Overview of care for transgender children and youth

Weiselberg, Eric C.; Shadianloo, Shervin; Fisher, Martin

doi:10.1016/j.cppeds.2019.100682

Cited by 20 publications

(21 citation statements)

References 52 publications

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“…Regarding other risk factors, the transcripts revealed the presence of various traumatic experiences (e.g., rejection, physical and psychological abuse by family members and/or peers); self-administration of hormones, acts of self-harm, and suicide risk were also found. These risk factors and psychological difficulties corroborate other research data about traumatic experiences in GV youth (Bandini et al, 2011;Bockting et al, 2013;Grossman & D'Augelli, 2006;Newcomb et al, 2020) as well as the results of some studies, which have highlighted higher level of internalizing disorders in gender variant young people (de Vries, Doreleijers, et al, 2011;Weiselberg et al, 2019).…”

Section: Identity and Gender: The Clinician's Point Of Viewsupporting

confidence: 89%

Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians’ knowledge and approach to clinical practice

Fortunato

Giovanardi

Mirabella

et al. 2020

Clin Child Psychol Psychiatry

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Introduction: In today’s Italy, gender diversity has assumed a remarkable resonance and visibility in both scientific and popular literature, which has facilitated the development of studies regarding treatments and support for children and adolescents with gender-related issues. Aim: the aim of this study was to conduct a preliminary evaluation of how Italian clinicians (psychologists and pediatricians) perceive gender variant children and adolescents, evaluating their approach to clinical practice. Methods: An online questionnaire directed to clinicians regarding their experience with, and perceptions of, gender variant children and adolescents was used for the first part of the research. In the second part of this study, Consensual Qualitative Research (CQR) methodology was applied to semi-structured interviews aimed at investigating clinicians’ approach to clinical practice. Results: Professionals reported 374 cases, including 200 children (aged 2–11 years) and 174 adolescents (aged 12–19 years); a total of 10 interviews were conducted with professionals. Conclusion: This study highlights the increase of gender variant children and adolescents seen by professionals, but also the poor awareness of Italian professionals about gender diversity and their care, as well as an absence of a network model of intervention.

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Section: Identity and Gender: The Clinician's Point Of Viewsupporting

confidence: 89%

Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians’ knowledge and approach to clinical practice

Fortunato

Giovanardi

Mirabella

et al. 2020

Clin Child Psychol Psychiatry

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“…While gender dysphoria is typically conceptualized as the emotional distress caused by the incongruence between one’s actual gender identity and expression and one’s physical anatomy (what I term intrapersonal gender dysphoria ), gender dysphoria can also result from the experience of nonaffirmation of gender identity across contexts (what I term interpersonal gender dysphoria ; e.g., gender dysphoria resulting from the refusal of other people or contexts to affirm a trans person’s existence). Emerging research suggests that gender dysphoria strongly predicts health and well‐being among trans youth (McGuire et al, 2020; Weiselberg et al, 2019), yet neither Meyer’s (2003) model nor Hendricks and Testa’s (2012) adapted model includes this construct as a unique domain of minority stress.…”

Section: An Adapted Model Of Gender Minority Stress For Trans Youthmentioning

confidence: 99%

“…As such, intrapersonal gender dysphoria is often the target of interventions (social, medical, psychological) that aim to reduce psychopathology among trans populations, yet gender dysphoria is rarely evaluated empirically in studies (Jones et al, 2019). However, research does suggest that receiving affirming treatment reduces compromised mental health outcomes among trans youth (for a review, see Weiselberg et al, 2019). Thus, gender dysphoria distress is likely also reduced and is the mechanism to explain reductions in adverse mental health outcomes.…”

Section: An Adapted Model Of Gender Minority Stress For Trans Youthmentioning

confidence: 99%

“…Research also suggests that high school‐aged trans adolescents are less likely to receive preventative health measures than their cisgender peers (Rider, McMorris, Gower, Coleman, & Eisenberg, 2018). While many of the studies of this population have been conducted with adolescents, emerging evidence finds similar mental health burdens among trans children (ages 3–9; for a review, see Weiselberg, Shadianloo, & Fisher, 2019).…”

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confidence: 99%

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Advancing Research on Minority Stress and Resilience in Trans Children and Adolescents in the 21st Century

Toomey

2021

Child Dev Perspectives

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Transgender and nonbinary children and adolescents bear a disproportionate level of poor health, and adverse developmental and academic outcomes compared to their cisgender peers. In this article, I review evidence from recent research on minority stress and resilience among trans youth and advocate for two additional domains to be included when studying the experiences of trans youth from a minority stress perspective. I describe the variability across sexual‐minority and gender‐minority youth in experiences of minority stress across and within contexts. I advocate for explicit attention in minority stress models with gender‐minority youth to the domains of (a) intrapersonal and interpersonal gender dysphoria, and (b) access and use of affirmative and comprehensive health care.

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“…Children and adolescents who are referred to specialized centers for gender incongruence usually present a range of mental health issues [ 8 , 17 , 18 , 19 , 20 ]. Generally, the difficulties reported in the literature are internalizing in nature (e.g., depression, anxiety, eating disorder) [ 6 , 18 , 19 ]; however, there is considerable variability in the results across studies [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Giovanardi

Fortunato

Mirabella

et al. 2020

IJERPH

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In recent years, Italy, similar to many other countries, has witnessed an increase in children and adolescents presenting gender incongruence. This trend has led to the development and implementation of specialized centers providing care and support for these youths and their families. The present study aimed at investigating the functioning of agencies specialized in working with transgender and gender non-conforming youths in the Italian territory. Professionals in these agencies were interviewed about their perspectives on their agency’s functioning, networks with other services, and work with trans* youths and their families. A semi-structured interview was developed and administered to professionals in specialized centers and associations dedicated to trans * youths, and deductive thematic analysis was applied to the transcripts. Eight professionals were interviewed: six working in specialized centers and two working in associations. The qualitative analyses of transcripts revealed four main themes, pertaining to service referrals, assessment protocols and intervention models, psychological support for youths and families, and agency shortcomings. The study explored the functioning of Italian agencies specialized in caring for transgender and gender non-conforming youths, from the perspective of professionals working in these agencies. While several positive aspects of the work emerged, the study highlighted a lack of uniformity across the Italian territory and the need for better networks between agencies and other medical professionals.

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Overview of care for transgender children and youth

Cited by 20 publications

References 52 publications

Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians’ knowledge and approach to clinical practice

Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians’ knowledge and approach to clinical practice

Advancing Research on Minority Stress and Resilience in Trans Children and Adolescents in the 21st Century

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

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