ArticleHealthcare (Basel, Switzerland)2022
Identifying Coping Strategies Used by Transgender Individuals in Response to Stressors during and after Gender-Affirming Treatments-An Explorative Study.
Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 24 citations in OpenAlex.
- Moderating effects of coping strategies on the associations between stigma and depression among emerging adults.Journal of affective disorders · 2025Trial
- Behavioral Health Assessments and Surgical Readiness Letters for Gender-affirming Surgery: Current Literature, Standards of Care, and Practical Guidance.Current psychiatry reports · 2026Review
- Examining mediating pathways among factors associated with adolescent dissociative experiences: a gender-stratified structural equation modeling analysis.BMC psychology · 2026Article
- "It Has Transformed Living for Me": The Trajectory of Alignment, Comfort, and Social Connectedness After Gender-Affirming Surgery.American journal of public health · 2026Article
- Exploring problems Dutch transgender and gender diverse people experience during transition.International journal of transgender health · 2026Article
- Perceptions of occupational physicians in supporting transgender and gender-diverse people (returning) at work - a focus group study:BMJ open · 2025Article
- Understanding harms associated with gender identity conversion efforts among transgender and nonbinary individuals: The role of preexisting mental well-being.International journal of transgender health · 2025Article
- Exploring Work Absences and Return to Work During Social Transition and Following Gender-Affirming Care, a Mixed-Methods Approach: 'Bridging Support Actors Through Literacy'.Journal of occupational rehabilitation · 2024Article
- Voices from a Multidisciplinary Healthcare Center: Understanding Barriers in Gender-Affirming Care-A Qualitative Exploration.International journal of environmental research and public health · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundGender-affirming treatments are reported to improve mental health significantly. However, a substantial number of transgender individuals report a relapse in, or persistence of, mental health problems following gender-affirming treatments. This is due to multiple stressors occurring during this period, and in general as a consequence of widespread stigma and minority stress.
aimThe aim of this pilot study was to identify different coping strategies that transgender individuals use in response to stressors prior to and following gender-affirming treatments, as mediator of mental health.
methodsQualitative interviews were conducted to better understand the treatment outcomes and healthcare experiences of Dutch transgender individuals who had received gender-affirming treatments. Nineteen participants were included, of which 12 identified as (transgender) male, six as (transgender) female and one as transgender. OUTCOMES: Inductive coding and theory-informed thematic analysis were used to assess stressors (n
resultsFour stressor domains were identified, including lack of support system, stressors related to transition, and physical and psychosocial stressors post-transition. We identified six adaptive coping strategies of which acceptance, help seeking and adaptive cognitions concerning gender and transition were reported most frequently. Of the seven maladaptive strategies that we identified, social isolation and maladaptive cognitions concerning gender and transition were the most-reported maladaptive coping strategies Clinical implications: The results indicated that transgender individuals may experience significant stress, both transgender-specific and non-specific, prior to and following gender-affirming treatments and, as a result, use many coping strategies to adapt. Increased awareness of stressors and (mal)adaptive coping strategies may help to improve mental healthcare and overall support for transgender individuals. Strengths and Limitations: This is the first (pilot) study to provide insight into the range of stressors that transgender individuals experience during and after gender-affirming treatments, as well as the variety of coping strategies that are used to adapt. However, since this was a pilot study assumptions and generalizations of the evidence should be made cautiously.
conclusionResults of this pilot study showed that transgender individuals may undergo significant stress during and after gender-affirming medical treatment related to the treatments and the social experiences that occur during this period, and as a result, use a range of coping strategies to adapt to the stress.
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