Transfobia Internalizada, Angustia Psicológica y Autoeficacia en Personas Transgénero Bajo Tratamiento Hormonal en Puerto Rico

Autores/as

DOI:

https://doi.org/10.37226/rcp.v8i1.8069

Palabras clave:

estigma, transfobia internalizada, transgénero, tratamiento hormonal

Resumen

Las identidades transgénero (trans), binarias y no binarias, responden a cambios contextuales respecto al género como construcción social. Debido a las normativas sociales asociadas al binarismo del género, las personas trans podrían experimentar transfobia internalizada. Los objetivos del estudio son: (1) examinar la relación entre la transfobia internalizada, la angustia psicológica y la autoeficacia en la población trans residente en Puerto Rico; (2) evaluar si existen diferencias entre personas trans binarias y no binarias con respecto a la transfobia internalizada; y (3) explorar si existen diferencias entre personas trans que reciben tratamiento hormonal y personas trans que no reciben el tratamiento, y su relación con la transfobia internalizada. La muestra consistió en 58 personas trans. Se realizaron estadísticas descriptivas y correlacionales. Se realizó un análisis de regresión lineal para predecir la angustia psicológica utilizando como predictores la transfobia internalizada y la autoeficacia. Se realizaron comparaciones grupales entre la transfobia internalizada, identidad trans binaria y no binaria, y tratamiento hormonal. Los resultados sugieren que, a mayor transfobia internalizada, mayor angustia psicológica, y a mayor angustia psicológica, menor autoeficacia. Además, sugieren mayor transfobia internalizada en personas trans binarias, especialmente aquellas bajo tratamiento hormonal. Finalmente, se presentan las limitaciones y aportaciones del estudio.

Citas

Acolatse, N. (2020). Health disparities among Lesbian, Gay, Bisex-ual, and Transgender population in Ghana. Texila Internation-al Journal of Nursing, 6(1), 84–96. https://www.texilajournal.com/nursing/article/1650-health-disparities-among

American Psychological Association (2017). American Psychologi-cal Association. Ethical principles of psychologists and code of conduct. American Psychologist, 57(12), 1–20. https://www.apa.org/ethics/code/ethics-code-2017.pdf

American Psychological Association (2015). Guidelines for psycho-logical practice with transgender and gender nonconforming people. PsycEXTRA Dataset. https://www.apa.org/practice/guidelines/transgender.pdf

Arvidsdotter, T., Marklund, B., Kylén, S., Taft, C., & Ekman, I. (2015). Understanding persons with psychological distress in primary health care. Scandinavian Journal of Caring Sciences, 30(4), 687–694. https://doi.org/10.1111/scs.12289

Asociación de Psicología de Puerto Rico. (2014). Estándares para el trabajo e intervención en comunidades lesbianas, gay, bisexuales e identidades trans (LGBT). San Juan: Asociación de Psicología de Puerto Rico (APPR).

Austin, A., & Goodman, R. (2017). The impact of social connect-edness and internalized transphobic stigma on self-esteem among transgender and gender non-conforming adults. Jour-nal of Homosexuality, 64(6), 825–841. https://doi.org/10.1080/00918369.2016.1236587

Baggaley, R. F., Ganaba, R., Filippi, V., Kere, M., Marshall, T., Som-bié, I., Storeng, K. T., & Patel, V. (2007). Short communication: Detecting depression after pregnancy: the validity of the K10 and K6 in Burkina Faso. Tropical Medicine & International Health, 12(10), 1225–1229. https://doi.org/10.1111/j.1365-3156.2007.01906.x

Baker, K. E., Wilson, L. M., Sharma, R., Dukhanin, V., McArthur, K., & Robinson, K. A. (2021). Hormone therapy, mental health, and quality of life among transgender people: A sys-tematic review. Journal of the Endocrine Society, 5(4), bvab011. https://doi.org/10.1210/jendso/bvab011

Bakko, M., & Kattari, S. K. (2020). Transgender-related insurance denials as barriers to transgender healthcare: Differences in experience by insurance type. Journal of general internal medi-cine, 35(6), 1693–1700. https://doi.org/10.1007/s11606-020-05724-2

Bandura, A. (1987). Pensamiento y Acción. Fundamentos sociales. Martínez Roca.

