Ockerman Kyle M, Han Sabrina H, Safeek Rachel H, Mardourian Markos, Trieu Nhan S, Safa Bauback, Hazen Alexes, Sorice-Virk Sarah
University of Florida College of Medicine, Gainesville, Florida, USA.
Department of Surgery, Division of Plastic & Reconstructive Surgery, University of Florida, Gainesville, Florida, USA.
Int J Transgend Health. 2024 Jan 19;26(3):670-682. doi: 10.1080/26895269.2024.2303479. eCollection 2025.
Research on the psychosocial impact of gender transitioning on partners of transgender and gender nonconforming (TGNC) individuals is scarce in the literature. Here, we assessed mental health in partners of TGNC individuals.
Anonymous surveys were administered Amazon Mturk. Eligible participants were ≥ 18 years with a partner who transitioned genders. Relationship satisfaction and mental health were assessed perceived changes, Personal Health Questionnaire Depression Scale (PHQ-8), General Anxiety Disorder (GAD-7), Self-Esteem and Relationship Questionnaire (SEAR), Resilience Scale, and Difficulties in Emotion Regulation Scale (DERS-5). Multivariable linear regression assessed associations between relationship satisfaction and type of partner transitioning.
Of the 337 study respondents, 42.4% were assigned male, 57.6% assigned female (43.9% identify as male; 55.8% as female) and 1.76% nonbinary, with a mean age of 35.8. 44.4% had partners who are transgender women, while a third (36.8%) had partners who are transgender men, 7.7% from assigned male to nonbinary, and 11.2% from assigned female to nonbinary. Most (72.4%) partners underwent surgical transitioning (15.1% top surgery; 5.6% bottom; 51.6% both) versus 27.6% non-surgical transitioning. PHQ-8, SEAR, confidence, self-esteem, relationship satisfaction, and resilience scores were higher among respondents whose partners underwent surgical transitioning ( < 0.001). SEAR scores differed significantly among participants whose partners underwent top only versus bottom only surgery ( = 0.004).
Partner mental health and relationship satisfaction were most impacted by surgical transitioning of their TGNC partner. Supportive services for partners of TGNC individuals during the transition process to protect these romantic relationships should be considered.
关于性别转变对跨性别者和性别不一致（TGNC）个体伴侣的社会心理影响的研究在文献中很少见。在此，我们评估了TGNC个体伴侣的心理健康状况。
通过亚马逊土耳其机器人平台进行匿名调查。符合条件的参与者年龄≥18岁，其伴侣已转变性别。通过感知变化、个人健康问卷抑郁量表（PHQ - 8）、广泛性焦虑障碍量表（GAD - 7）、自尊与关系问卷（SEAR）、复原力量表和情绪调节困难量表（DERS - 5）来评估关系满意度和心理健康状况。多变量线性回归评估关系满意度与伴侣转变类型之间的关联。
在337名研究受访者中，42.4%被认定为男性，57.6%被认定为女性（43.9%自我认同为男性；55.8%为女性），1.76%为非二元性别，平均年龄为35.8岁。44.4%的受访者伴侣是跨性别女性，而三分之一（36.8%）的受访者伴侣是跨性别男性，7.7%的伴侣从被认定男性转变为非二元性别，11.2%的伴侣从被认定女性转变为非二元性别。大多数（72.4%）伴侣接受了手术转变（15.1%为胸部手术；5.6%为下体手术；51.6%两者皆有），而27.6%的伴侣进行了非手术转变。伴侣接受手术转变的受访者在PHQ - 8、SEAR、自信心、自尊、关系满意度和复原力得分方面更高（<0.001）。伴侣仅接受胸部手术与仅接受下体手术的参与者之间，SEAR得分存在显著差异（=0.004）。
伴侣的心理健康和关系满意度受其TGNC伴侣手术转变的影响最大。应考虑在转变过程中为TGNC个体的伴侣提供支持性服务，以保护这些恋爱关系。
