University of California, Los Angeles David Geffen School of Medicine, Jane & Terry Semel Institute for Neuroscience, Los Angeles, CA 90095, USA.
Medical Scientist Training Program, Oregon Health & Science University, Portland, OR 97239-3098, USA.
Child Adolesc Psychiatr Clin N Am. 2023 Oct;32(4):667-682. doi: 10.1016/j.chc.2023.04.001. Epub 2023 Jun 1.
Traumatic stress increases the risk for mental health conditions and adversely impacts health, academic performance, and coping. Transgender and gender diverse (TGD) youth experience higher rates of abuse and maltreatment and interpersonal and community-embedded discrimination than their cisgender peers. Neurobiologic stress responses and social stress theory provide useful frameworks for understanding the effects of discrimination, stigma, and rejection. Despite facing higher rates of interpersonal trauma, TGD youth are quite resilient when able to access supports and affirming trauma-informed services. Clinicians play an important role in identifying and addressing traumatic stress impacting TGD youth and bolstering resilience.
创伤后应激会增加心理健康问题的风险，并对健康、学业表现和应对能力产生不利影响。跨性别和性别多样化（TGD）青年比顺性别同龄人经历更高的虐待和虐待、人际和社区内的歧视。神经生物学应激反应和社会应激理论为理解歧视、污名和拒绝的影响提供了有用的框架。尽管跨性别和性别多样化青年面临更高的人际创伤率，但当他们能够获得支持和肯定创伤知情服务时，他们具有很强的适应能力。临床医生在识别和处理影响跨性别和性别多样化青年的创伤后应激以及增强他们的适应能力方面发挥着重要作用。