Barrientos Delgado, J., Espinoza-Tapia, R., Meza Opazo, P., Saiz, J. L., Cárdenas Castro, M., Guzmán-González, M., ... & Lovera Saavedra, L. (2019). Efectos del prejuicio sexual en la salud mental de personas transgénero chilenas desde el Modelo de Estrés de las Minorías: Una aproximación cualitativa. Terapia psicológica, 37(3), 181-197. http://dx.doi.org/10.4067/S0718-48082019000300181

Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Dolezal, C., Robinson, B., Rosser, B. R. S., & Coleman, E. (2020). The Transgender Identity Survey: A measure of internalized tran-sphobia. LGBT Health, 7(1), 15-27. https://doi.org/10.1089/lgbt.2018.0265

Bueno-Pacheco, A., Lima-Castro, S., Peña-Contreras, E., Cedillo-Quizhpe, C., & Aguilar-Sizer, M. (2018). Adaptación al Español de la Escala de Autoeficacia General para su uso en el contexto ecuatoriano. Revista Iberoamericana de Diagnóstico y Evaluación – e Avaliação Psicológica, 48(3). https://doi.org/10.21865/ridep48.3.01

Carmona, D. L. M., & Rodríguez, Y. H. (2022). Terapia Cognitivo Conductual Afirmativa para la Depresión en Adolescentes con Disforia de Género: Revisión Sistemática. Polo del Conocimiento: Revista científico-profesional, 7(4), 62. http://dx.doi.org/10.23857/pc.v7i4.3880

Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., Monstrey, S., Adler, R. K., Brown, G. R., Devor, A. H., Ehrbar, R., Ettner, R., Eyler, E., Garofalo, R., Karasic, D. H., … Zucker, K. (2012). Standards of care for the health of transsexual, transgender, and gender-nonconforming people, Version 7. International journal of transgenderism, 13(4), 165–232. https://doi.org/10.1080/15532739.2011.700873

Conn, B. M., Chen, D., Olson-Kennedy, J., Chan, Y. M., Eh-rensaft, D., Garofalo, R., ... & Hidalgo, M. A. (2023). High in-ternalized transphobia and low gender identity pride are as-sociated with depression symptoms among transgender and gender-diverse youth. Journal of Adolescent Health, 72(6), 877-884. https://doi.org/10.1016/j.jadohealth.2023.02.036

Crapanzano, K. A., Hammarlund, R., Ahmad, B., Hunsinger, N., & Kullar, R. (2018). The association between perceived stigma and substance use disorder treatment outcomes: a review. Substance abuse and rehabilitation, 10, 1–12. https://doi.org/10.2147/SAR.S183252

Creswell, J. W., & Creswell, J. D. (2022). Research design: qualita-tive, quantitative, and mixed methods approaches (6th ed.). SAGE Publications.

D'hoore, L., & T'Sjoen, G. (2022). Gender-affirming hormone therapy: An updated literature review with an eye on the fu-ture. Journal of Internal Medicine, 291(5), 574–592. https://doi.org/10.1111/joim.13441

Dias, C. K., da Rocha, L. R. L., Tateo, L., & Marsico, G. (2021). “Passing” and its effects on Brazilian transgender people's sense of belonging to society: A theoretical study. Journal of Community & Applied Social Psychology, 31(6), 690702. https://doi.org/10.1002/casp.2535

Espada J., González M., & Orgilés M., Carballo J., & Piqueras, J. (2012). Validación de la Escala de Autoeficacia General con adolescentes españoles. Electronic Journal of Research in Educa-tional Psychology, 10, 355-370. https://doi.org/10.25115/ejrep.v10i26.1504

