Psychological Risk Factors among Transgender: The Mediating Role of Body Dissatisfaction between Quality of Life, Suicidal Ideation and Social Interaction Anxiety

Psychological Risk Factors among Transgender

Authors

  • iram batool Associate Professor, Department of Applied Psychology Bahauddin Zakariya University, Multan, 60000,
  • sobia bakhtawer M.Phil Scholar Department of Applied Psychology Bahauddin Zakariya University, Multan, 60000, Pakistan.
  • Noreen Saher Associate Professor, Department of Anthropology, Islamic International University, Islamabad, 44000, Pakistan.
  • Huma Batool Visiting Lecturer, Department of Applied Psychology Bahauddin Zakariya University, Multan, 60000. Pakistan.

DOI:

https://doi.org/10.48165/sajssh.2022.3505%20

Keywords:

Quality of life, suicidal ideation, social interaction anxiety, body image, transgender

Abstract

Abstract

Social attitudes, prejudice and stigmas towards transgender community vary around the world. Consequently, the prevalence of suicidal attempts, self-injurious behaviors, and associated psychological factors were very common among them. The current study aimed to examine the association between quality of life, suicidal ideation, social interaction anxiety and body image among trans genders. Two hundred trans genders of age between 18-45 years participated in this study. They were approached by using snow ball sampling technique from different cities of Pakistan. Four instruments, Body Image States Scale (BISS), World Health Organization Quality of Life Scale- (WHOQOL-BREF), Beck Scale for Suicidal Ideation (BSSI), Social Interaction Anxiety (SIA) were used in this research. The results showed no significant difference on demographic variables with regard to body image, social interaction anxiety, quality of life and suicidal ideation (p<0.05). Results of mediation analysis by using Smart-PLS showed that body image significantly mediates the association between quality of life and suicidal ideation (r=0.164, p<0.001) and it also mediates the relationship between quality of life and social interaction anxiety (r=0.184, p<0.001). The findings indicated that this population is at a high risk for psychological comorbidities and life-threatening behaviors. Efforts should be taken to reduce discrimination and psychological risk factors and bring positive attitude towards transgender community.

References

Ali, S. (2017). Pakistan to count transgender population in 2017 census for the first time in Pakistan. Daily Pakistan. Retrieved from: https://en.dailypakistan.com.pk/headline/lhc-orders-to-include-transgender-persons-in-census/

Awaz. (2016). The transgender community in Pakistan: Issues in access to public services. Retrieved from https://aawaz.org.pk/cms/lib/downloadfiles/1482822154Final%20Transgender%20Report.pdf

Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck. Clinical Psychology Review. 8(1), 77-100.

Bhutta, N. G. (2016). The third Sex: On the fringes of society. Retrieved from http://www.lead.org.pk/hr/attachments/Compandium/01_Civil_Political_Rights/The_Third_Sex.pdf

Cash, T. F., Fleming, E. C., Alindogan, J., Steadman, L., & Whitehead, A. (2002). Beyond body image as a trait: The development and validation of the body image states scale. Eating Disorders. 10(2), 103-113.

Cohen-Kettenis, P. T., & Van Goozen, S. H. M. (1997). Sex reassignment of adolescent transsexuals: a follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry. 36, 263–271.

Connolly, M.D., Zervos, M.J., Barone, C.J., Johnson, C.C., & Joseph, C.L.M (2016). The mental health of transgender youth: advances in understanding. Journal of Adolescence Health. 59(5), 489–95.

depression inventory: Twenty-five years later. Clinical Psychology Review, 8, 77-100

Dickey, l. M., Reisner, S. L., & Jutunen, C. L. (2015). Non-suicidal self-injury in a large online sample of transgender adults. Professional psychology: research and practice. 46, 3–11.

Eisenberg, M.E., Gower, A.L., McMorris, B.J., Rider, G.N., Shea, G., & Coleman, E (2017). Risk and protective factors in the lives of transgender/gender nonconforming adolescents. Journal of Adolescence Health. 61(4), 521–6.

Eisenberg, M.E., Gower, A.L., McMorris, B.J., Rider, G.N., Shea, G., & Coleman, E (2017). Risk and protective factors in the lives of transgender/gender nonconforming adolescents. Journal of Adolescence Health. 61(4):521–6. 10.

Grant, J. M., Mottet, I. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the national transgender discrimination survey. Washington, dc: national center for transgender equality and national gay and lesbian task force. Centers for disease control and prevention. Body mass index: considerations for practitioners. Retrieved April 2016 from http://www.cdc.gov/obesity/downloads/BMIforPactitio ners.pdf

Grossman, A. H., & D’Augelli, A. R. (2007). Transgender youth and life-threatening behaviors. Suicide and Life-Threatening Behaviors. 37(5), 527-537.

