Depression Among Transgender Older Adults: General and Minority Stress

Overview

Journal Am J Community Psychol

Publisher Wiley

Specialty Health Services

Date 2017 Apr 4

PMID 28369987

Citations 29

Authors

Charles P Hoy-Ellis

Karen I Fredriksen-Goldsen

Affiliations

Soon will be listed here.

Abstract

This study aims to (a) examine the direct and indirect effects internalized heterosexism, disclosure of gender identity, and perceived general stress in association with depression among transgender older adults; and (b) to assess the relative contribution of each relationship. Secondary analyses of data from a large community-based study of older sexual and gender minorities were conducted utilizing structural equation modeling with a subsample (n = 174) of transgender adults aged 50 to 86-years old. Disclosure of gender identity had no significant direct or indirect effects on either perceived general stress or depression. Internalized heterosexism did not have a direct effect on depression, but did have a significant indirect effect through perceived general stress. Finally, perceived general stress had an additional significant direct effect on depression, over and above internalized heterosexism. Total effect sizes appear to be considerable with standardized betas greater than 5.0. Perceived general stress and internalized heterosexism independently and cumulatively have significant direct and indirect effects on depression among transgender older adults. Implications for depression among transgender older adults and the role of community psychology are discussed.

Citing Articles

Internalized Transnegativity, Self-Warmth, Self-Coldness, and Eating Disorder Symptomatology Among Transgender and Nonbinary Adults.

McArthur S, McLaren S, Goldie P J Clin Psychol. 2025; 81(4):249-261.

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Gender identity and symptoms of anxiety and depression and their relationship with sleep disorders among Polish adolescents during the Covid-19 pandemic and the outbreak of war in the Ukraine.

Glowczynski P, Tatar D, Debski P, Badura-Brzoza K BMC Psychol. 2024; 12(1):622.

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Gender Characteristics and Population Size Estimation of Transgender People: A Field-Based Study from Iran.

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"My support groups… have saved my life.": facilitators of positive or satisfactory experiences in behavioral healthcare for transgender and gender nonconforming older adults.

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Transgender older adults' prior military service: Mental health differences by gender identification.

Hoy-Ellis C, Kim H, Oswald A, Nelson C, Fredriksen-Goldsen K Am J Orthopsychiatry. 2024; 94(5):591-599.

PMID: 38546561 PMC: 11636182. DOI: 10.1037/ort0000747.

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