A pilot test of a text message-based transgender and nonbinary affirmative cognitive-behavioral intervention for anxiety and depression.

Knutson, Douglas; Kertz, Sarah J.; Chambers-Baltz, Stephanie; Christie, Morgan B.; Harris, Eva K.; Perinchery, Remya

doi:10.1037/sgd0000438

Cited by 13 publications

(38 citation statements)

References 40 publications

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“…Depressive symptoms were significantly lower in the intervention group at the 2-week follow-up. This finding is consistent with the effects of a cognitive behavioral therapy based coping skills intervention for sexual and gender minority youth (Craig & Austin, 2016;Knutson et al, 2021). The findings from the present study suggest that an emotion-focused intervention highlighting the positive identities and narratives of TNB people may be helpful in alleviating depressive symptoms.…”

Section: Discussionsupporting

confidence: 88%

“…Participants reported significant decreases in depression immediately after the retreat that persisted through the 3-month follow-up. Knutson et al (2021) conducted a 6-week long transgenderaffirmative text message intervention with 14 TNB participants over the age of 18. In the intervention, trained coaches with master's degree in counseling, clinical psychology, or counseling psychology led participants through a 6-week manualized protocol to reduce anxiety and depressive symptoms using transgender-affirming techniques.…”

Section: Positive Identity Interventionsmentioning

confidence: 99%

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Evaluating the effectiveness of a brief online positive identity intervention for transgender people.

Clements¹,

Riggle²,

Rostosky³

2023

Professional Psychology: Research and Practice

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Transgender people report high levels of discrimination, prejudice, stigma-related anxiety and depression, and suicidality. In socially, politically, and religiously conservative areas, emphasis on traditional gender roles may lead to heightened levels of stigma-related stress and anxiety in transgender people and pose additional challenges to the development of positive transgender identities. Using a pre-/posttest experimental design, we evaluated an online resource aimed at increasing positive identity and psychological well-being (PWB) in young adult transgender individuals living in the Southeast and Midwest United States. Participants, ages 18–26, were randomized into two groups to watch either a video about positive transgender identity (intervention; n = 24) or a video with general information about lesbian, gay, bisexual, trans, queer people (control; n = 14). Both groups completed preintervention and 2-week post measures of positive identity and PWB. One-way analysis of variance of pre–post difference scores suggested that the intervention group reported significantly increased community connectedness, positive affect, and positive relations with others, and significantly lowered depressive symptom scores compared to the control group. Findings suggest that brief online interventions may be useful in supporting emotional health in transgender people; however, additional community supports may be crucial to positive identity development.

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Section: Discussionsupporting

confidence: 88%

Section: Positive Identity Interventionsmentioning

confidence: 99%

Evaluating the effectiveness of a brief online positive identity intervention for transgender people.

Clements¹,

Riggle²,

Rostosky³

2023

Professional Psychology: Research and Practice

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“…Social support often shows the largest effect sizes in negatively predicting depression and anxiety 76 , 137 , 184 and suicide risk 185 – 187 among other predictors such as positive identity development 83 , 188 and use of facilitative coping strategies 21 , 76 . Several interventions have specifically targeted social support to improve mental health and well-being 189 , 190 . In one pilot study, an online intervention to assist parents in providing social support to their TNB children in the USA, the intervention was feasible and improved parental support.…”

Section: Affirming Interventionsmentioning

confidence: 99%

Factors that drive mental health disparities and promote well-being in transgender and nonbinary people

Tebbe

Budge

2022

Nat Rev Psychol

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Transgender (or trans) is an umbrella term for individuals who experience their gender differently from what is associated with the sex they were assigned at birth. Individuals who are nonbinary experience their gender outside binary conceptions of gender. Although research has predominantly focused on negative mental health outcomes for transgender and non-binary (TNB) individuals, an emergent literature has begun to explore protective and health-promoting factors and dimensions of psychological well-being. In this Review, we discuss the sociocultural context for TNB people, beginning with a brief history of TNB identity before highlighting frameworks for understanding the higher prevalence of certain mental health concerns among TNB individuals. Next, we summarize the predictive factors associated with higher rates of depression, anxiety, suicidality, trauma-related concerns, disordered eating behaviours and substance use. We also review TNB coping, resilience and resistance to anti-trans stigma, as well as psychological well-being, flourishing and gender euphoria. Tying these topics together, we discuss affirming interventions for reducing mental health disparities and promoting psychological health in TNB individuals and communities. We conclude by discussing future research directions.

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“…Such approaches could be engaged to help transgender women understand and affirm their transgender identity and learn to recognize and cope with sexual and gender-based sources of stress, such as transphobia or cissexism (Austin et al, 2018). One such intervention administered among transgender and nonbinary adults demonstrated significant decreases in anxiety and depression among participants, as well as increases in experiences of social support (Knutson et al, 2021). These findings suggest the importance of the development of CBT-informed interventions to help transgender women identify and cope with the sources of violence they have experienced.…”

Section: Discussionmentioning

confidence: 99%

“Through the Things That Have Happened to Me, They’ve Made Me Stronger”: Individual and Interpersonal Sources of Violence and Resilience Among a Diverse Sample of Transgender Women in Los Angeles

Winiker

White

Candelario

et al. 2022

J Interpers Violence

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Within the United States, transgender women face a disproportionate burden of violence, experiencing increased rates of multiple forms of violence compared with cisgender women and other sexual/gender minority groups. Among transgender women, further racial/ethnic disparities in experiences of violence exist. Resilience has been shown to be protective against the adverse impacts of violence on mental and physical health outcomes, yet little is known about unique sources of resilience, coping, and strength among transgender women. Sixteen in-depth interviews were conducted with a racially diverse sample of transgender women between May and July, 2020 in Los Angeles. Participants were between the ages of 23 and 67 years. Four participants identified as African American/Black, four as Latina, four as White, two as Asian, and two as Native American. Participants were recruited from a local social service organization. Interview questions assessed social network characteristics, experiences of violence, coping mechanisms, and sources of resilience in response to violence. Deductive and inductive coding schemes were used to identify common themes, and data analysis focused upon experiences of violence and sources of resilience/coping. Violence was common among members of the sample, with every participant reporting a history of multiple forms of violence. Violence perpetration came from many sources, including cisgender male strangers, family members, intimate partners, and other transgender women. Women also reported multiple sources of strength and coping, including engaging in self-care and leisure activities, behavioral adaptations, mentorship/support from other transgender women, and striving to “pass” as cisgender. Despite having faced extensive violence, the participants in this sample were resilient, demonstrating many internal and external coping mechanisms and sources of strength. These findings can inform programs and services that target transgender women, providing participants with opportunities to build resilience and other coping mechanisms to buffer the harmful mental and physical health impacts of exposure to violence.

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A pilot test of a text message-based transgender and nonbinary affirmative cognitive-behavioral intervention for anxiety and depression.

Cited by 13 publications

References 40 publications

Evaluating the effectiveness of a brief online positive identity intervention for transgender people.

Evaluating the effectiveness of a brief online positive identity intervention for transgender people.

Factors that drive mental health disparities and promote well-being in transgender and nonbinary people

“Through the Things That Have Happened to Me, They’ve Made Me Stronger”: Individual and Interpersonal Sources of Violence and Resilience Among a Diverse Sample of Transgender Women in Los Angeles

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