Resilience in Individuals with Gender Dysphoria: Association with Perceived Social Support And Discrimination

Koray Başar · Gökhan Öz

42 citations0/0 files storedTurkish Journal of Psychiatry

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LGBTQ Health, Identity, and Policy Resilience and Mental Health Gender Roles and Identity Studies

Abstract

OBJECTIVE: Psychological distress associated with discrimination is proposed to have an indirect effect on the development of mental disorders, through its negative influence on individual's cognitive, affective and social coping strategies. The aim of this study was to investigate the association between resilience, perceived social support, and perceived discrimination in individuals with gender dysphoria. METHOD: Individuals with gender dysphoria were assessed with Turkish validated forms of Resilience Scale for Adults (RSA), Multidimensional Scale of Perceived Social Support (MSPSS), Perceived Discrimination Scale (PDS), and Beck Depression Inventory (BDI). Diagnoses of mental disorders, history of suicide attempt and non-suicidal self injury were assessed with clinical interviews. Self-report forms were used to obtain demographic information and gender transition related features. RESULTS: Participants' (n=116, 88 trans men) median age was 25. Significantly low RSA scores, indicating poor resilience, were obtained in participants with lifetime (59.5 %) and present (27.6 %) diagnosis of any mental disorder, history of suicide attempt (23.3 %). There was significant direct correlation between RSA and MSPSS scores, inverse correlation with BDI and personal PDS scores, but not with group PDS. Regression analysis revealed that only friends domain score in MSPSS predicted better resilience, whereas personal perceived discrimination score predicted poor resilience. CONCLUSION: Findings support the association between poor resilience and vulnerability to mental and behavioral problems in individuals with gender dysphoria. The associations reveal the significance of addressing discrimination and assisting individuals with gender dysphoria in developing strategies to obtain peer support in providing mental health services.

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References

1961An Inventory for Measuring Depression 2003Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.2014Diagnostic and Statistical Manual of Mental Disorders, 5th ed.1988The Multidimensional Scale of Perceived Social Support 1996The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma 2008The brief resilience scale: Assessing the ability to bounce back 2009How does sexual minority stigma “get under the skin”? A psychological mediation framework.2012Resilience as a dynamic concept

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2022Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

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