Minority stressors and psychological distress in transgender individuals

TY - JOUR

T1 - Minority stressors and psychological distress in transgender individuals

AU - Timmins, Liam

AU - Rimes, Katharine A.

AU - Rahman, Qazi

PY - 2017

Y1 - 2017

N2 - This study tested direct and indirect associations between minority stressors and psychological distress in a large, geographically diverse sample of transgender individuals (N = 1,207). Transgender individuals were recruited for an online, cross-sectional survey using targeted sampling. Structural equation modeling was used to test the hypothesized model, which was based on Hatzenbuehler's (2009) integrative mediation framework. Expectations of rejection, self-stigma, and prejudice events were all associated with psychological distress, and these relationships were partially accounted for by rumination. This model had good fit (Tucker-Lewis Index =.96, Comparative Fit Index =.98, Root Mean Square Error of Approximation =.05, 90% CI [.05,.06]) and explained 54.5% of the variance in psychological distress and 29.3% in rumination. This is the first study to examine a model of minority stress and psychological distress that includes rumination and all four minority stressors from Meyer's (2003) framework in a large sample of transgender individuals. Results indicate a strong relationship between minority stressors and psychological distress among transgender people, and that these relationships are partially explained by rumination. Results need to be considered in relation to the cross-sectional nature of the design and the possible role for additional variables. Future research should investigate these findings using designs that provide tests of causality.

AB - This study tested direct and indirect associations between minority stressors and psychological distress in a large, geographically diverse sample of transgender individuals (N = 1,207). Transgender individuals were recruited for an online, cross-sectional survey using targeted sampling. Structural equation modeling was used to test the hypothesized model, which was based on Hatzenbuehler's (2009) integrative mediation framework. Expectations of rejection, self-stigma, and prejudice events were all associated with psychological distress, and these relationships were partially accounted for by rumination. This model had good fit (Tucker-Lewis Index =.96, Comparative Fit Index =.98, Root Mean Square Error of Approximation =.05, 90% CI [.05,.06]) and explained 54.5% of the variance in psychological distress and 29.3% in rumination. This is the first study to examine a model of minority stress and psychological distress that includes rumination and all four minority stressors from Meyer's (2003) framework in a large sample of transgender individuals. Results indicate a strong relationship between minority stressors and psychological distress among transgender people, and that these relationships are partially explained by rumination. Results need to be considered in relation to the cross-sectional nature of the design and the possible role for additional variables. Future research should investigate these findings using designs that provide tests of causality.

KW - Gender dysphoria

KW - Minority stress

KW - Rumination

KW - Transgender

KW - Transsexual

UR - http://www.scopus.com/inward/record.url?scp=85041002735&partnerID=8YFLogxK

U2 - 10.1037/sgd0000237

DO - 10.1037/sgd0000237

M3 - Article

AN - SCOPUS:85041002735

SN - 2329-0382

VL - 4

SP - 328

EP - 340

JO - Psychology of Sexual Orientation and Gender Diversity

JF - Psychology of Sexual Orientation and Gender Diversity

IS - 3

ER -