Evidence map›Paper›PMID 36613106›Full record

SynthesisInternational journal of environmental research and public health2022

Gender Felt Pressure, Affective Domains, and Mental Health Outcomes among Transgender and Gender Diverse (TGD) Children and Adolescents: A Systematic Review with Developmental and Clinical Implications.

Selene Mezzalira, Cristiano Scandurra, Fabrizio Mezza, Marina Miscioscia, Marco Innamorati, Vincenzo Bochicchio

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
12.9field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Impact of reference gender on bone mineral density and fracture risk assessment in transgender adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Observational
  5. Article
  6. Review
  7. Review
  8. Social transition in young trans people accessing gender-affirming care.International journal of transgender health · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Emotional Health of Transgender Youth 24 Months After Initiating Gender-Affirming Hormone Therapy.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Observational
  15. Review
  16. Review
  17. Article
  18. Transgender Identity and Attention Deficit Hyperactivity Disorder Symptoms: Findings From the Adolescent Brain Cognitive Development Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  19. Article
  20. Review
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

6 authors at 4 institutions in 1 country.

Selene MezzaliraDepartment of Humanities, University of Calabria, 87036 Rende, Italy.ORCID 0000-0003-2110-440X
Cristiano ScandurraDepartment of Neuroscience, Reproductive Sciences, and Dentistry, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0003-1790-3997
Fabrizio MezzaSInAPSi Center, University of Naples Federico II, 80133 Naples, Italy.
Marina MisciosciaDepartment of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy.ORCID 0000-0003-4218-1068
Marco InnamoratiDepartment of History, Cultural Heritage, Education, and Society, University of Rome Tor Vergata, 00133 Rome, Italy.
Vincenzo BochicchioDepartment of Humanities, University of Calabria, 87036 Rende, Italy.ORCID 0000-0003-2788-1381
University of Calabria · ITUniversity of Naples Federico II · ITUniversity of Padua · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although capable of mobilizing significant resilience factors to face stigma and discrimination, transgender and gender diverse (TGD) children and adolescents tend to suffer from more adverse mental health outcomes compared to their cisgender counterparts. The minority stressors that this population faces are mainly due to the gender-based pressure to conform to their assigned gender. This systematic review was aimed at assessing the potential mental health issues that affect the TGD population. The literature search was conducted in three databases; namely, Scopus, PubMed, and Web of Science, based on the PRISMA guidelines. The 33 articles included in the systematic review pointed out how TGD children and adolescents experience high levels of anxiety and depression, as well as other emotional and behavioral problems, such as eating disorders and substance use. Resilience factors have been also pointed out, which aid this population in facing these negative mental health outcomes. The literature review highlighted that, on the one hand, TGD individuals appear to exhibit high levels of resilience; nonetheless, health disparities exist for TGD individuals compared with the general population, which are mainly attributable to the societal gender pressure to conform to their assigned gender. Considerations for research and clinical practice are provided.

Indexed as

Substance-Related DisordersTransgender PersonsTranssexualismAdolescentAnxietyChildFemaleGender IdentityHumansMaleOutcome Assessment, Health Caregender pressuremental healthminority stresstransgenderyouth

Identifiers

PMID36613106
PMCPMC9819455
OpenAlexW4313472609

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.