Evidence map›Paper›PMID 29627104›Full record

SynthesisClinical psychology review2018

A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States.

Sarah E Valentine, Jillian C Shipherd

Registry-linked trialOpen access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Clinical psychology review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05070793 (Improving Alcohol Use Disorder Treatment for Gender Minority Populations), which is not on this map. Cited by 277 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 8 pooled it
68.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05070793 nasuspendednot on this mapstarted 2020, after this paper: background citation

Improving Alcohol Use Disorder Treatment for Gender Minority Populations

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2020 to 2026Enrolled30ConditionsAlcohol Use DisorderArmsCulturally adapted interpersonal psychotherapy
3 · Its place in the literature

Who cites it

277 citing papers in PubMed, 8 syntheses or guidelines pooled it, 675 citations in OpenAlex.

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  12. The lived experience of trans persons: a bottom-up review co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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217 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Sarah E ValentineBoston Medical Center, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USA. Electronic address: sarah.valentine@bmc.org.
Jillian C ShipherdBoston University School of Medicine, Boston, MA, USA; Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Program, Veterans Health Administration, Washington, DC, USA; National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA. Electronic address: Jillian.Shipherd@va.gov.
Boston Medical Center · USVeterans Health Administration · US

Funding

An implementation science approach to optimizing evidence-based treatments for posttraumatic stress disorder (PTSD) for non-specialty settingsK23MH117221 · NIMH · BOSTON MEDICAL CENTER · PI VALENTINE, SARAH E · 2018 to 2022
$908k
NIMH NIH HHS K23 MH117221
6 · The paper itself

Abstract

Transgender and gender non-conforming (TGNC) populations, including those who do not identify with gender binary constructs (man or woman) are increasingly recognized in health care settings. Research on the health of TGNC people is growing, and disparities are often noted. In this review, we examine 77 studies published between January 1, 1997 and March 22, 2017 which reported mental health outcomes in TGNC populations to (a) characterize what is known about mental health outcomes and (b) describe what gaps persist in this literature. In general, depressive symptoms, suicidality, interpersonal trauma exposure, substance use disorders, anxiety, and general distress have been consistently elevated among TGNC adults. We also used the minority stress model as a framework for summarizing existing literature. While no studies included all elements of the Minority Stress Model, this summary gives an overview of which studies have looked at each element. Findings suggest that TGNC people are exposed to a variety of social stressors, including stigma, discrimination, and bias events that contribute to mental health problems. Social support, community connectedness, and effective coping strategies appear beneficial. We argue that routine collection of gender identity data could advance our understanding mental health risk and resilience factors among TGNC populations.

Indexed as

AnxietyDepressionPsychological TraumaSexual and Gender MinoritiesSocial StigmaSocial SupportStress, PsychologicalSubstance-Related DisordersAdultFemaleHumansMaleMiddle AgedUnited StatesGenderMental healthNon-conformingSocial stressSubstance useTransgender

Identifiers

PMID29627104
PMCPMC6663089
OpenAlexW2794981511

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.