Ann & Robert H. Lurie Children's Hospital of Chicago.
Ann & Robert H. Lurie Children's Hospital of Chicago; Northwestern University Feinberg School of Medicine.
Behav Ther. 2024 Nov;55(6):1335-1347. doi: 10.1016/j.beth.2024.02.010. Epub 2024 Mar 6.
Gender-affirming care is a framework that has developed over the past two decades and has experienced a rapid proliferation of empirical evidence. Given increased attention to transgender and gender diverse (TGD) youth in sociocultural spheres, there is a need to examine the current evidence base for effective gender-affirming mental health treatment. In this State of the Science review, we highlight general treatment frameworks that best support TGD youth and families in a variety of contexts, using gender-affirming psychosocial approaches. We use groupings of presenting concerns for TGD youth and families outlined by Coyne et al. (2020) to highlight differing mental health support needs, emphasizing the need for individual, contextually-based care models that consider aspects of gender-related marginalization and resilience. We further discuss needs for care access and equity and need for further attention in future research and intervention approaches.
性别肯定护理是一个在过去二十年中发展起来的框架，已经积累了大量的经验证据。鉴于社会文化领域对跨性别和性别多样化（TGD）青年的关注度不断提高，有必要检查当前有效的性别肯定心理健康治疗的证据基础。在本次科学综述中，我们强调了一般的治疗框架，这些框架使用性别肯定的心理社会方法，在各种情况下最好地支持 TGD 青年及其家庭。我们使用 Coyne 等人（2020 年）为 TGD 青年及其家庭概述的呈现问题分组，突出不同的心理健康支持需求，强调需要个体化、基于情境的护理模式，考虑与性别相关的边缘化和韧性的各个方面。我们进一步讨论了护理机会和公平的需求，以及未来研究和干预方法中进一步关注的必要性。
