scholarly journals Gender Identity Milestones, Minority Stress and Mental Health in Three Generational Cohorts of Italian Binary and Nonbinary Transgender People

Author(s):  
Cristiano Scandurra ◽  
Agostino Carbone ◽  
Roberto Baiocco ◽  
Selene Mezzalira ◽  
Nelson Mauro Maldonato ◽  
...  

Transgender and gender nonconforming (TGNC) people experience high rates of minority stress and associated risk for negative health outcomes. However, during the last years, significant positive socio-cultural changes have happened, and younger cohorts of TGNC individuals are having diverse experiences compared to older cohorts. By integrating the minority stress theory and the life course perspective, this cross-sectional, web-based study aimed to explore in 197 Italian TGNC people aged 18 to 54 years (M = 29.82, SD = 9.64) whether the average ages of gender identity milestones (i.e., first insights about being TGNC, self-labeling as a TGNC person, and coming out), minority stress, and mental health vary among three generational cohorts (i.e., Generation Z, Millennials, and Generation X). Compared with older cohorts, younger participants: (a) were more likely to be in the trans-masculine spectrum; (b) self-labeled as TGNC and came out earlier; (c) had more negative expectations and lower levels of disclosure; and (d) had higher levels of mental health problems. No generational differences related to first insights about being TGNC and distal minority stressors were found. Furthermore, compared with binary individuals, participants with a non-binary identity: (a) reported later ages for the gender identity milestones; (b) had higher negative expectations; and (c) had higher levels of mental health problems. Overall, our findings indicated that changes in the social environments have a limited impact on stigmatization processes and mental health of Italian TGNC people.

2019 ◽  
Vol 74 (2) ◽  
pp. 179-181 ◽  
Author(s):  
Ute Bültmann ◽  
Iris Arends ◽  
Karin Veldman ◽  
Christopher B. McLeod ◽  
Sander K.R. van Zon ◽  
...  

BackgroundMany young adults leave the labour market because of mental health problems or never really enter it, through early moves onto disability benefits. Across many countries of the Organisation for Economic Co-operation and Development, between 30% and 50% of all new disability benefit claims are due to mental health problems; among young adults this moves up to 50%–80%.OutlineWe propose a research agenda focused on transitions in building young adults’ mental health and early working life trajectories, considering varying views for subgroups of a society. First, we briefly review five transition characteristics, then we elaborate a research agenda with specific research questions.Research agendaOur research agenda focuses on transitions as processes, in time and place and as sensitive periods, when examining young adults’ mental health and early working life trajectories from a life course perspective. As more and more childhood and adolescent cohorts mature and facilitate research on later life labour market, work and health outcomes, transition research can help guide policy and practice interventions.Future cross-disciplinary researchIn view of the many challenges young adults face when entering the changing world of work and labour markets, future research on transitions in young adults related to their mental health and early working life trajectories will provide ample opportunities for collaborative cross-disciplinary research and stimulate debate on this important challenge.


Author(s):  
T. K. Piskareva ◽  
S. N. Enikolopov

The review examines the mental illnesses most commonly found in individuals with gender identity disorders. The applicability of Meyer’s Minority Stress Model (1995) to explanation of the observed comorbidity is analyzed. In conclusion the need for increased attention to persons with gender identity disorders from psychological and psychiatric services is stated.


Author(s):  
Linda Chiu Wa Lam ◽  
Wai Chi Chan

With an increase in life expectancy worldwide, the ageing population has been expanding in the last few decades. Advanced age is associated with a high prevalence of physical morbidity. Dementia, the commonest type of mental disorder in later life, has been widely recognized as a public health priority. However, it is important to realize that other mental health problems are also common in old age. Depression and anxiety disorders are affecting a significant proportion of older adults, and may be associated with cognitive decline. This chapter will draw on current research related to key mental health problems in old age, and explore their public health significance through exploration of major prospective, large-scale, long-term cohort studies that shed light on the risk and protective factors that may influence the manifestations of mental health problems and associated disorders from a life course perspective.


Author(s):  
Martin Plöderl ◽  
Lieselotte Mahler ◽  
Timo O. Nieder ◽  
Götz Mundle

Lesbian, gay, bisexual, transgender, and intersex (LGBTI) individuals face specific mental health challenges, as will be described in this chapter. Many studies reported elevated mental health problems for LGB individuals compared with their heterosexual counterparts. Fewer studies are available for trans(-gender) and inter(-sex) individuals, but the majority reported increased levels of mental health problems compared with their cisgendered or non-inter counterparts. Current explanatory models centre on the pathogenic effect of homonegativity, transnegativity, and internegativity, as well as the underlying rigid gender roles, resulting in minority stressors that LGBTI individuals and those who are perceived as LGBTI are faced with. Such experienced or internalized minority stress can explain mental health disparities well. This contrasts with the long-standing medical view that LGBTI conditions are inherently pathological. Evidence-based LGBTI-specific prevention and intervention programmes are emerging.


Author(s):  
Martin Knapp

Mental health problems have a number of complex characteristics: incidence often early in life, but symptoms that can last for decades; considerable distress to individuals and also challenges for their families; social and economic exclusion, including discrimination in employment and other areas; premature mortality, particularly through suicide; and elevated risks of violent or acquisitive crimes. Policies must respond to these challenges to protect rights, pursue efficiency in resource use, and aspire to social justice. The chapter looks at the main drivers of mental health problems and their consequences, which often spread widely across many sectors. The main dimensions of a good policy are discussed: a life-course perspective; commitment to primary prevention; promotion of co-ordinated multi-sector efforts; eradication of stigma and discrimination; involvement of families and communities; and, most importantly, giving individuals with lived experience of mental illness as many opportunities, choice, and control as possible, given their circumstances and health.


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