Esteban, C., Francia-Martínez, M., Bruno-Ortiz, T., Santiago-Ortiz, A. M., Mattei-Torres, E., Jiménez-Ricaurte, C., … Hernández-Del Valle, S. (2023). Sexual minorities’ experiences in therapy services in Puerto Rico: A qualitative study. Revista Caribeña de Psicología, 7(1), e7433. https://doi.org/10.37226/rcp.v7i1.7433

Etxebarria-Pérez-de-Nanclares, O., Morales, M. T. V., Gomez, R. G., & López-Vélez, A. L. (2023). La realidad trans en el sistema educativo: una revisión sistemática. Revista de Psicodidáctica. https://doi.org/10.1016/j.psicod.2022.12.002

Fassaert, T., De Wit, M., Tuinebreijer, W., Wouters, H., Verhoeff, A., Beekman, A. (2009). Psychometric properties of an inter-viewer-administered version of the Kessler Psychological Dis-tress scale (K10) among Dutch, Moroccan and Turkish re-spondents. International Journal of Methods in Psychiatric Re-search, 18, 159-168. https://doi.org/10.1002/mpr.288

Fiani, C. N., & Han, H. J. (2019). Navigating identity: Experiences of binary and non-binary transgender and gender non-conforming adults. International Journal of Transgenderism, 20(2–3), 181-194. https://doi.org/10.1080/15532739.2018.1426074

Figueroa, W. S., Zoccola, P. M., Manigault, A. W., Hamilton, K. R., Scanlin, M. C., & Johnson, R. C. (2021). Daily stressors and di-urnal cortisol among sexual and gender minority young adults. Health Psychology, 40(2), 145-154. https://doi.org/10.1037/hea0001054

Ganju, D., & Saggurti, N. (2017). Stigma, violence, and HIV vul-nerability among transgender persons in sex work in Maha-rashtra, India. Culture, Health & Sexuality, 19(8), 903–917. https://doi:10.1080/13691058.2016.1271141

Garro, M., Novara, C., Di Napoli, G., Scandurra, C., Bochicchio, V., & Lavanco, G. (2022). The Role of Internalized Tran-sphobia, Loneliness, and Social Support in the Psychological Well-Being of a Group of Italian Transgender and Gender Non-Conforming Youths. Healthcare (Basel, Switzerland), 10(11), 2282. https://doi.org/10.3390/healthcare10112282

Gracía, C. (2023). Abogan por una política pública contra la violencia hacia la comunidad trans en Puerto Rico. El Vocero. https://www.elvocero.com/

Granados-Cosme, J. A. (2022). La investigación sobre discriminación a LGBT en la atención médica. DIVULGARE Boletín Científico De La Escuela Superior De Actopan, 9(17), 10-16. https://doi.org/10.29057/esa.v9i17.8075

Grant J. M., Mottet L, Tanis J. E., Harrison J, Herman J, K. M. (2011). Injustice at every turn: A report of the National Transgender Discrimination Survey. National Center for Transgender Equality and National Gay and Lesbian Task Force. https://doi.org/10.1016/S0016-7878(90)80026-2

Grimaldo-Muchotrigo, M., Correa-Rojas, J., & Calderón-De la Cruz, G. (2021). Evidencias psicométricas de la Escala de Autoeficacia General (EAG) en universitarios peruanos. Ansiedad y Estrés, 27(2–3), 132–139. https://doi.org/10.5093/anyes2021a18

Hammarlund, R., Crapanzano, K. A., Luce, L., Mulligan, L., & Ward, K. M. (2018). Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug-and alcohol-use disorders. Substance abuse and rehabilitation, 9, 115–136. https://doi.org/10.2147/SAR.S183256

Hembree, W. C., Cohen-Kettenis, P. T., Gooren, L., Hannema, S. E., Meyer, W. J., Murad, M. H., Rosenthal, S. M., Safer, J. D., Tangpricha, V., & T’Sjoen, G. G. (2017). Endocrine treatment of gender-dysphoric/gender-incongruent persons: An Endo-crine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology; Metabolism, 102(11), 3869–3903. https://doi.org/10.1210/jc.2017-01658

Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconform-ing clients: An adaptation of the minority stress model. Profes-sional Psychology: Research and Practice, 43(5), 460–467. https://doi.org/10.1037/a0029597

Herman, J. L., Flores, A. R., & O'Neill, K. K. (2022). How many adults and youth identify as transgender in the United States?. The Williams Institute, UCLA School of Law. https://escholarship.org/uc/item/4xs990ws

Hernández-Del Valle, S., Alicea-Cruz, A., Rodríguez-Gómez, J.R. & Pérez-Pedrogo, C. (2022). Examinando las propiedades psicométricas del Cuestionario de Identidad Transgénero en residentes de Puerto Rico: Un análisis preliminar. Ciencias de la Conducta/Behavioral Sciences Journal, 37(1), 79-97. https://www.cienciasdelaconducta.org/index.php/cdc/article/view/104/79

Hides, L., Lubman, D. I., Devlin, H., Cotton, S., Aitken, C., Gibbie, T. (2007). Reliability and validity of the Kessler 10 and Patient Health Questionnaire among injecting drug users. Australian and New Zealand Journal of Psychiatry, 41, 166-168. https://doi.org/10.1080/00048670601109949

Horne, S. G., McGinley, M., Yel, N., & Maroney, M. R. (2022). The stench of bathroom bills and anti-transgender legislation: Anxiety and depression among transgender, nonbinary, and cisgender LGBQ people during a state referendum. Journal of counseling psychology, 69(1), 1–13. https://doi.org/10.1037/cou0000558

Inderbinen, M., Schaefer, K., Schneeberger, A., Gaab, J., & Garcia Nuñez, D. (2021). Relationship of internalized transnegativity and protective factors with depression, anxiety, non-suicidal self-injury and suicidal tendency in trans populations: A sys-tematic review. Frontiers in psychiatry, 12, 636513. https://doi.org/10.3389/fpsyt.2021.636513

Jerusalem, M., & Schwarzer, R. (2013). General Self-Efficacy Scale--Revised--Spanish Version. PsycTESTS Dataset. https://doi.org/10.1037/t11407-000

Kessler, R., Barker, P., Colpe, L., Epstein, J., Gfroerer, J., Hiripi, E. (2003). Screening for serious mental illness in the general population. Archives of general psychiatry, 60(2), 184-189. https://doi.org/10.1001/archpsyc.60.2.184

Kraschel, K. L., Chen, A., Turban, J. L., & Cohen, I. G. (2022). Legislation restricting gender-affirming care for transgender youth: Politics eclipse healthcare. Cell reports. Medicine, 3(8), 100719. https://doi.org/10.1016/j.xcrm.2022.100719

Lee, H., Tomita, K. K., Habarth, J. M., Operario, D., Yi, H., Choo, S., & Kim, S. S. (2020). Internalized transphobia and mental health among transgender adults: A nationwide cross-sectional survey in South Korea. International journal of transgender health, 21(2), 182–193. https://doi.org/10.1080/26895269.2020.1745113

Lee, M. K., Yih, Y., Willis, D. R., Fogel, J. M., & Fortenberry, J. D. (2023). The impact of gender affirming medical care during adolescence on adult health outcomes among transgender and gender diverse individuals in the United States: The role of state-level policy stigma. LGBT health, 10.1089/lgbt.2022.0334. https://doi.org/10.1089/lgbt.2022.0334

Lefevor, G. T., Boyd-Rogers, C. C., Sprague, B. M., & Janis, R. A. (2019). Health disparities between genderqueer, transgender, and cisgender individuals: An extension of minority stress theory. Journal of Counseling Psychology, 66(4), 385-395. https://doi.org/10.1037/cou0000339

López, G. P. (2022). Identidad de género: Conceptos actuales y tratamiento hormonal de afirmación de género. Endocrinología, Diabetes y Nutrición, 70, 27-37. https://doi.org/10.1016/j.endinu.2022.02.007

