Gao Lvfen, Zhang Xu, Li Huiyi, Lu Chuying, Li Jinhui, Tao Qian
Department of Gynecology and Obstetrics, The First Affiliated Hospital, Jinan University, Guangzhou, China.
Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
BMC Psychol. 2025 Jan 2;13(1):2. doi: 10.1186/s40359-024-02314-3.
In China, research on the mental health of transgender populations is increasingly prevalent; however, there is a lack of localized psychological measurement tools that align with the characteristics of this population. The Transgender Congruence Scale (TCS) is widely used internationally. This study aims to assess the reliability, validity, and psychometric characteristics of the Chinese version of the TCS among the Chinese transgender sample.
A total of 264 participants with a mean age of 24.88 (SD = 5.91) were recruited from October 2023 to January 2024. They completed the Chinese version of the TCS, the Satisfaction with Life Scale (SWLS), and the Depression, Anxiety, and Stress Scale-21 (DASS-21). Confirmatory factor analysis of the TCS was performed using IBM SPSS Amos 28 software to assess the construct validity. Reliability, convergent validity, and measurement invariance analysis were also evaluated.
The reliability coefficients of the revised 9-item TCS were satisfactory (Cronbach's α = 0.85, McDonald's ω = 0.87). The two-factor model of the instrument was supported (χ (26) = 52.525, p = 0.002, CFI = 0.979, TLI = 0.971, SRMR = 0.052, RMSEA = 0.062 [90% CI = 0.037, 0.086]). The TCS scores significantly correlated with life satisfaction (r = 0.486, p < 0.001), stress (r = -0.182, p < 0.01), depression (r = -0.176, p < 0.01), and anxiety (r = -0.176, p < 0.01). The measurement validity of the TCS is good across different gender identity groups.
These findings suggested that the TCS can serve as a short yet effective tool for assessing the congruence between external appearance and internal self among TGD individuals in clinical or research settings.
在中国，关于跨性别群体心理健康的研究日益普遍；然而，缺乏符合该群体特征的本土化心理测量工具。跨性别一致性量表（TCS）在国际上被广泛使用。本研究旨在评估中文版TCS在中国跨性别样本中的信度、效度和心理测量特征。
2023年10月至2024年1月共招募了264名平均年龄为24.88岁（标准差=5.91）的参与者。他们完成了中文版TCS、生活满意度量表（SWLS）以及抑郁、焦虑和压力量表-21（DASS-21）。使用IBM SPSS Amos 28软件对TCS进行验证性因素分析，以评估结构效度。还评估了信度、收敛效度和测量不变性分析。
修订后的9项TCS的信度系数令人满意（克朗巴哈α系数=0.85，麦克唐纳ω系数=0.87）。该量表的双因素模型得到支持（χ(26)=52.525，p=0.002，CFI=0.979，TLI=0.971，SRMR=0.052，RMSEA=0.062[90%置信区间=0.037，0.086]）。TCS得分与生活满意度显著相关（r=0.486，p<0.001）、压力（r=-0.182，p<0.01）、抑郁（r=-0.176，p<0.01）和焦虑（r=-0.176，p<0.01）。TCS在不同性别认同群体中的测量效度良好。
这些研究结果表明，TCS可作为临床或研究环境中评估跨性别者外在表现与内在自我一致性的一种简短而有效的工具。
