The mental health of transgender and gender non-conforming people in China: a systematic review

Background:High burden of mental disorders among sexual minorities including lesbian, gay, bisexual, and transgender population is well documented. Digital platforms are increasingly being used by sexual minorities to communicate with each other, but there is no systematic review of digital interventions that can improve mental health among sexual minorities. This systematic review identified and evaluated the digital interventions for mental health among different sexual minorities.Methodology:We searched literature from six major databases and included studies published in the English language, describing interventions that have a component to improve mental health among any of the sexual minorities delivered through any of the digital platforms, and reporting mental health outcomes.Results:Among 1936 citations, only 11 studies fulfilled our criteria. In those studies, most (n=9) interventions were implemented in the U.S. The interventions included varying components including on increasing acceptance and affirmation, increase social support and health education, cognitive behavioral therapy to manage stress, depression, anxiety and other mental health conditions. Only 6 studies had randomized control design. Most of the studies reported reduction in bi/homonegativity and increased affirmation, decreased smoking and substance abuse, improved coping skills, reduced level of depression, anxiety, and stress among participants in the intervention groups.Conclusion:To our knowledge, this is the first systematic review that evaluated digital intervention for mental health among sexual and gender minorities. Despite a low number of studies and heterogeneity across studies, the findings suggest potential improvements in mental health among sexual and gender minorities using digital interventions.

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A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States

Clinical Psychology Review ◽

10.1016/j.cpr.2018.03.003 ◽

2018 ◽

Vol 66 ◽

pp. 24-38 ◽

Cited By ~ 74

Author(s):

Sarah E. Valentine ◽

Jillian C. Shipherd

Keyword(s):

Mental Health ◽

United States ◽

Systematic Review ◽

Social Stress ◽

The United States ◽

And Gender

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The acceptability, effectiveness and gender responsiveness of participatory arts interventions in promoting mental health and Wellbeing: a systematic review

Arts & Health ◽

10.1080/17533015.2021.1894463 ◽

2021 ◽

pp. 1-18

Author(s):

Shane O’Donnell ◽

Maria Lohan ◽

John L. Oliffe ◽

David Grant ◽

Karen Galway

Keyword(s):

Mental Health ◽

Systematic Review ◽

Health And Wellbeing ◽

And Gender ◽

Participatory Arts

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Conversion therapies and access to transition-related healthcare in transgender people: a narrative systematic review

BMJ Open ◽

10.1136/bmjopen-2018-022425 ◽

2018 ◽

Vol 8 (12) ◽

pp. e022425 ◽

Cited By ~ 5

Author(s):

Talen Wright ◽

Bridget Candy ◽

Michael King

Keyword(s):

Mental Health ◽

Systematic Review ◽

Methodological Quality ◽

Healthcare Providers ◽

Case Series ◽

Access Barriers ◽

Health Consequences ◽

Transgender People ◽

Published Evidence ◽

And Gender

ObjectivesConversion is a term for treatments that seek to suppress or change a person’s sexual orientation or gender. Our review focuses on transgender and gender-diverse (TGD) people. Our aims were to (1) describe the frequency, nature and structure of conversion practices; (2) document difficulties in accessing transition-related healthcare and (3) evaluate the mental health consequences of such practices and access barriers.MethodSystematic review and narrative synthesis using the Critical Appraisals Skills Programme and Joanne Briggs Institute critical appraisal tools. Data sources include Embase, MEDLINE, PsychINFO, PsychARTICLES and Web of Science between 1990 and June 2017.ParticipantsStudies were included that (1) document use of conversion therapies or access barriers to transition-related healthcare; and/or (2) describe how such therapeutic practices and access barriers have been applied and/or (3) evaluate the mental health impacts of such therapies and difficulties accessing transition-related healthcare. Two reviewers screened papers for eligibility. Data were then grouped according to the objectives. Narratives and themes were presented per study.ResultsSeven studies met inclusion criteria. Four reports were on ‘realignment’, involving case studies or case series. Two involved psychoanalysis, one self-exposure therapy and one open-ended play psychotherapy. All four studies concerning ‘realignment’ were of poor methodological quality. The other three studies explored access barriers from the view point of TGD youth, their parents and healthcare providers. All papers reported access barriers, such as inability to access puberty-delaying medications. The papers concerning barriers to access were of good methodological quality.ConclusionWe found limited published evidence on use, nature, structure and/or health consequences of conversion therapies and access barriers to transition in TGD people. However, reports of restriction to access may indicate a more widespread problem. Research is needed into TGD people’s experiences of conversion therapy and access barriers to transition-related healthcareTrial registration numberCRD42017062149.

