Luz Paula M, Jalil Emilia M, Castilho Jessica, Velasque Luciane, Ramos Michelle, Ferreira Ana Cristina G, Ferreira Ana Luisa, Wilson Erin C, Veloso Valdilea G, Thombs Brett D, Moodie Erica E M, Grinsztejn Beatriz
Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Vanderbilt University School of Medicine, Nashville, USA.
Transgend Health. 2022 Feb 14;7(1):101-106. doi: 10.1089/trgh.2020.0171. eCollection 2022 Feb.
Transgender women experience violence and discrimination that lead to stress responses and contribute to poor mental health. In this analysis of baseline data from , a trans-specific open cohort in Rio de Janeiro, Brazil, we hypothesized that the experience of discrimination and violence would be associated with depressive symptoms and that resilience could mitigate this association. Results showed that prior experiences with discrimination and sexual and physical violence were associated with depressive symptoms, while resilience was inversely associated with depressive symptoms. Resilience did not moderate nor mediate the strong effects of discrimination and violence on depressive symptoms in adjusted models.
跨性别女性遭受暴力和歧视，这些会引发应激反应并导致心理健康状况不佳。在对巴西里约热内卢一个特定于跨性别人群的开放队列的基线数据进行的这项分析中，我们假设歧视和暴力经历会与抑郁症状相关，而心理韧性可以减轻这种关联。结果显示，先前的歧视经历以及性暴力和身体暴力经历与抑郁症状相关，而心理韧性与抑郁症状呈负相关。在调整模型中，心理韧性并未缓和也未介导歧视和暴力对抑郁症状的强烈影响。
