ArticleChild and adolescent psychiatry and mental health2024
Analyzing body dissatisfaction and gender dysphoria in the context of minority stress among transgender adolescents.
Article in Child and adolescent psychiatry and mental health, 2024. 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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9 citing papers in PubMed, 19 citations in OpenAlex.
- A grounded theory of the process of social transition in a family context from the perspective of gender diverse young people and their parents.Child and adolescent mental health · 2026Article
- Feasibility and acceptability of a mindful self-compassion intervention for transgender and gender-diverse individuals in Hong Kong: a mixed-method pilot study.BMC psychology · 2026Article
- Healthcare costs associated with gender dysphoria in children, adolescents and young adults in germany: A prevalence-based analysis using statutory health insurance data.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Body Image, Disordered Eating, and Eating Disorders in Gender Diverse Youth.Current pediatrics reports · 2025Article
- Distress Profiles of Adolescents with Gender Dysphoria: A Cluster Analysis Approach.Archives of sexual behavior · 2025Article
- "And I don't know how I can protect him from everything that's coming" - A qualitative study on minority stress among parents of transgender adolescents.BMC psychiatry · 2025Article
- Examining body image satisfaction among transfeminine and cisgender female youth in Thailand: a community-based survey.BMC psychology · 2025Article
- Factor structure and psychometric properties of the Muscle Dysmorphic Disorder Inventory (MDDI) among transgender women.Body image · 2024Article
- Supporting and understanding non-binary & gender diverse youth: a physician's view.Child and adolescent psychiatry and mental health · 2024Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGender dysphoria among transgender adolescents has predominantly been examined in relation to body dissatisfaction. While in adult transgender samples, body dissatisfaction is higher than in cisgender controls, this has so far rarely been investigated for adolescents. In the context of a cisnormative society, the impact of influences from the social environment on body dissatisfaction and gender dysphoria has been neglected in research. Therefore, this study aimed to (1) provide a detailed analysis of body dissatisfaction among young transgender people and (2) investigate whether body dissatisfaction and gender dysphoria are associated with experiences of minority stress such as trans hostility and poor peer relations (PPR).
methodsThe paper presents a cross-sectional study among a sample of transgender adolescents, presenting at a specialized outpatient counseling clinic (N = 99; age M = 15.36, SD = 1.85). First, body dissatisfaction (assessed by the Body-Image-Scale; BIS), was explored and compared to data from a population-based control group of cisgender peers (N = 527; age M = 14.43, SD = 0.97). Second, within a clinic-referred transgender subsample (n = 74), associations between body dissatisfaction and gender dysphoria (measured by Utrecht Gender Dysphoria Scale; UGDS), PPR (measured by the Youth-Self-Report; YSR-R), and trans hostile experiences (assessed in clinical interview) were examined by correlations, t-tests and multivariate regression.
resultsTransgender adolescents reported more body dissatisfaction than cisgender peers. The dissatisfaction with sex characteristics, non-hormonal reactive body regions and the total score for body dissatisfaction were positively related with gender dysphoria. The majority had experienced trans hostility in the present and/or past (54.1%) and PPR (63.5%). More body dissatisfaction was correlated with more PPR regarding visible body parts i.e., hair, overall appearance and muscles, whilst PPR and gender dysphoria were not associated. Transgender adolescents who experienced trans hostility showed higher gender dysphoria and PPR, but not more body dissatisfaction. In multiple regression, trans hostility predicted gender dysphoria, whilst age and PPR predicted body dissatisfaction. DISCUSSION: Experiences of minority-stress differentially interact with body dissatisfaction and gender dysphoria among transgender adolescents. Social correlates of body dissatisfaction and gender dysphoria must be considered when working with young transgender people.
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