Department of Psychology, University of Milano-Bicocca, Edificio U6, Piazza dell'Ateneo Nuovo 1, 20126 Milan, Italy.
Psychologisches Institut, Ruprecht-Karls-Universität Heidelberg, 69117 Heidelberg, Germany.
Int J Environ Res Public Health. 2022 Jul 22;19(15):8916. doi: 10.3390/ijerph19158916.
Some trans people experience gender dysphoria, which refers to psychological distress that results from an incongruence between one's gender assigned at birth and one's gender identity. People who are trans masculine or nonbinary assigned-female-at-birth may pursue multiple domains of gender affirmation, including surgical affirmation (e.g., masculine chest reconstruction, penile reconstruction, etc.). The present study aimed to investigate the possible factors involved in trans people's desire to undergo gender-affirming genital surgery. Trans masculine and nonbinary participants ( = 127; mean age = 26.90) were recruited through a web-based survey and completed self-report instruments (i.e., the Internalized Transphobia subscale of the Gender Minority Stress and Resilience Measure, the Trans Positive Identity Measure, the Gender Congruence and Life Satisfaction Scale, an ad hoc scale on transnormativity, and a single-item on desire to undergo genital affirmation surgery). A path analysis showed that higher levels of internalized transphobia led to more significant genital discomfort via a dual parallel mediation of transnormativity and positive identity. Moreover, this genital discomfort fueling pattern was the most significant predictor of the desire to undergo genital surgery as the effect of internalized transphobia was fully mediated by increased genital discomfort. Findings are discussed in the light of the recent strand of research on gender dysphoria as a multifaceted construct, with social components.
一些跨性别者经历性别焦虑，这是指由于出生时被分配的性别与他们的性别认同之间存在不一致而导致的心理困扰。跨男性或出生时被指定为女性的非二元性别者可能会追求多个性别肯定领域，包括手术肯定（例如，男性胸部重建、阴茎重建等）。本研究旨在探讨跨性别者进行性别肯定生殖器手术的愿望可能涉及的因素。通过网络调查招募了跨男性和非二元性别参与者（n=127；平均年龄=26.90），并完成了自我报告量表（即，性别少数群体压力和韧性测量中的内化跨性别恐惧症量表、跨性别积极认同量表、性别一致性和生活满意度量表、关于跨性别规范的特定量表以及关于进行生殖器肯定手术的愿望的单项量表）。路径分析表明，内化的跨性别恐惧症程度越高，通过跨性别规范和积极认同的双重平行中介，导致更显著的生殖器不适。此外，这种生殖器不适加剧模式是进行生殖器手术愿望的最显著预测因素，因为内化的跨性别恐惧症的影响完全被增加的生殖器不适所中介。研究结果在性别焦虑症作为一个多方面的社会因素结构的最新研究中进行了讨论。
