McGregor Kerry, Rana Vinisha, McKenna John L, Williams Coleen R, Vu Ava, Boskey Elizabeth R
Boston Children's Hospital, Division of Endocrinology, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts; Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Boston Children's Hospital, Division of Gynecology, Boston, Massachusetts.
J Adolesc Health. 2024 Aug;75(2):261-266. doi: 10.1016/j.jadohealth.2024.04.006. Epub 2024 Jun 6.
This study investigated the association between positive and negative family support and psychosocial outcomes among transgender and gender diverse (TGD) youth.
A retrospective analysis was performed using psychological data collected from 175 TGD youth (aged 13-18 years) at time of hormone readiness assessment within a multispecialty gender clinic between May 2021 and February 2023. As part of this assessment process, TGD youth provided responses to a variety of measures, including the Youth Self-Report and the Family Environment Scale.
Negative family support scales were more strongly associated with more outcomes than positive support scales. The exclusion and abuse, viewing gender expression as morally wrong, and trying to change gender scales were each associated with significantly higher Youth Self-Report T-scores for internalizing problems (βs = 6.86, 6.26, 5.56, all p < .01), externalizing problems (βs = 4.58, 4.42, 4.19, all p < .02), and total problems (βs = 6.70, 6.45, 5.34, all p < .02). The explicit care and support scale was associated with significantly lower T-scores for externalizing problems (β = -3.54 p = .02) and total problems (β = -3.35, p = .04). Overall support was also associated with higher T-scores in internalizing problems (b = -2.90, p = .02), externalizing problems (β = -2.40, p = .03), and total problems (β = -2.79, p = .03).
Family support plays a critical role in the psychosocial wellbeing of TGD youth. TGD youth reporting positive family support reported fewer mental health concerns, less experiences of nonaffirmation, and lower levels of internalized transphobia. TGD youth reporting negative family support were found to have an increased risk of suicidal ideation.
本研究调查了跨性别和性别多样化（TGD）青少年中积极和消极家庭支持与心理社会结果之间的关联。
对2021年5月至2023年2月期间在一家多专科性别诊所进行激素准备评估时从175名TGD青少年（年龄在13 - 18岁之间）收集的心理数据进行回顾性分析。作为该评估过程的一部分，TGD青少年对包括青少年自我报告和家庭环境量表在内的多种测量方法做出了回应。
消极家庭支持量表比积极支持量表与更多结果的关联更强。排斥与虐待、将性别表达视为道德错误以及试图改变性别量表，每一项都与内化问题（β值分别为6.86、6.26、5.56，均p <.01）、外化问题（β值分别为4.58、4.42、4.19，均p <.02）以及总问题（β值分别为6.70、6.45、5.34，均p <.02）的青少年自我报告T分数显著更高相关。明确的关爱与支持量表与外化问题（β = -3.54，p =.02）和总问题（β = -3.35，p =.04）的T分数显著更低相关。总体支持也与内化问题（b = -2.90，p =.02）、外化问题（β = -2.40，p =.03）以及总问题（β = -2.79，p =.03）的更高T分数相关。
家庭支持在TGD青少年的心理社会福祉中起着关键作用。报告有积极家庭支持的TGD青少年心理健康问题较少，非肯定经历较少，内化的恐跨症水平较低。报告有消极家庭支持的TGD青少年被发现有自杀意念风险增加的情况。
