American Psychologist最新文献_第3页

Broadening conceptualizations of trauma among transgender and gender-diverse populations: A meta-analysis of gender minority stress and posttraumatic stress symptoms. 在跨性别和性别多样化人群中扩大创伤的概念：性别少数群体压力和创伤后应激症状的荟萃分析

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001615

Francesca Kassing, Amie R Newins, Laura C Wilson, Tracy Casanova

{"title":"Broadening conceptualizations of trauma among transgender and gender-diverse populations: A meta-analysis of gender minority stress and posttraumatic stress symptoms.","authors":"Francesca Kassing, Amie R Newins, Laura C Wilson, Tracy Casanova","doi":"10.1037/amp0001615","DOIUrl":"10.1037/amp0001615","url":null,"abstract":"Transgender and gender-diverse (TGD) individuals experience disproportionately high rates of discrimination, rejection, and violence (i.e., distal minority stressors). Minority stress theory suggests that experiences of these distal stressors increase mental health risk for TGD populations. Consequently, TGD populations face mental health disparities, including disproportionately high rates of posttraumatic stress symptoms (PTSS). Thus, the present study conducted a meta-analysis of the associations between distal minority stressors, as measured by the Gender Minority Stress and Resilience measure (Testa et al., 2015), and PTSS. A comprehensive literature search and study inclusion process following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines identified 13 sources, representing 10 unique samples. Moderate mean effect sizes were found for the associations between PTSS and rejection (r = .39) and violence (r = .36), and a small mean effect size was found for the association between PTSS and discrimination (r = .25). These results highlight the magnitude of the association between distal gender minority stressors and PTSS, particularly for experiences of rejection and violence. In the context of growing anti-TGD legislation and rhetoric, it is critical to better understand the impact of these gender minority stressors on the TGD population. The findings have implications for improving diagnostic procedures and treatment planning for the TGD population to adequately address the unique impact of gender minority stressors on mental health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"816-828"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From courtrooms to ballots: A social ecological analysis of anti-trans judicial outcomes on legislation, elections, and trans geographic demography. 从法庭到选票：反跨地域司法结果在立法、选举和跨地域人口统计学上的社会生态学分析。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001742

Margaret C Stevenson, Kyla Bender-Baird

{"title":"From courtrooms to ballots: A social ecological analysis of anti-trans judicial outcomes on legislation, elections, and trans geographic demography.","authors":"Margaret C Stevenson, Kyla Bender-Baird","doi":"10.1037/amp0001742","DOIUrl":"10.1037/amp0001742","url":null,"abstract":"We applied a social ecological model to examine whether judicial decisions denying trans plaintiffs' claims in employment discrimination cases forecast anti-trans legislative growth and, in turn, Trump support and lesbian, gay, bisexual, and trans geographic demography. That is, we explore associations between anti-trans actions in three branches of government. Specifically, we coded (a) a census of trans employment discrimination judicial case outcomes (N = 124) decided from 1974 to 2021, (b) the number of anti-trans bills each state introduced, (c) state electoral support for Trump, and (d) state lesbian, gay, bisexual, and trans population density and trans geographic relocation. Supporting hypotheses, states where judges disproportionately denied trans plaintiffs' employment discrimination claims were more likely to introduce anti-trans legislation, which, in turn, was associated with increased likelihood of state electoral support for Trump, lower state lesbian, gay, bisexual, and trans population density, and greater trans geographic relocation. Refuting the notion of an independent judiciary, judicial decisions in trans employment discrimination cases forecasted the drastic growth in anti-trans legislation and, in turn, executive branch outcomes. This research suggests that a social ecological theoretical model may offer a useful framework for understanding the influences and consequences of anti-trans legislation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"856-871"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bathroom bills and gender-affirming care bans: Understanding people's attitudes toward different types of transgender policies. 浴室账单和性别确认护理禁令：了解人们对不同类型的跨性别政策的态度。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001670

Kira K Means, Thekla Morgenroth

{"title":"Bathroom bills and gender-affirming care bans: Understanding people's attitudes toward different types of transgender policies.","authors":"Kira K Means, Thekla Morgenroth","doi":"10.1037/amp0001670","DOIUrl":"10.1037/amp0001670","url":null,"abstract":"Policies restricting transgender rights have proliferated across the United States in recent years, yet little research has examined attitudes toward different types of policies affecting transgender people or the psychological mechanisms underlying these attitudes. Across four studies (N = 1,148), we fill this gap. Factor analyses based on attitudes toward a range of hypothetical and real-world transgender-related policies were used to group policies into four categories, which we label \"attitude-based policy types.\" These categories were policies related to (a) discrimination, (b) physical spaces, (c) degendering, and (d) gender-affirming care for adults (Studies 1-2). An analysis of real-world transgender-related policies proposed in 2022 (Study 3) identified two important additional policy types: (e) sports and (f) gender-affirming care for minors. We largely found that the same psychological constructs predicted support across policy types, with the belief that people with different gender identities form distinct groups predicting more support for antitransgender policies and including transgender people in their superordinate gender category predicting less support. Important work has been done in recent years examining predictors of attitudes toward transgender people, but much less research has been conducted on attitudes toward transgender-related legislation or how those attitudes might differ based on the type of legislation. Here we add to this literature, aiding both a theoretical understanding of attitudes toward different types of transgender policies and illuminating potential avenues for intervention for policymakers and activists looking to decrease support for antitransgender policies and increase support for pro-transgender policies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"754-770"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

