@2024 Afarand., IRAN
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(3):131-138
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(3):131-138
Comparison of Depression, Suicidal Ideation and Social Support between Transsexual People with and without Gender Change
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Mahmoudi H. (*1)Mohammad Bagheri F. (2)
Sufi S. (2)
(*1) Psychology Department, Humanities and Psychology Sciences Faculty, Golestan University, Gorgan, Iran
(2) Psychology & Educational Sciences Department, Humanities Sciences Faculty, Bukan Branch, Islamic Azad University, Bukan , Iran
Correspondence
Address: Humanities and Psychology Sciences Faculty, Golestan University, Shahid Beheshti Street, Gorgan, Iran. Postal Code: 1575949138Phone: +98 (17) 32254260
Fax: +98 (17) 32254260
mahmoudi.hiva@gmail.com
Article History
Received: May 15, 2019Accepted: June 22, 2019
ePublished: September 21, 2019
ABSTRACT
Aims
Social acceptance of people with sexual identity disorder in society is very difficult and these conditions can lead to depression and suicidal ideation. On the other hand, social support has a great influence on the psychological factors of these people. The aim of this study was to compare the depression, suicidal ideation, and social support between transsexuals with and without gender change.
Instrument & Methods This causal-comparative study was carried out on 60 transsexuals with (N=30) and without gender change (N=30) of the association for the protection of Iran gender dysphoric patients in 2018. The subjects were selected using the convenience sampling method and they completed the questionnaires of the Beck depression inventory, Beck suicidal ideations, and Sherbourne and Stewart social support. Data were analyzed by SPSS 24 software through the multivariate analysis of variance test.
Findings The mean scores of depression and suicidal ideations variables in the transsexual group without gender change were higher than the transsexual group with gender change, but the mean score of social support variable in the transsexual group with gender change was higher than another group. There was a significant difference between the two groups regarding the variables of suicidal ideation and social support (p=0.01), but there was no significant difference between the two groups in terms of depression variable (p>0.05).
Conclusion The depression and suicidal ideations are in the moderate range in both transsexual groups, with and without gender change, but there were more suicidal ideations in the transsexuals without gender change, as well as the transsexuals with gender change are more likely to seek social support.
Instrument & Methods This causal-comparative study was carried out on 60 transsexuals with (N=30) and without gender change (N=30) of the association for the protection of Iran gender dysphoric patients in 2018. The subjects were selected using the convenience sampling method and they completed the questionnaires of the Beck depression inventory, Beck suicidal ideations, and Sherbourne and Stewart social support. Data were analyzed by SPSS 24 software through the multivariate analysis of variance test.
Findings The mean scores of depression and suicidal ideations variables in the transsexual group without gender change were higher than the transsexual group with gender change, but the mean score of social support variable in the transsexual group with gender change was higher than another group. There was a significant difference between the two groups regarding the variables of suicidal ideation and social support (p=0.01), but there was no significant difference between the two groups in terms of depression variable (p>0.05).
Conclusion The depression and suicidal ideations are in the moderate range in both transsexual groups, with and without gender change, but there were more suicidal ideations in the transsexuals without gender change, as well as the transsexuals with gender change are more likely to seek social support.
CITATION LINKS
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[22]Liu R, Mustanski B. Suicidal ideation and self-harm in lesbian, gay, bisexual, and transgender youth. Am J Prev Med. 2012;42(3):221-8.
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[25]Momeni Javid M, Shoa Kazemi M. Comparison of personality characteristics of people with sexual identity disorder and normal people. Soc Res. 2012;4(13):81-94. [Persian]
[26]Fallah S, Dolatian M, Saberi SM, Alavi Majd H, Jabbari A, Mahmoodi Z. The correlation of social support and sexual function of men with gender identity disorder after sex reassignment surgery. J Health Promot Manag. 2016;5(4):7-16. [Persian]
[27]Ghara’at M, Mohammadi AS. Association between perceived social support and mental health among transsexuals. Q J Soc Work. 2014;3(2):19-32. [Persian]
[28]Thorne N, Witcomb GL, Nieder T, Nixon E, Yip A, Arcelus J. A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary. J Int J Transgender. 2019;20(2-3):241-50.
[29]Fuentes JMD, Garcia-Leiva P, Hombrados-Mendieta MI. Social support as a predictor variable of life satisfaction in transgender people in Spain. Arch Women Health Care. 2018;1(2):1-6.
[30]Davey A, Bouman WP, Arcelus J, Meyer C. Social support and psychological well-being in gender dysphoria: a comparison of patients with matched controls. J Sex Med. 2014;11(12):2976-85.
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[32]Beck AT, Steer RA, Brown GK. BDI-II, Beck depression inventory: manual. 2nd Edition. San Antonio, Texas: Psychological Corporation; 1996.
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[34]Beck AT. BSI, Beck scale for suicide ideation: manual. 5th Edition. San Antonio, Texas: Psychological Corporation; 1991.
