ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023
High Internalized Transphobia and Low Gender Identity Pride Are Associated With Depression Symptoms Among Transgender and Gender-Diverse Youth.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Exploring Cultural Knowledge in Clinical Work with LGBTQIA+ Patients: A Qualitative Study of Italian Mental Health Professionals.Healthcare (Basel, Switzerland) · 2026Article
- Existential dimensions of the lived experiences of transgender youths 13-16 years in a cisnormative Swedish context.International journal of transgender health · 2026Article
- Focus groups as a tool for enhancing pride and community connectedness among transgender and gender diverse research participants.International journal of transgender health · 2026Article
- Social transition in young trans people accessing gender-affirming care.International journal of transgender health · 2026Article
- LGBTQ+ policies in the United States and mental health: The mediating role of sexual orientation discrimination among sexual minority women and gender diverse individuals assigned female at birth.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- Internalized transphobia and psychological distress among transgender and gender non-confirming emerging adults: The mediating roles of social support and gender identity disclosure.Journal of psychiatric research · 2025Article
- The Gender-Affirming Mental Health Attending of the Day: An Essential Role in a Pediatric Gender Clinic for Transgender Youth.Transgender health · 2025Article
- Forms of transphobia and their influence on health outcomes among transgender, nonbinary, and gender diverse individuals: a global systematic review.International journal of transgender health · 2025Article
- Intentions to Use PrEP Among a National Sample of Transgender and Gender-Expansive Youth and Emerging Adults: Examining Gender Minority Stress, Substance Use, and Gender Affirmation.AIDS and behavior · 2025Article
- Minority stress, mental health, and substance use in transgender youth: the moderating role of positive affect.Journal of pediatric psychology · 2025Article
- Social-ecological barriers and facilitators to seeking inpatient psychiatric care among transgender and nonbinary people: A qualitative descriptive study.Journal of advanced nursing · 2025Article
- Internalized Transnegativity, Self-Warmth, Self-Coldness, and Eating Disorder Symptomatology Among Transgender and Nonbinary Adults.Journal of clinical psychology · 2025Article
- Feasibility and Acceptability Study of Virtual Reality Support Groups for Transgender and Gender Expansive Youth.Journal of medical extended reality · 2025Article
- Positive sexual and gender identity experiences: Prospective associations with affect, internalized stigma, and perceived coping efficacy among sexual minority women and gender diverse young adults.Psychology of sexual orientation and gender diversity · 2024Article
- "You Always Worry About What Other People Think": Experiences of Antitrans Stigma Among Trans Youth and Their Siblings in the Northeastern United States.Stigma and health · 2024Article
- Emotion regulation strategies and coping self-efficacy as moderators of daily associations between transgender and gender diverse (TGD) enacted stigma and affect among TGD young adults assigned female at birth.Social science & medicine (1982) · 2024Article
- Protective Factors in the LGBTIQ+ Adolescent Experience: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- The cumulative effects of stigma-related stress: Chronic stigma-related stress exposure exacerbates daily associations between enacted stigma and anxious/depressed affect.Social science & medicine (1982) · 2024Article
- Prospective examination of mechanisms linking minority stress and anxious/depressed affect at the event level: The roles of emotion regulation strategies and proximal minority stressors.Journal of psychopathology and clinical science · 2024Article
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Authors and funding
9 authors.
Funding
Abstract
purposePrior studies have identified a significant relationship between internalized transphobia and poor mental health among transgender and gender-diverse (TGD) adults; however, this relationship has not been extensively examined among youth. Further, little research has sought to explore protective factors, such as identity pride, and their influence on this relationship. We examined the association between internalized transphobia and depression and anxiety symptoms among TGD youth and explored the moderating role of gender identity pride on these associations.
methodsParticipants were 315 TGD youth ages 12-20 years (mean = 16; standard deviation = 1.89) seeking gender-affirming hormone treatment at one of four major pediatric hospitals across the United States. At the time of enrollment, participants were naïve to gender-affirming hormone treatment. Participants self-reported mental health, internalized transphobia, and identity pride. Multiple regression models were used with depression and anxiety symptoms as outcomes and age, designated sex at birth, and perceived parental support included as covariates.
resultsGreater internalized transphobia was associated with greater depressive symptoms, and gender identity pride moderated this relationship, such that greater gender identity pride was associated with fewer depressive symptoms. Greater internalized transphobia was significantly associated with greater anxiety symptoms; no moderation effect was observed for this relationship. DISCUSSION: Gender identity pride influenced mental health symptoms for youth experiencing internalized transphobia and represents a potential key protective factor. These results support efforts to further develop, test, and implement clinical inventions to bolster identity pride for TGD youth.
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