Martínez-Taboas, A., Esteban, C., & Vázquez-Rivera, M. (2018). From darkness to daylight: Lessons learned in Puerto Rico to advance the recognition of LGBT studies [special section]. Revista Ciencias de la Conducta, 33(1), 95–118. https://www.cienciasdelaconducta.org/index.php/cdc/article/view/6/11

Martínez-Taboas, A., Jiménez-Colón, G., Torres Narváez, M., Colón Laboy, M., Méndez Ruiz, J., Valdez Pimentel, Y., & González-Jiménez, C. (2016). LGBT y sexualidad en revistas psicológicas puertorriqueñas: Un análisis bibliométrico. Ciencias de la Conducta, 31(1), 73–84. https://www.cienciasdelaconducta.org/index.php/cdc/article/view/73/59

Martínez-Vélez, J. J., Melin, K., & Rodriguez-Diaz, C. E. (2019). A preliminary assessment of selected Social Determinants of Health in a sample of transgender and gender nonconform-ing individuals in Puerto Rico. Transgender Health, 4(1), 9–17. https://doi.org/10.1089/trgh.2018.0045

Merwin, R. M., Rosenthal, M. Z., & Coffey, K. A. (2009). Experi-ential avoidance mediates the relationship between sexual victimization and psychological symptoms: Replicating find-ings with an ethnically diverse sample. Cognitive Therapy and Research, 33, 537-542. https://doi.org/10.1007/s10608-008-9225-7

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697. https://doi.org/10.1037/0033-2909.129.5.674

Narang, P., Sarai, S. K., Aldrin, S., & Lippmann, S. (2018). Suicide among transgender and gender-nonconforming people. The Primary Care Companion for CNS Disorders, 20(3), 18nr02273. https://doi.org/10.4088/PCC.18nr02273

Otero-Cordero, C. T., Pérez-Pedrogo, C., & Rosario-Rodríguez, A. (2020). Efecto mediador de la angustia psicológica y la satisfacción sexual en puertorriqueños con cáncer de próstata. Revista Caribeña de Psicología, 4(3), 191-203. https://doi.org/10.37226/rcp.v4i3.4953

Owens, T. K., Mizock, L., Ormerod, A. J., Nelson, A., St Amand, C., Paces-Wiles, D., & Judd, T. D. (2022). "Invisible in the most tragic of ways": Exploring internalized transphobia and cop-ing through photovoice. Health Promotion Practice. https://doi.org/10.1177/15248399221114340

Pellicane, M. J., & Ciesla, J. A. (2022). Associations between mi-nority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals: Sys-tematic review and meta-analysis. Clinical psychology re-view, 91, 102113. https://doi.org/10.1016/j.cpr.2021.102113

Perez-Brumer, A., Hatzenbuehler, M. L., Oldenburg, C. E., & Bockting, W. (2015). Individual- and structural-level risk fac-tors for suicide attempts among transgender adults. Behavioral Medicine, 41(3), 164–171. https://doi.org/10.1080/08964289.2015.1028322

Pérez-Pedrogo, C. & Planas-García, B. (2023). Factores estructurales de vulnerabilizan a personas con trastorno por uso de sustancias: La relevancia de su investigación. In J. Rodríguez-Gómez (Ed), Modalidades en la investigación científica: Dimensiones interdisciplinarias (pp. 213-228). Publicaciones Gaviota.