State-level pro- and anti-transgender and gender-diverse (TGD) legislation and mental health among TGD young adults in the United States. 美国州一级支持和反对跨性别和性别多样化（TGD）立法与TGD年轻人的心理健康

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001661

Michael J Pellicane, Tara Weixel, Jeffrey A Ciesla

{"title":"State-level pro- and anti-transgender and gender-diverse (TGD) legislation and mental health among TGD young adults in the United States.","authors":"Michael J Pellicane, Tara Weixel, Jeffrey A Ciesla","doi":"10.1037/amp0001661","DOIUrl":"10.1037/amp0001661","url":null,"abstract":"The United States has seen sharp increases in efforts to enact anti-transgender and gender-diverse (TGD) legislation at the state level, including limits on access to gender-affirming care, restrictions on access to public facilities, and constraints on public gender expression and presentation. Although existing research demonstrates that structural stigma generally leads to poorer mental health outcomes for TGD individuals and that protective laws (e.g., antibullying and nondiscrimination laws) reduce such poor outcomes, the impact of newer anti-TGD state legislation on TGD mental health is unknown. Thus, the present study explores the relationship between state-level pro- and anti-TGD legislation and mental health outcomes of TGD Americans. Data are derived from the Healthy Minds Study from Spring 2022 to Spring 2023, yielding 8,149 TGD participants from 38 U.S. states. Multilevel modeling was used to examine relationships between state-level legislation passed in 2023 and individual-level mental health variables. Overall state-level anti-TGD legislation was marginally associated with greater suicidal ideation, whereas pro-TGD legislation was not associated with improved mental health. Sports-related anti-TGD laws predicted higher suicidal ideation, and bathroom-related laws predicted more suicide attempts for TGD young adults within their respective states. These results demonstrate the harm of anti-TGD state laws on TGD mental health and signal the potential devastating impact of newer anti-TGD federal policies on TGD suicide. Findings also highlight the importance of advocacy and civic engagement among clinicians working with TGD populations in order to effect structural changes that will improve TGD mental health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"785-795"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A systematic review and meta-analysis of the associations between structural, interpersonal, and individual stigma and health outcomes for transgender and nonbinary people. 跨性别和非二元性别人群的结构、人际和个人耻辱与健康结果之间关系的系统回顾和荟萃分析。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001630

Kiet D Huynh, G Tyler Lefevor, Em Matsuno, Zakary A Clements, Louis Lindley, Carson K Miller, Dannie Haakinson, M Paz Galupo

{"title":"A systematic review and meta-analysis of the associations between structural, interpersonal, and individual stigma and health outcomes for transgender and nonbinary people.","authors":"Kiet D Huynh, G Tyler Lefevor, Em Matsuno, Zakary A Clements, Louis Lindley, Carson K Miller, Dannie Haakinson, M Paz Galupo","doi":"10.1037/amp0001630","DOIUrl":"10.1037/amp0001630","url":null,"abstract":"This study examined how structural, interpersonal, and individual gender-related stigma are linked to health outcomes for transgender and nonbinary (TNB) individuals and factors that may moderate and mediate these relations. These research questions were investigated through a systematic review and meta-analysis of 1,871 effect sizes from 225 reports containing 121,240 participants. The data were analyzed using multilevel meta-analysis methods. Risk of bias was assessed using Egger's regression test, a funnel plot, and the fail-safe N procedure. Results showed that all stigma types were linked to poorer health (rstructural = -.18; rinterpersonal = -.20; rindividual = -.28). Overall stigma was linked to poorer mental health (r = -.25), well-being (r = -.23), physical health (r = -.19), and sexual health (r = -.12), suicidality (r = -.25), and substance use (r = -.14). These effects remained consistent across age, gender identity, socioeconomic status, education, and urbanicity but were lower for TNB Black, Indigenous, and other people of color than for TNB White individuals. Resilience factors-community connectedness, gender affirmation, and gender identity pride-did not moderate stigma's health impacts. Meta-analytic structural equation modeling revealed direct effects of all stigma types on health, as well as indirect effects, showing that structural stigma affects health via interpersonal and individual stigma, while interpersonal stigma affects health through individual stigma. Findings suggest a trickle-down effect, where structural stigma fosters interpersonal and individual stigma, progressively undermining health. This underscores the need for multilevel interventions to address structural, interpersonal, and individual stigma and improve health outcomes for TNB populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"889-915"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"I think they mean to exterminate us": Nonbinary people's experiences of trauma, stress, and grief related to the sociopolitical climate. “我认为他们想要消灭我们”：非二元性别人群经历的与社会政治气候相关的创伤、压力和悲伤。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001640

