition, however this is often not reflected within clinical work or research studies. Despite this, currently not enough is known about romantic relationships for transgender individuals and their partners, and the impact gender affirming transition can have on the quality and satisfaction of these relationships.
To critically and systematically review the available literature examining quality and satisfaction of romantic relationships for transgender individuals and their partners.
Using PRISMA guidelines, major databases (Pubmed, PsycINFO and Web of Science) and relevant reference lists were searched for suitable articles up to January 2020. Each included article was assessed for methodological quality and the demographic data, methods and findings linked to relationship quality and satisfaction was extracted for analysis.
From 151 potentially relevant articles, 14 studies (six quantitative, eight qualitative) were included within the review. Most studies displayed moderate risk of bias due to cross-sectional designs and lack of reflexivity. Findings from quantitative studies suggest a bi-directional relationship between transition, relationship quality and satisfaction and wellbeing. Qualitative studies suggest transition can cause personal challenges for both transgender individuals and partners. Maintenance activities help buffer the impact of these challenges on relationship satisfaction and ensure positives are possible from relationships.
Gender affirming transition can impact on the quality and satisfaction of romantic relationships. Due to additional challenges transgender individuals and their partners may face, adequate support is required at personal, community and clinical level. There is a paucity of research in this area and current studies lack methodological rigor. Future research is essential to gain a further understanding of transgender relationships and the support required.
浪漫关系通常是个人生活中的一个重要领域，对幸福感有积极影响。社会上常常存在一种观念，即性别肯定转变开始后浪漫关系就会结束，然而临床工作或研究中往往并未体现这一点。尽管如此，目前对于跨性别者及其伴侣的浪漫关系，以及性别肯定转变对这些关系的质量和满意度可能产生的影响，我们了解得还不够。
批判性地、系统地回顾现有的关于跨性别者及其伴侣浪漫关系质量和满意度的文献。
按照PRISMA指南，检索了主要数据库（PubMed、PsycINFO和科学网）以及相关参考文献列表，以查找截至2020年1月的合适文章。对每篇纳入的文章进行方法学质量评估，并提取与关系质量和满意度相关的人口统计学数据、方法和研究结果进行分析。
从151篇潜在相关文章中，本综述纳入了14项研究（6项定量研究，8项定性研究）。由于采用横断面设计且缺乏反思性，大多数研究显示出中等程度的偏倚风险。定量研究结果表明，转变、关系质量与满意度以及幸福感之间存在双向关系。定性研究表明，转变可能给跨性别者及其伴侣带来个人挑战。维持关系的活动有助于缓冲这些挑战对关系满意度的影响，并确保关系能够产生积极结果。
性别肯定转变可能会影响浪漫关系的质量和满意度。由于跨性别者及其伴侣可能面临额外的挑战，个人、社区和临床层面都需要提供充分的支持。该领域的研究匮乏，当前研究缺乏方法学严谨性。未来的研究对于进一步了解跨性别关系以及所需的支持至关重要。