Pérez-Pedrogo, C., Planas-García, B., Ortega-Guzmán, J., Rivera-Suazo, S., Caraballo, J.N. & Albizu-García, C. (2022). Cultural adaptation and psychometric properties of the Substance Abuse Self-Stigma among Latinos with substance use disor-ders: An effective screening tool for correctional and com-munity settings. Stigma and Health, 7(3), 347-357. http://dx.doi.org/10.1037/sah0000383

Pérez-Pedrogo, C., Planas-García, B. Y., Ortega-Guzmán, J., Rivera-Suazo, S., Caraballo, J. N., & Albizu-García, C. E. (2022). Cultural adaptation and psychometric properties of the Substance Abuse Self-Stigma Scale among Latinos with Substance Use Disorders: An effective screening tool for cor-rectional and community Settings. Stigma and Health. http://dx.doi.org/10.1037/sah0000383

Rabinowitz, P. (2014). Investigación participativa basada en la comunidad. Caja de herramientas comunitarias. https://ctb.ku.edu/es/tabla-de-contenidos/evaluar/introduccion-a-la-evaluacion/investigacion-participativa/principal

Radi, B., & Pagani, C. (2021). ¿Qué perspectiva?¿ Cuál género? De la educación sexual integral al estrés de minorías. Praxis educativa, 25(1), 241-253. https://dx.doi.org/https://doi.org/10.19137/praxiseducativa-2021-250116

Roberts, T. K., & Fantz, C. R. (2014). Barriers to quality health care for the transgender population. Clinical biochemistry, 47(10-11), 983–987. https://doi.org/10.1016/j.clinbiochem.2014.02.009

Rodríguez, A., García, M., & Gras, R. (2019). La salud de adolescentes y adultos transgénero: Revisión sistemática desde la perspectiva de género. Revista Iberoamericana de Diagnóstico y Evaluación – e Avaliação Psicológica, 50(4). https://doi.org/10.21865/ridep50.1.01

Rodríguez-Madera, S. L., Padilla, M., Varas-Díaz, N., Neilands, T., Vasques-Guzzi, A. C., Florenciani, E. J., & Ramos-Pibernus, A. (2017): Experiences of violence among transgender women in Puerto Rico: An underestimated problem. Journal of Homosex-uality, 64(2), 209-217. https://doi.org/10.1080/00918369.2016.1174026

Rodríguez-Madera, S., Ramos-Pibernus, A., Padilla, M., & Varas-Diaz, N. (2015). Radiography of trans communities in Puerto Rico: Making visible alternative femininities and masculini-ties. LGBT 101, 290-314.

Rogers, B.A. (2019). “Contrary to all the other shit I’ve said”: Trans men passing in the South. Qual Sociol 42, 639–662. https://doi.org/10.1007/s11133-019-09436-w

Rood, B. A., Reisner, S. L., Puckett, J. A., Surace, F. I., Berman, A. K., & Pantalone, D. W. (2017). Internalized transphobia: Ex-ploring perceptions of social messages in transgender and gender-nonconforming adults. International Journal of Transgenderism, 18(4), 411–426. https://doi.org/10.1080/15532739.2017.1329048

Rottnek, J. P. (2020). Affirming solutions: Using solution-focused brief therapy with transgender, gender nonconforming, and gender questioning youth. Journal of Systemic Therapies, 39(4), 13-28. https://doi.org/10.1521/jsyt.2020.39.4.13

Sánchez, F. J., & Vilain, E. (2009). Collective Self-Esteem as a Cop-ing Resource for Male-to-Female Transsexuals. Journal of Coun-seling Psychology, 56(1), 202–209. https://doi.org/10.1037/a0014573

Sanjuán, P., Pérez, A.M., y Bermúdez, J. (2000). Escala de autoeficacia general: datos psicométricos de la adaptación para población española. Psicothema, 12, 509-513. https://www.redalyc.org/pdf/727/72797116.pdf

Scandurra, C., Bochicchio, V., Amodeo, A. L., Esposito, C., Vale-rio, P., Maldonato, N. M., Bacchini, D., & Vitelli, R. (2018). In-ternalized transphobia, resilience, and mental health: Apply-ing the psychological mediation framework to Italian transgender individuals. International Journal of Environmental Research and Public Health, 15(3). https://doi.org/10.3390/ijerph15030508

Schwarzer, R., & Jerusalem, M. (1995). General Self-Efficacy Scale. PsycTESTS Dataset. https://doi.org/10.1037/t00393-000

