自我安慰在跨性别和非二元性别患者内化性别污名、自我批评和抑郁之间的作用。

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Roberto Baiocco, Fulvio Gregori, Fau Rosati, Nicola Petrocchi, Jessica Pistella
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引用次数: 0

摘要

目的:本横断面研究探讨了自我安慰作为一种保护因素在跨性别和非二元性别(TNB)个体在性别肯定过程的第一步中减轻与内化性别污名相关的抑郁和提高整体幸福感。方法:研究纳入了101名TNB个体(平均年龄为26.42岁,标准差为8.83),他们于2021年至2024年在意大利罗马Sapienza大学的“Be as You Are”临床和研究中心就诊,该中心为经历性别肯定过程的个体提供心理支持。参与者完成了性别少数群体压力和心理弹性量表来评估内化的性别污名;自我批评/攻击和自我安慰量表用于评估自我批评(即憎恨自我和不充分自我)和自我安慰;以及症状检查表-90来测量抑郁症状。对中介模型和调节中介模型进行了测试。结果:中介模型显示自我不充分在性别污名内化与抑郁症状之间具有显著的中介作用。有调节的中介分析揭示了一个复杂的模式:较高水平的自我保证与更明显的自我不足的中介效应相关,这表明自我保证可能促进自我批评思想的意识和处理,而不仅仅是缓冲其影响。这些研究结果表明,自我安慰是一种复杂的心理资源,可能有助于认识自我批评过程,并有助于性别肯定过程中的情绪调节。结论:这些结果强调了自我保证在性别肯定过程的初始阶段的动态作用。临床方法,如以同情为中心的治疗,可能有助于培养自我安慰和减轻少数民族压力的心理负担,特别是在获得性别肯定护理的脆弱时期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Self-Reassurance in the Relation Between Internalized Gender Stigma, Self-Criticism, and Depression Among Transgender and Nonbinary Patients.

Purpose: This cross-sectional study investigated self-reassurance as a protective factor in mitigating depression related to internalized gender stigma and enhancing overall well-being among transgender and nonbinary (TNB) individuals during the first step of the gender-affirmation process. Methods: The study included 101 TNB individuals (mean age = 26.42, standard deviation = 8.83) accessing the "Be as You Are" Clinical and Research Center at Sapienza University of Rome, Italy, which offers psychological support for individuals undergoing gender-affirmation processes, from 2021 to 2024. Participants completed the Gender Minority Stress and Resilience Scale to assess internalized gender stigma; the Self-Criticizing/Attacking and Self-Reassuring Scale to evaluate self-criticism (i.e., hated-self and inadequate-self), and self-reassurance; and the Symptom Checklist-90 to measure depressive symptoms. Mediation and moderated mediation models were tested. Results: Mediation models indicated that inadequate-self significantly mediated the relationship between internalized gender stigma and depressive symptoms. The moderated mediation analysis revealed a complex pattern: higher levels of self-reassurance were associated with a more pronounced mediating effect of inadequate-self, suggesting that self-reassurance may facilitate awareness and processing of self-critical thoughts rather than simply buffer their impact. These findings suggest that self-reassurance is a complex psychological resource that may facilitate recognizing self-critical processes and contribute to emotional regulation during the gender-affirming process. Conclusion: These results underscore the dynamic role of self-reassurance in the initial stages of the gender-affirming process. Clinical approaches such as compassion-focused therapy may help foster self-reassurance and alleviate the psychological burden of minority stress, particularly during the vulnerable period of accessing gender-affirming care.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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