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一项关于跨性别女性抑郁、焦虑及性神话观念的病例对照研究。

A case-control study on depression, anxiety, and belief in sexual myths in trans women.

作者信息

Uyar Betul, Yucel Ilyas, Uyar Emre, Ateş Budak Elif, Kelle Ilker, Bulbuloglu Semra

机构信息

Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakir, Turkey.

Department of Medical Biology and Genetics, Faculty of Medicine, Dicle University, Diyarbakir, Turkey.

出版信息

Front Psychiatry. 2023 Jan 9;13:955577. doi: 10.3389/fpsyt.2022.955577. eCollection 2022.

Abstract

OBJECTIVE

The purpose of our study was to investigate depression, anxiety, and belief in sexual myths in trans women.

METHODS

This is a prospective case-control study. The case group included 60 trans women who were referred to the Medical Biology and Genetics Department from various clinics of the research and training hospital where this study was conducted. The control group consisted of 60 healthy male individuals who presented to the same hospital for routine health follow-ups and collecting documents showing their health. In data collection, we used a Personal Information Form, the Sexual Myths Scale, and the Beck Depression and Anxiety Inventories. The IBM Statistical Package for the Social Sciences 25.0 was used to analyze the data.

RESULTS

In the case group, 26.7% of the participants were sex workers, and all were single. While 46.7% of the participants in the case group were living with their families, 66.7% were smokers, and 13.3% were receiving hormone treatment. All 60 participants in the control group were also single. The participants in the control group had higher levels of believing sexual myths and lower levels of anxiety and depression than those in the case group ( = 0.000). The mean scores of the participants in the control group in the Sexual Orientation and Sexual Violence subscales of the Sexual Myths Scale were higher than the mean scores of those in the case group ( < 0.05).

CONCLUSION

The trans women who participated in this study had higher levels of anxiety and depression and lower levels of believing sexual myths than the control group. The mental health of trans women can be disrupted due to various treatments they are exposed to in society such as stigma, discrimination, and violence. Their higher anxiety and depression levels in this study could be explained by this exposure. This exposure could also have led to their lower total scores in the Sexual Myths Scale, as well as lower scores in the Sexual Violence and Sexual Orientation subscales.

摘要

目的

我们研究的目的是调查跨性别女性的抑郁、焦虑及对性神话的信念。

方法

这是一项前瞻性病例对照研究。病例组包括60名跨性别女性,她们来自开展本研究的研究与培训医院的各个诊所,并被转介至医学生物学与遗传学系。对照组由60名健康男性个体组成,他们到同一家医院进行常规健康随访并收集显示其健康状况的文件。在数据收集过程中,我们使用了个人信息表、性神话量表以及贝克抑郁和焦虑量表。使用IBM社会科学统计软件包25.0对数据进行分析。

结果

病例组中,26.7%的参与者为性工作者,且均为单身。病例组中46.7%的参与者与家人同住,66.7%为吸烟者,13.3%正在接受激素治疗。对照组的所有60名参与者也均为单身。对照组参与者对性神话的信念水平高于病例组,而焦虑和抑郁水平低于病例组(P = 0.000)。对照组参与者在性神话量表的性取向和性暴力子量表中的平均得分高于病例组(P < 0.05)。

结论

参与本研究的跨性别女性比对照组有更高的焦虑和抑郁水平,以及更低的对性神话的信念水平。跨性别女性的心理健康可能会因她们在社会中所遭受的各种对待,如污名化、歧视和暴力而受到干扰。本研究中她们较高的焦虑和抑郁水平可以用这种遭遇来解释。这种遭遇也可能导致她们在性神话量表中的总分较低,以及在性暴力和性取向子量表中的得分较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d96/9868723/f508147acb27/fpsyt-13-955577-g001.jpg

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