Alex E Colson, Em Matsuno, Ben Gilbert, Lia Herndon, Danny Shultz

{"title":"\"I think they mean to exterminate us\": Nonbinary people's experiences of trauma, stress, and grief related to the sociopolitical climate.","authors":"Alex E Colson, Em Matsuno, Ben Gilbert, Lia Herndon, Danny Shultz","doi":"10.1037/amp0001640","DOIUrl":"10.1037/amp0001640","url":null,"abstract":"The current sociopolitical climate has become increasingly more hostile toward trans and nonbinary (TNB) people as legislation that negatively impacts the TNB community continues to be introduced. The widespread attacks on the TNB community may align with definitions of sociopolitical trauma due to the sudden, ongoing, and severe impacts of the sociopolitical climate on TNB people individually and collectively. Nonbinary people may be particularly negatively affected by social attitudes and legislation that reinforce essentialist binary views of gender. This study aimed to understand how the current sociopolitical climate is impacting nonbinary people's mental health using mixed methods. Specifically, thematic analysis was used to analyze write-in responses to a survey question and chi-square analyses to examine whether the endorsement of qualitative themes differed based on race, gender expression, and geographical location. The themes generated were experiencing trauma and stress related to sociopolitical climate; grieving the loss of self and relatedness to others/society; emotional impacts of trauma, stress, and loss; and resistance to trauma. The chi-square analyses found that participants in rural areas endorsed higher levels of loss of authenticity, and gender-nonconforming participants endorsed higher levels of loss of potential future. Findings from this study present further conceptualizations of sociopolitical trauma and stress among the TNB community. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"829-842"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trans psychology amid anti-trans legislation in the United States. 美国反跨性别立法中的跨性别心理学。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001769

Ryan E Flinn, Roberto L Abreu, Kim Skerven, Michèle M Schlehofer

{"title":"Trans psychology amid anti-trans legislation in the United States.","authors":"Ryan E Flinn, Roberto L Abreu, Kim Skerven, Michèle M Schlehofer","doi":"10.1037/amp0001769","DOIUrl":"10.1037/amp0001769","url":null,"abstract":"This special issue highlights cutting-edge applications of psychological theory and science to the well-being and health of transgender, nonbinary, and gender diverse (trans) people in the United States in the context of sweeping state and federal-level anti-trans legislation and executive actions. The 16 articles in this special issue demonstrate rigorous, creative, intersectional, and equity-focused approaches across multiple subdisciplines by psychologists working in numerous sectors and settings (e.g., higher education, health care, government) to promote the health and civil rights of trans people. In this introduction, we contextualize these new findings with historical and contemporary considerations impacting the trans community and psychologists' ethical responsibilities to respond to the structural, institutional, interpersonal, and intrapsychic impacts of anti-trans prejudice, discrimination, and oppression when engaging professionally with gender diverse people, their families, and other professionals and organizations that serve them. We close by highlighting actions that all psychologists can take to support trans people during this period of heightened sociopolitical stress. As state and federal governing bodies continue to advance harmful policies, these developments will likely have profound and long-lasting implications for the health, well-being, and freedoms of trans people, as well as for the education, training, and practice of psychologists. We therefore call on psychologists to actively advocate alongside trans communities, provide meaningful support, and expand access to affirming resources within this increasingly oppressive sociopolitical climate. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"727-737"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A transformational model of trans and nonbinary liberation: Centering strengths and intersectionality in trans health. 跨和非二元解放的转型模型：跨健康的中心优势和交叉性。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001637