[35]Anissi J, Fathi Ashtiani A, Salimi SH, Ahmadi Node K. Validity and reliability of the Beck scale for suicidal ideation (BSSI) in soldiers. J Milit Med. 2005;7(1):33-7. [Persian]
[36]Sherbourne ND, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-14.
[37]Jahanbakhshian N, Zandipour T. A study on the effectiveness of group counseling based on Lazarus multimodal approach with relapsing/remitting MS patients on the improvement of mental health & social support of patients. Q J Psychol Stud. 2011;7(2):65-84. [Persian]
[38]Movahed M, Hosseinzadeh Kasmani M. Relationship between gender identity disorder and quality of life. Soc Welfare. 2012;12(44):111-42. [Persian].
[39]Cohen-Kettenis PT, Gooren LJ. Transsexualism: a review of etiology, diagnosis and treatment. J Psychosom Res. 1999;46(4):315-33.
[40]Esteva de Antonio I, Gómez-Gil E, Almaraz MC, Martínez-Tudela J, Bergero T, et al. Organization of healthcare for transsexual persons in the Spanish national health system. Gaceta Sanitaria. 2012;26(3):203-9.
[41]Factor RJ, Rothblum ED. A study if transgender adults and their non-transgender siblings on demographic characteristics, social support, and experiences of violence. J LGBT Health Res. 2007;3(3):11-30.
[2]Sohn M, Bosinski HA. Gender identity disorders: diagnostic and surgical aspects. J Sex Med. 2007;4(5):1193-207.
[3]American Psychiatric Association. Diagnostic and statistical manual of psychiatric disorders (DSM-5). Rezaei F, Fakhraei A, Farmand A, Nilofari A, Hashemi Azar J, Shamloo, translators. 1st Edition. Tehran; Arjmand; 2016. [Persian]
[4]Gomez-Gil E, Vidal A, Salamero M. MMPI-2 characteristics of transsexual requesting sex reassignment: comparison of patient in pre-hormonal and pre-surgical phases. J Pers Assess. 2009;90(4):368-74.
[5]Lobato MI, Koff WJ, Manenti C, da Fonseca Seger D, Salvador J, da Graça Borges Fortes M, et al. Follow-up of sex reassignment surgery in transsexuals: a Brazilian cohort. Arch Sex Behav. 2006;35(6):711-5.
[6]Hejazi A, Edalati Shateri Z, Mostafavi SS, Hosseini ZS, Razaghian M, Mogaddam M. A preliminary analysis of the 12 transsexual patients with regards to their adaptation in means of role and gender identity after a sexual reassignment surgery. Sci J Kurdistan Univ Med Sci. 2009;13(4):78-87. [Persian]
[7]De Cuyper G, Elaut E, Heylens G, Van Maele G, Selvaggi G, T’Sjoen G, et al. Long-term follow up: psychological outcome of Belgian transsexuals after sex reassignment surgery. Sexologies. 2006;15(2):126-33.
[8]Bodlund O, Kullgren G, Sundbom E, Hojerback T. Personality traits and disorders among transsexuals. Acta Psychiatr Scand. 1993;88(5):322-7.
[9]Hepp U, Kraemer B, Schnyder U, Miller N, Delsignore A. Psychiatric comorbidity in gender identity disorder. J Psychosom Res. 2005;58(3):259-61.
[10]Green R, Blanchard R. Gender identity disorders. In: Sadock BJ, Sadock VA, editors. Kaplan & Sadock's comprehensive textbook of psychiatry. 7th Edition. Baltimore: Lippincott Williams and Wilkins; 2000. p. 646-62.
[11]Besharat MA, Toulaeian F. Comparing interpersonal problems in male-to-female transsexuals before sex reassignment surgery, after sex reassignment surgery and normal individuals. J Health Psychol. 2014;3(2):4-17. [Persian]
[12]Parola N, Bonierbale M, Lemaire A, Aghababian V, Michel A, Lançon C. Study of quality of life for transsexuals after hormonal and surgical reassignment. Sexologies. 2010;19(1):24-8.
[13]Michel A, Ansseau M, Legros JJ, Pitchot W, Mormont C. The transsexual: what about the future? Eur Psychiatry. 2002;17(6):353-62.
[14]Pitts MK, Couch M, Mulcare H, Croy S, Mitchell A. Transgender people in Australia and New Zealand: health, will-being and access to health services. Feminism Psychol. 2009;19(4):475-95.
[15]Rakic Z, Starcevic V, Maric J, Kelin K. The outcome of sex reassignment surgery in Belgrade: 32 patients of both sexes. Arch Sex Behav. 1996;25(5):515-25.
