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Transgender mental health in Australia: satisfaction with practitioners and the standards of care

Ho, Felicity and Mussap, Alexander 2016, Transgender mental health in Australia: satisfaction with practitioners and the standards of care, Australian psychologist, vol. 52, pp. 1-10, doi: 10.1111/ap.12188.

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Title Transgender mental health in Australia: satisfaction with practitioners and the standards of care
Author(s) Ho, FelicityORCID iD for Ho, Felicity
Mussap, Alexander
Journal name Australian psychologist
Volume number 52
Start page 1
End page 10
Total pages 10
Publisher John Wiley & Sons
Place of publication Chichester, Eng.
Publication date 2016-06-16
ISSN 0005-0067
Keyword(s) gender nonconforming
health practitioners
health services
Social Sciences
Psychology, Multidisciplinary
Summary Objective: There is evidence that some transgender people find aspects of the Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People, and/or their implementation by health professionals, problematic and counterproductive to transitioning. This study evaluated the significance of this dissatisfaction to the transitioning and mental health of transgender people. Method: 161 self-identified transgender people responded to an online survey that assessed satisfaction with health services provided in accordance with SOC guidelines, satisfaction with health professionals assisting with their transition, personal hardiness, gender congruence, steps to transition, and depression, anxiety, and stress. Results: Although results revealed dissatisfaction with the Standards of Care and with health professionals (particularly psychiatrists), subsequent path analyses conducted via structural equation modelling failed to reveal associations between this dissatisfaction and factors relevant to transitioning or mental health. However, personal hardiness was found to be associated with greater progress in transitioning and, by way of this, improved gender congruence, self-esteem, and mental health. Conclusion: While the results reveal dissatisfaction with the Australian health system and its professionals, this does not appear to translate into poor mental health outcomes. Rather personal hardiness during transition is the important predictor of transitioning and mental health. This argues for greater emphasis to be placed on building and supporting personal resilience in transgender people.
Language eng
DOI 10.1111/ap.12188
Field of Research 170106 Health, Clinical and Counselling Psychology
1701 Psychology
1702 Cognitive Science
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Australian Psychological Society
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Document type: Journal Article
Collection: School of Psychology
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