Transgender Latinas in the United States are an understudied and underserved community at high risk for negative health outcomes. This study used the Minority Stress Model as a framework to investigate the effects of transgender-specific distal minority stress processes and resilience factors on the mental health of transgender Latinas. We conducted a secondary analysis of Latina participants (weighted N = 1,363) from the 2015 U.S. Transgender Survey (USTS), the largest and most recent national survey of transgender individuals. Participants completed a series of self-report measures online including indices of mental health, experiences of employment, discrimination and violence, and family-related factors among others. We hypothesized that participants would report high rates of the negative mental health outcomes (i.e., serious psychological distress, binge drinking/illicit drug use, suicidal ideation, and suicide attempts); endorsement of distal minority stressors (i.e., employment status, general discrimination/ violence, housing discrimination, and discrimination/violence in places of public accommodation) would be associated with worse mental health outcomes; while endorsement of resilience factors (i.e., being out to family and family support) would be associated with positive mental health outcomes. As expected, weighted analyses indicated that participants who experienced discrimination/violence were more likely to report serious psychological distress, substance use, and suicidal behaviors. Generally, participants who were out to their family and had supportive families were less likely to report serious psychological distress and suicide attempts. Findings indicate that transgender-specific discrimination and violence negatively impact the mental health of transgender Latinas and familial resilience factors help mitigate these negative mental health effects. Public Significance StatementThis study investigated how distal minority stress processes and resilience factors impacted mental health outcomes among transgender Latinas. Our findings indicated that transgender-specific discrimination/violence (i.e., distal minority stress processes) predicted serious psychological distress, substance use, and suicidal behaviors, while being out to family and family support (i.e., resilience factors) served as protective factors against serious psychological distress and suicide attempts.

Emerging adult, first-generation college students (FGCSs) face academic and social challenges in their adjustment to college. FGCSs are more likely to be students of color and from lower socioeconomic backgrounds who may face particularly difficult challenges when they attend highly selective, predominantly White Institutions (PWIs) that have historically centered White middle-class cultural norms and practices. We used longitudinal, embedded mixed methods to holistically understand the college adjustment experiences of 43 first-year, FGCSs predominantly Latinx and Black students at a PWI. Students participated in focus groups and completed self-report questionnaires three times over the course of their first year of college. We found that evolving interpersonal relationships (with peers, faculty, the institution, and their families) and the institution’s climate were at the core of the adjustment process over FGCSs’ first year of college. While institutional capital posed barriers, the support that FGCSs received primarily from students, staff, and faculty of similar backgrounds positively contributed to participants’ wellbeing and college adjustment. In addition to efforts by PWIs to recruit FGCSs, PWIs need to restructure their systems to deliver on their promised support and provide sustained resources that FGCSs need to adjust to and succeed in college and beyond.

IntroductionA lot of studies have described that up to 50% of patients with epilepsy develop psychiatric disorders: depression, anxiety and psychotic symptoms. We can classify these symptoms according to how they relate in time to seizure occurrence, i.e. pre-ictal/prodromal, ictal, post-ictal or inter-ictal. In this case, we have a 76 years old woman that develops a maniac-episode previously that she has an episode.ObjectivesMake a review about the prevalence, risk factors of psychiatric problem in epilepsy (biological, psychosocial and iatrogenic) and report of clinical case.MethodsReview the bi-directional associations between epilepsy and bipolar disorder (epidemiological links, evidence for shared etiology, and the impact of these disorders) with a integrated clinical approach.ResultsTheoretically, epilepsy and bipolar disorder share an important number of clinical and neurobiological features. Classic neuropsychiatric literature focused on major depression with data on bipolar disorder remains limited. However, actually there are many evidences that mood instability, mixed irritability even mania is not uncommon in patients with epilepsy.ConclusionsIt is important develop more sensitive and specific screening instruments to identify mood disorder in epilepsy's patients. Future research becomes decisive for a better understanding of the similarities between epilepsy and BD, and the treatment of both.Disclosure of interestThe authors have not supplied their declaration of competing interest.