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Greater Discrepancies Between Youth- and Caregiver-Reported Psychosocial Functioning in the Youth Self-Report/Child Behavior Checklist Predict Greater Self-Reported Distress in Transgender and Gender Diverse Adolescents
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DOI：10.1037/sgd0000836.png)
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Abstract
En 中文
Gender-affirming hormones can be an essential intervention for gender dysphoria in transgender and gender diverse (TGD) adolescents. Caregivers are generally required to provide consent for adolescent medical intervention, but it is not yet well understood whether caregivers share their TGD adolescent's understanding of their mental health and functioning at the time of hormone readiness assessment and whether any differences in understanding are related to adolescent mental health outcomes. The primary aims of this study were to (a) examine the degree of congruence between TGD adolescents' self-reported psychosocial functioning and the caregivers' report of the adolescent's psychosocial functioning and (b) evaluate if the level of congruence was associated with the adolescent's self-reported internalizing and externalizing symptomatology. Data were collected from 548 TGD adolescents and their caregivers at the time of hormone readiness assessment using the Youth Self-Report and Child Behavior Checklist. The results indicated moderate to strong correlations between adolescent's self-report and caregiver report, though adolescents consistently reported experiencing greater symptomatology compared to caregiver perceptions. Hierarchical regressions revealed that greater differences between Youth Self-Report and Child Behavior Checklist Total problems subscale scores were associated with significantly greater adolescent internalizing and externalizing behaviors, after adjusting for various other variables. Findings suggest that caregivers are often not fully aware of the extent of distress experienced by TGD adolescents and that greater discrepancies between adolescent- and caregiver-reported psychosocial functioning at the time of hormone readiness are associated with greater self-reported distress from TGD youth. Implications for clinical care with TGD youth and their caregivers are explored.
Keywords:
transgender
nonbinary
family
support
mental health
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