[16]Rahimi Ahmadabadi S, Hejazi A, Attaran H, Rahimi A, Koohestani L, Karashki H, et al . Comparison of stress, anxiety, depression & sexual role in subjects involved gender dysphoria with normal subjects. Iran J Forensic Med. 2016;22(1):67-75. [Persian]
[17]Oswalt SB, Lederer AM. Beyond depression and suicide: the mental health of transgender college students. Soc Sci. 2017;6(1):1-10.
[18]Budge SL, Adelson JL, Howard KA. Anxiety and depression in transgender individuals: The roles of transition status, loss, social support, and coping. J Consult Clin Psychol. 2013;81(3):545-57.
[19]Segal NL, Roy A. Suicidal attempts and ideation in twins whose cot wins’ deaths were none-suicides: replication and elaboration. Pers Individ Differ. 2001;31(3):445-52.
[20]Scanlon K, Travers R, Coleman T, Bauer G, Boyce M. Ontario’s Trans communities and suicide: Tran's phobia is bad for our health. Trans Pulse e-Bulletin. 2010;1(2):1-2.
[21]Javaherian F, Kouchakian Z. Gender identity disorders and its social aspects: the case study on trans sexuality in Iran. Soc Welfare. 2006;5(21):265-92. [Persian]
[22]Liu R, Mustanski B. Suicidal ideation and self-harm in lesbian, gay, bisexual, and transgender youth. Am J Prev Med. 2012;42(3):221-8.
[23]Rudkin L, Indrikovs IM. Social support. Encyclopedia of Aging [Internet]. Oxford: Encyclopedia; 2002 [cited 2012 Feb 13]. Available from: http://www.encyclopedia.com/doc/1G2-3402200381.html.
[24]Helgosen VS. Social support and quality of life. Qual Life Res. 2003;12(Suppl 1):25-31.
[25]Momeni Javid M, Shoa Kazemi M. Comparison of personality characteristics of people with sexual identity disorder and normal people. Soc Res. 2012;4(13):81-94. [Persian]
[26]Fallah S, Dolatian M, Saberi SM, Alavi Majd H, Jabbari A, Mahmoodi Z. The correlation of social support and sexual function of men with gender identity disorder after sex reassignment surgery. J Health Promot Manag. 2016;5(4):7-16. [Persian]
[27]Ghara’at M, Mohammadi AS. Association between perceived social support and mental health among transsexuals. Q J Soc Work. 2014;3(2):19-32. [Persian]
[28]Thorne N, Witcomb GL, Nieder T, Nixon E, Yip A, Arcelus J. A comparison of mental health symptomatology and levels of social support in young treatment seeking transgender individuals who identify as binary and non-binary. J Int J Transgender. 2019;20(2-3):241-50.
[29]Fuentes JMD, Garcia-Leiva P, Hombrados-Mendieta MI. Social support as a predictor variable of life satisfaction in transgender people in Spain. Arch Women Health Care. 2018;1(2):1-6.
[30]Davey A, Bouman WP, Arcelus J, Meyer C. Social support and psychological well-being in gender dysphoria: a comparison of patients with matched controls. J Sex Med. 2014;11(12):2976-85.
[31]Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen psychiatry. 1961;4:561-71.
[32]Beck AT, Steer RA, Brown GK. BDI-II, Beck depression inventory: manual. 2nd Edition. San Antonio, Texas: Psychological Corporation; 1996.
[33]Dobson KE, Mohammadkhani P. Psychometric coordinates of Beck Depression Inventory in patients with major depressive disorder during relative improvement period. J Rehabil. 2007;8(29):80-6. [Persian]
[34]Beck AT. BSI, Beck scale for suicide ideation: manual. 5th Edition. San Antonio, Texas: Psychological Corporation; 1991.
[35]Anissi J, Fathi Ashtiani A, Salimi SH, Ahmadi Node K. Validity and reliability of the Beck scale for suicidal ideation (BSSI) in soldiers. J Milit Med. 2005;7(1):33-7. [Persian]
[36]Sherbourne ND, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-14.
[37]Jahanbakhshian N, Zandipour T. A study on the effectiveness of group counseling based on Lazarus multimodal approach with relapsing/remitting MS patients on the improvement of mental health & social support of patients. Q J Psychol Stud. 2011;7(2):65-84. [Persian]
[38]Movahed M, Hosseinzadeh Kasmani M. Relationship between gender identity disorder and quality of life. Soc Welfare. 2012;12(44):111-42. [Persian].
[39]Cohen-Kettenis PT, Gooren LJ. Transsexualism: a review of etiology, diagnosis and treatment. J Psychosom Res. 1999;46(4):315-33.
[40]Esteva de Antonio I, Gómez-Gil E, Almaraz MC, Martínez-Tudela J, Bergero T, et al. Organization of healthcare for transsexual persons in the Spanish national health system. Gaceta Sanitaria. 2012;26(3):203-9.
[41]Factor RJ, Rothblum ED. A study if transgender adults and their non-transgender siblings on demographic characteristics, social support, and experiences of violence. J LGBT Health Res. 2007;3(3):11-30.