Psychometric Evaluation of the Transgender Congruence Scale

Huit, T. Zachary; Ralston, Allura L.; Haws, J. Kyle; Holt, Natalie R.; Hope, Debra A.; Puckett, Jae A.; Mocarski, Richard; Woodruff, Nathan

doi:10.1007/s13178-021-00659-7

Cited by 5 publications

(1 citation statement)

References 42 publications

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“…Transgender Congruence Scale (TCS; Huit et al, 2021;Kozee et al, 2012) The TCS is a 12-item scale including a total and two subscale scores: Appearance Congruence and Gender Identity Acceptance that measures external and internal aspects of gender congruence, respectively. Higher scores indicate greater congruence and acceptance of gender identity.…”

Section: Approach To Internal Consistencymentioning

confidence: 99%

Test–retest reliability and sensitivity of a brief clinical monitoring measure for transgender and gender diverse adults: The Trans Collaborations Clinical Check-In (TC³).

Huit¹,

Holt²,

Farquhar-Leicester³

et al. 2022

Psychology of Sexual Orientation and Gender Diversity

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The current study aimed to examine the test–retest reliability and sensitivity of the Trans Collaborations Clinical Check-In (TC3) in a 3-month period with four assessment points at baseline, 1, 2, and 3 months to examine its utility as a clinical progress monitoring measure. This study builds on the initial validation study conducted by Holt et al. (2019). The sample of 32 transgender and gender diverse (TGD) participants were chosen who met screening for at least modest depression and anxiety, and did not have other significant risk factors (e.g., mania, self-harm). Participants completed a battery of measures that assessed mood, well-being, and gender-related constructs at each of the time points in addition to demographic questionnaires. Overall, the TC3 exhibited excellent test–retest reliability. While there was no systematic change in scores, there was some random variation of scores around the mean; and large, within-person correlations between time points. The TC3 also demonstrated convergence with many of the gender-related constructs, and to a lesser degree demonstrated criterion validity with mental health constructs. Further longitudinal study with larger samples in addition to study within intervention frameworks are necessary next steps to understand the utility of the TC3 for assessing systematic change over time. Overall, the current study highlights the initial utility of the TC3 to measure aspects of gender-related well-being across time, such as during health or behavioral health services.

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Section: Approach To Internal Consistencymentioning

confidence: 99%

Test–retest reliability and sensitivity of a brief clinical monitoring measure for transgender and gender diverse adults: The Trans Collaborations Clinical Check-In (TC³).

Huit¹,

Holt²,

Farquhar-Leicester³

et al. 2022

Psychology of Sexual Orientation and Gender Diversity

Self Cite

View full text Add to dashboard Cite

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The association between gender‐affirming care and disordered eating in transgender and gender diverse individuals: Exploring appearance congruence and gender‐related motivating factors for weight loss

Chakkour,

Simone,

Askew

et al. 2024

Intl J Eating Disorders

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ObjectiveThe objective of this study is to explore between‐group differences across different stages of gender‐affirming care, and associations between appearance congruence, gender‐related motivations for weight loss, and disordered eating in transgender and gender expansive (TGE) individuals.MethodA total of 160 TGE adults (aged 18–30) were recruited across the United States. Participants completed a comprehensive online survey. Data were analyzed using generalized linear models and bivariate correlations.ResultsSignificant differences in appearance congruence among participants at different transition stages were revealed, with the group that achieved their desired transition reporting the highest appearance congruence compared to all other groups. Furthermore, gender‐related motivations for weight loss were significantly lower in individuals who achieved their desired transition compared to those with no plans to transition.DiscussionFindings suggest significantly higher appearance congruence in those who achieved their desired transition compared to other groups, and individuals who attained their desired transition exhibited significantly reduced gender‐related motivations for weight loss compared to those with no plans to transition. These findings underscore the potential psychological benefits associated with successful gender‐affirming care, highlighting its role not only in fostering appearance congruence but also in mitigating gender‐related motivations for weight loss among TGE individuals. Future research should include larger and more diverse samples, longitudinal designs, and considerations of other factors influencing body image outcomes in this population.Public SignificanceThis study sheds light on the crucial relationship between gender‐affirming care and body image outcomes in TGE individuals. Understanding how appearance congruence and gender‐related motivations for weight loss are associated with disordered eating can inform tailored support and interventions. By recognizing the association of gender affirming care and well‐being, healthcare providers can enhance care for TGE individuals.

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