Gender Diversity Among Youth Attending an Intensive Interdisciplinary Pain Treatment Program.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-09-01 Epub Date: 2024-01-24 DOI:10.1007/s10880-023-09997-7

Jennifer A Scheurich, Leslie A Sim, Cesar A Gonzalez, Karen E Weiss, Peggy J Dokken, Amber T Willette, Cynthia Harbeck-Weber

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Abstract

Transgender and gender diverse (TGD) youth with chronic pain may be at unique risk for psychological distress and associated functional impairment, yet research on the intersection of chronic pain and gender identity is lacking. In a retrospective chart review of 491 participants admitted to a pediatric intensive interdisciplinary pain treatment (IIPT) program in the midwestern United States over an approximately 4-year period, 6.11% were TGD. TGD participants who completed the IIPT program reported significant and large improvements in anxiety, depression, pain catastrophizing, and functional ability. At baseline, TGD participants presented as more emotionally distressed and functionally impaired compared to age-matched, cisgender peers. When accounting for baseline scores, TGD participants who completed the IIPT program reported similar scores to cisgender peers at discharge, yet TGD youth were significantly less likely than cisgender peers to complete the IIPT program. Future directions and implications for clinical practice are discussed.

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参加跨学科疼痛强化治疗项目的青少年的性别多样性。

患有慢性疼痛的变性和性别多元化（TGD）青少年可能会面临独特的心理困扰和相关功能障碍风险，但目前还缺乏有关慢性疼痛与性别认同交叉的研究。一项对美国中西部地区儿科疼痛强化跨学科治疗（IIPT）项目在约 4 年时间内收治的 491 名参与者进行的回顾性病历审查显示，6.11% 的参与者为 TGD。据报告，完成 IIPT 项目的 TGD 参与者在焦虑、抑郁、疼痛灾难化和功能能力方面都有了显著而巨大的改善。在基线时，与年龄匹配、性别相同的同龄人相比，TGD 参与者表现出更多的情绪困扰和功能障碍。如果考虑到基线得分，完成 IIPT 项目的 TGD 参与者在出院时的得分与同性别的同龄人相似，但 TGD 青少年完成 IIPT 项目的可能性明显低于同性别的同龄人。本文讨论了未来的发展方向和对临床实践的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.