Joshua G Parmenter, M V Pease, Gabriel M Lockett, M Paz Galupo

{"title":"A transformational model of trans and nonbinary liberation: Centering strengths and intersectionality in trans health.","authors":"Joshua G Parmenter, M V Pease, Gabriel M Lockett, M Paz Galupo","doi":"10.1037/amp0001637","DOIUrl":"10.1037/amp0001637","url":null,"abstract":"Scholars continue to use deficit-focused models to understand how experiences of oppression negatively impact the lives of trans and nonbinary (TNB) communities. While helpful in understanding TNB well-being, existing models miss opportunities for centering healing and liberation of TNB communities. Further, models often focus on individualistic and ameliorative approaches that fail to attend to intersectionality and transformative social change. In a time of increased violence toward TNB communities, we propose the transformational model of TNB liberation to challenge deficit-focused frameworks and reimagine a new future for TNB communities. Our conceptual model attends to how TNB communities, possessing individual (e.g., general strengths and TNB strengths) and collective strengths, are situated within legislative structures and intersecting systems of power and oppression to influence TNB liberation (e.g., well-being, healing, and social transformation). We provide ways for psychologists and community leaders to use our conceptual model to inform research, clinical practice, and policy/outreach initiatives to aid in healing and TNB liberation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"935-950"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health ramifications of antitransgender legislation: Trends in mental distress from 2016 to 2023 in a nationally representative sample of transgender adults. 反跨性别立法对健康的影响：2016年至2023年全国跨性别成年人代表性样本中精神困扰的趋势。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001665

Maiya Hotchkiss, Laura Ferguson, Sofia Gruskin, John R Blosnich

{"title":"Health ramifications of antitransgender legislation: Trends in mental distress from 2016 to 2023 in a nationally representative sample of transgender adults.","authors":"Maiya Hotchkiss, Laura Ferguson, Sofia Gruskin, John R Blosnich","doi":"10.1037/amp0001665","DOIUrl":"10.1037/amp0001665","url":null,"abstract":"Laws and policies that target and restrict transgender- and gender-nonconforming (TGNC) individuals are increasing in the United States. Despite limited prior research, studies using nationally representative samples are needed to examine how these policies relate to TGNC mental health. This study used two data sources: the Behavioral Risk Factor Surveillance System for population mental health metrics and the Movement Advancement Project policy tallies. Using pooled annual state-based data from probability-based samples of adults from 2016 to 2023, we examined differences in prevalence and temporal trends of frequent mental distress between TGNC and cisgender respondents and across legislative environments. Weighted chi-square analyses, adjusted for age, were conducted, followed by the margins command in Stata to produce age-adjusted prevalence by year and assess temporal and legislative trends. Among 1,856,961 respondents, 0.50% were categorized as TGNC (n = 9,306). TGNC individuals had significantly higher prevalence of frequent mental distress each year (e.g., 2023: 47.3% TGNC vs. 15.1% cisgender). Disparities were most pronounced among adults aged 18-39 (2023: 52.6% TGNC vs. 20.3% cisgender). Among TGNC individuals, there was a 12% increased odds of frequent mental distress each year compared with 5% for cisgender individuals (aOR = 1.12, 95% CI [1.07, 1.16], p < .001 TGNC; aOR = 1.05, 95% CI [1.05, 1.06], p < .001). Trends across policy environments were less consistent, with elevated mental distress among TGNC individuals regardless of legislative support. Overall, findings indicate a persistent and widening mental health burden among TGNC adults, underscoring the need for targeted interventions across policy contexts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"771-784"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healing from within: A randomized controlled trial of a novel expressive writing intervention among trans and gender expansive adults. 从内心治愈：一项针对跨性别和性别膨胀成人的新型表达性写作干预的随机对照试验。

IF 6.6 1区心理学

American Psychologist Pub Date : 2026-09-01 DOI: 10.1037/amp0001639

Elliot Tebbe, Amelia Zepnick, Roger Brown, Annesa Flentje

{"title":"Healing from within: A randomized controlled trial of a novel expressive writing intervention among trans and gender expansive adults.","authors":"Elliot Tebbe, Amelia Zepnick, Roger Brown, Annesa Flentje","doi":"10.1037/amp0001639","DOIUrl":"10.1037/amp0001639","url":null,"abstract":"Transgender and gender expansive (TGE) populations in the United States experience high rates of mental health disparities. High rates of depressive and anxiety symptoms have been linked to a host of stigma-related stressors and exacerbated by decreased access to competent and affirming formalized health care supports, particularly in the face of legislation aiming to curb access. As a result, intervention strategies that can be made widely available, accessed at no cost, and address these stressors to improve mental health and well-being are needed. This study presents findings from a self-administered online mental health intervention, titled Reflections to (re)Claim an Affirmed Identity to Improve Mental Health (RECLAIM), which used an expressive writing approach to address internalized anti-TGE stigma to reduce depressive and anxiety symptoms and improve perceived community connectedness. In this randomized controlled trial, 115 TGE community adults were assigned to one of three study conditions: two RECLAIM interventions and one expressive writing active control group. Analysis of between-group effects found that all three groups experienced similar levels of improvement in mental health over time, while within-group effects of time by condition demonstrated some notable differences in the overall trajectory of treatment or control effects. Overall, results of this randomized controlled trial provide preliminary empirical support for the efficacy of RECLAIM in reducing depressive and anxiety symptoms and internalized anti-TGE stigma and improving community connectedness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":48468,"journal":{"name":"American Psychologist","volume":"81 6","pages":"986-1000"},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0