Schwarcer, R. (1993). Measurement of perceived self-efficacy. Psychometric scales for cross-cultural research. Berlin: Freie Universit

Senado de Puerto Rico. (2021). Proyecto del Senado 485. https://aldia.microjuris.com/wp-content/uploads/2021/09/PS485-Radicado.pdf

Serra-Taylor, J. (2010). Autoeficacia y rendimiento académico en estudiantes universitarios. Revista Griot, 3(2), 37-45. https://revistas.upr.edu/index.php/griot/article/view/1877

Serra-Taylor, J., & Irizarry-Robles, C. Y. (2015). Factores protectores de la depresión en una muestra de adultos mayores en Puerto Rico: autoeficacia, escolaridad y otras variables sociodemográficas. Acta Colombiana de Psicología, 18(1), 125-134. https://doi.org/10.14718/ACP.2015.18.1.12

Tebbe, E. A., & Budge, S. L. (2022). Factors that drive mental health disparities and promote well-being in transgender and nonbinary people. Nature Reviews Psychology, 1(12), 694-707. https://doi.org/10.1038/s44159-022-00109-0

Tebbe, E. A., Simone, M., Wilson, E., & Hunsicker, M. (2022). A dangerous visibility: Moderating effects of antitrans legislative efforts on trans and gender-diverse mental health. Psychology of Sexual Orientation and Gender Diversity, 9(3), 259–271. https://doi.org/10.1037/sgd0000481

Testa, R. J., Habarth, J., Peta, J., Balsam, K., & Bockting, W. (2015). Development of the gender minority stress and resilience measure. Psychology of Sexual Orientation and Gender Diversity, 2(1), 65-77. https://doi.org/10.1037/sgd0000081

The Trevor Project. (2023). 2023 U.S. national survey on the men-tal health of LGBTQ young people. [PDF] https://www.thetrevorproject.org/survey-2023/assets/static/05_TREVOR05_2023survey.pdf

Vázquez-Rivera, M., Martínez-Taboas, A., Francia-Martínez, M., & Toro-Alfonso, J. (Eds.) (2016). LGBT 101. Hato Rey, PR: Publicaciones Puertorriqueñas

Villegas-Simón, I., Sánchez-Soriano, J. J., & Ventura, R. (2023). ‘If you don’t “pass” as cis, you don’t exist’. The trans audience’s reproofs of ‘Cis Gaze’ and transnormativity in TV series. Euro-pean Journal of Communication, 0(0). https://doi.org/10.1177/02673231231163704

Westbrook, L. (2022). Violence against transgender people in the United States: Field growth, data dilemmas, and knowledge gaps. Sociology compass, 16(6), e12983. https://doi.org/10.1111/soc4.12983

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. https://doi.org/10.1016%2Fj.socscimed.2015.11.010

Williams-Colón, G., Alicea-Cruz, A. J., Pérez-Pedrogo, C., & Rodríguez-Gómez, J. R. (2021). Transfobia y religiosidad en Puerto Rico: Estudio exploratorio en profesionales de la salud. Revista Caribeña de Psicología, 5(1), e5633. https://doi.org/10.37226/rcp.v5i1.5633

Zwickl, S., Wong, A. F. Q., Dowers, E., Leemaqz, S. Y., Bretherton, I., Cook, T., Zajac, J. D., Yip, P. S. F., & Cheung, A. S. (2021). Factors associated with suicide attempts among Australian transgender adults. BMC psychiatry, 21(1), 81. https://doi.org/10.1186/s12888-021-03084-7

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2024-02-06

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Hernández-Del Valle, S. M., Alicea-Cruz, A., Esteban , C., & Pérez-Pedrogo, C. (2024). Transfobia Internalizada, Angustia Psicológica y Autoeficacia en Personas Transgénero Bajo Tratamiento Hormonal en Puerto Rico. Revista Caribeña De Psicología, 8(1), e8069. https://doi.org/10.37226/rcp.v8i1.8069

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