Johns, M.M., Lowry, R., Andrzejewski, J., Barrios, L.C., Demissie, Z., & McManus, T (2017). Transgender identity and experiences of violence victimization, substance use, suicide risk, and sexual risk behaviors among high school students - 19 states and large Urban School districts.. The Morbidity and Mortality Weekly Report. 68(3), 67–71. 9.

Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behavior Research and Therapy. 36, 455-470.

Mustanki, S. B., Garofalo, R., & Erin, M. (2010). Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual and transgender youths. American Journal of Public Health. 100(12), 2426-2432.

Nazir, N., & Yasir, A. (2015). Education, employability and shift of occupation of transgender in Pakistan: A case study of Khyber Pakhtunkhwa. The Dialogue. 14(2).

Neumann, K., & Wolfradt, U. (2001). Depersonalization, self-esteem and body image in male to-female transsexuals compared to male and female controls. Archives of Sexual Behavior. 30(3), 301-310.

Park, Y. J., Russell, S., & Grossman, H. A. (2016). Transgender youth and suicidal behaviors: Applying the interpersonal psychological theory of suicide. Journal of Gay & Lesbian Mental Health. 20(4), 329-349.

Reisner, S. L., Vetters, R., Leclerc, M., Zaslow, S., Wolfrum, S., & Shumer, D. (2015). Mental health of transgender youth in care at an adolescent urban community health center: a matched retrospective cohort study. Journal of Adolescent Health, 56, 274–279.

Rood, B. A., Reisner, S. L., Surace, F. I., Puckett, J. A., Maroney, M. R., & Pantalone, D. W (2016). Expecting rejection: Understanding the minority stress experiences of transgender and gender-nonconforming individuals. Transgender Health, 1, 151–164. Doi: http://dx.doi.org/10.1089/ trgh.2016.0012

Shah, Q. S. (2017). Welfare for transgender people announced. Dawn News. Retrieved from: https://www.dawn.com/news/1338111

Simbar. M., Nazarpour. S., Mirzababaie. M., Hadi. M.A.E., Tehrani. F.R., & Majd. H.A. (2018). Quality of life and body image of individuals with gender dysphoria. Journal of Sex & Marital Therapy. 44(6), 523-532. doi: 10.1080/0092623X.2017.1419392

Simons, L. K., & Clark, L. F. (2015). Baseline physiologic and psychosocial characteristics of transgender youth seeking care for gender dysphoria. Journal of Adolescent Health. 57, 374–380

Sivertsen, B., Råkil, H., Munkvik, E., & Lønning, K.J (2019). Cohort profile: the SHoT-study, a national health and well-being survey of Norwegian university students. British Medical journal Open. 9(1).

Testa, R. J., Habarth, J., P., Peta, J., Balsam, K., & Bockting, W. (2015). Development of the Gender Minority Stress and Resilience Measure. Psychology of Sexual Orientation and Gender Diversity, 2, 65–77. http://dx.doi.org/10.1037/sgd0000081

Testa, R.J., Habarth, J., Peta, J., Balsam, K., Bockting, W., & Gonsiorek, J.C (2015). Development of the gender minority stress and resilience measure. Psychological Sex Orientation and Gender Divers. 2(1), 65–77.

Veale, J.F., Watson, R.J., Peter, T., & Saewyc, E.M (2017). Mental health disparities among Canadian transgender youth. Journal of Adolescence Health. 60(1):44–9.

Virupaksha, H.G., Muralidhar, D., Ramakrishna, J. (2016). Suicide and suicidal behavior among transgender persons. Indian Journal of Psychological Medicine. 38(6), 505-509. doi: 10.4103/0253-7176.194908. PMID: 28031583; PMCID: PMC5178031

White Hughto, J. M., Reisner, S. L., & Pachankis, J. E (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms and interventions. Social Science & Medicine, 147, 222–231.

WHOQOL Group (1998). The development of the world health organization (WHOQOL-BREF). Psychological medicine, 28 (3). 551-558.

Witcomb, G. L., Bouman, W. P., Brewin, N., Richards, C., Fernandez-Aranda, F., & Arcelus, J. (2015). Body image dissatisfaction and eating-related psychopathology in trans individuals: A matched control study. European Eating Disorders Review. 23, 287–293.

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Published

2022-10-05

How to Cite

batool, iram, bakhtawer, sobia, Saher, N., & Batool, H. (2022). Psychological Risk Factors among Transgender: The Mediating Role of Body Dissatisfaction between Quality of Life, Suicidal Ideation and Social Interaction Anxiety: Psychological Risk Factors among Transgender. South Asian Journal of Social Sciences and Humanities, 3(5), 54–69. https://doi.org/10.48165/sajssh.2022.3505