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A systematic review of studies on the role of age and gender in associations between greenspace and mental health

ISEE Conference Abstracts ◽

10.1289/isee.2021.o-lt-036 ◽

2021 ◽

Vol 2021 (1) ◽

Author(s):

Tafzila Akter Mouly ◽

Luke Knibbs ◽

Gita Mishra

Keyword(s):

Mental Health ◽

Systematic Review ◽

Age And Gender ◽

And Gender

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A Systematic Review on Sex- and Gender-Sensitive Research in Public Mental Health During the First Wave of the COVID-19 Crisis

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.712492 ◽

2021 ◽

Vol 12 ◽

Author(s):

Ana N. Tibubos ◽

Daniëlle Otten ◽

Mareike Ernst ◽

Manfred E. Beutel

Keyword(s):

Mental Health ◽

Systematic Review ◽

Health Behavior ◽

Mental Healthcare ◽

Externalizing Disorders ◽

Sex And Gender ◽

Healthcare Use ◽

And Gender ◽

Gender Specific ◽

Specific Evaluation

Background: Sex and gender are important modifiers of mental health and behavior in normal times and during crises. We investigated whether they were addressed by empirical, international research that explored the mental health and health behavior ramifications after the onset of the COVID-19 pandemic.Methods: We systematically searched the databases PsyArXiv, PubMed, PsycInfo, Psyndex, PubPsych, Cochrane Library, and Web of Science for studies assessing mental health outcomes (main outcomes) as well as potential risk and protective health behavior (additional outcomes) up to July 2, 2020.Findings: Most of the 80 publications fulfilling the selection criteria reflected the static difference perspective treating sex and gender as dichotomous variables. The focus was on internalizing disorders (especially anxiety and depression) burdening women in particular, while externalizing disorders were neglected. Sex- and gender-specific evaluation of mental healthcare use has also been lacking. With respect to unfavorable health behavior in terms of adherence to prescribed protective measures, men constitute a risk group.Interpretations: Women remain a vulnerable group burdened by multiple stresses and mental health symptoms. The neglect of sex- and gender-specific evaluation of aggression-related disorders, substance addiction, and mental healthcare use in the early stage represents a potentially dangerous oversight.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020192026, PROSPERO 2020 CRD42020192026.

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O “DESCORTINAMENTO” DAS VULNERABILIDADES DA POPULAÇÃO LGBTQIA+ DIANTE A PANDEMIA DE CORONAVÍRUS

Psicologia e Saúde em Debate ◽

10.22289/2446-922x.v6n2a23 ◽

2020 ◽

Vol 6 (2) ◽

pp. 346-355

Author(s):

Fabiano Saft Silva

Keyword(s):

Mental Health ◽

Systematic Review ◽

Human Rights ◽

Mental Health Problems ◽

Access To Health Services ◽

Access To Health ◽

Sexual Orientations ◽

And Gender ◽

Forms Of Violence

This article proposes a systematic review based on research that addresses the impacts of the Coronavirus pandemic (COVID-19) on the LGBTQIA+ population, explaining that it is a crisis within a crisis. The “unveiling” of oppression and other forms of violence is clear, while the number of mental health problems has potentially worsened for the majority of this segment, who are obliged to live with family members who do not legitimize their sexual orientations and gender identities. Work, income and loneliness are also issues that are aggravated by the scenario of social isolation for a large part of the LGBTQIA+ population. The results found mobilize reflections about the role of Psychology in the fight for Human Rights and full access to health services for this population, who live with the deprivation of these spaces. The intersectoral dialogue with other areas of knowledge is also crucial in order to develop strategic and affirmative actions, in favor of the population that is victim of violence.

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