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Social Support and Internalizing Psychopathology in Transgender Youth

  • Empirical Research
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Abstract

Although increasing numbers of children have socially transitioned to live in line with their gender identities, little is known about factors associated with their wellbeing. This study examines the associations between parent-reported family, peer, and school support for a youth’s gender identity, as well as an objective measure of state-level support, with parent-reported internalizing symptoms in 265 transgender youth (67.2% transgender girls, 32.8% transgender boys), ages 3–15 years (M = 9.41, SD = 2.62). Parents who reported higher levels of family, peer, and school support for their child’s gender identity also reported fewer internalizing symptoms; the objective measure of state-level support was not related to internalizing symptoms. Additionally, peer and school support buffered against the association between gender-related victimization and internalizing symptoms, as reported by parents. This work demonstrates that even among transgender youth with families who supported their transitions, parents see better well-being in their children when they also see more support for the child’s gender identity from family, peers, and schools.

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Acknowledgements

We thank Riley Lowe for assistance with data collection, Nandana Rao for assistance with data preparation, and the families for participating in this study.

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Authors and Affiliations

Authors

Contributions

K.O. was responsible for funding acquisition and project administration. L.D., K.M., and K.O. shared responsibility for study conception and design. K.O., L.D., S.B., and C.J. shared responsibility for material preparation. Data analysis were conducted by L.E., L.D., and K.F. The first draft of the paper was written by L.D., edited by K.O., K.M., and L.E., and all authors read and approved the final paper.

Funding

This work was supported by the National Institutes of Health (NIH) under Grant HD092347 to K.R.O. and an NSF Graduate Research Fellowship to L.D.

Data Sharing and Declaration

Because some key variables (e.g., state support) could be used, particularly in conjunction with other variables (e.g., race) to potentially identify participants, full data are not publicly available. However, the questions asked to participants are available at https://osf.io/fn37j/?view_only=97399257437c4ac9b7f91f5938296b5b. The data analysis code is available at https://osf.io/fn37j/?view_only=97399257437c4ac9b7f91f5938296b5b.

Corresponding author

Correspondence to Lily Durwood.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed were approved by the Institutional Review Board of the University of Washington. All procedures were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all participants included in the study.

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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Durwood, L., Eisner, L., Fladeboe, K. et al. Social Support and Internalizing Psychopathology in Transgender Youth. J Youth Adolescence 50, 841–854 (2021). https://doi.org/10.1007/s10964-020-01391-y

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  • DOI: https://doi.org/10.1007/s10964-020-01391-y

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