Coping and psychological distress among genderqueer individuals: The moderating effect of social support
Abstract
This study examined the relationships between social support, coping, depression, and anxiety in a sample of genderqueer individuals (n = 64). Genderqueer is a label used within the broader transgender community and is defined as a gender identity that is outside the binary construct of male and female. Findings indicate that 53% (n = 34) of participants reported clinical levels of depression and 39% (n = 25) reported clinical levels of anxiety. There was a direct relationship between social support and depression and anxiety, indicating that more social support is associated with less depression and anxiety when statistically excluding coping factors. In addition, more facilitative coping (e.g., seeking help) was related to less anxiety, whereas more avoidant coping (e.g., avoiding emotions) was related to more anxiety and depression. There was a significant interaction between social support and coping factors when predicting anxiety, such that individuals who reported higher social support used more facilitative coping which was associated with less anxiety and those who reported less social support used more avoidant coping which was associated with more anxiety. Clinical implications for working with genderqueer-identified clients are discussed.
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Non-binary gender diverse people may experience even greater levels of gender-based discrimination and negative mental health outcomes than binary transgender individuals.
“non-binary gender diverse people may experience even greater levels of gender-based discrimination and negative mental health outcomes than binary transgender individuals”
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,644 · see citing works
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391 · see citing works
Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
Carter, M. J. (2014) · Therapeutic Recreation Journal · Cited by 15,154 · see citing works
Meyer, I. H. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.5.674 · Cited by 14,736 · see citing works
The Multidimensional Scale of Perceived Social Support
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5201_2 · Cited by 13,339 · see citing works
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.56.2.267 · Cited by 11,679 · see citing works
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.
Folkman, S., Lazarus, R. S., Dunkel‐Schetter, C., DeLongis, A., & Gruen, R. J. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.50.5.992 · Cited by 4,893 · see citing works
Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.
Folkman, S., Lazarus, R. S., Dunkel‐Schetter, C., et al. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.5.992 · Cited by 3,552 · see citing works
Coping theory and research: past, present, and future
Lazarus, R. S. (1993) · Psychosomatic Medicine · doi:10.1097/00006842-199305000-00002 · Cited by 3,253 · see citing works
Coleman, E., Bockting, W. O., Botzer, M., Cohen‐Kettenis, P. T., Cuypere, G. D., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., et al. (2012) · International Journal of Transgenderism · doi:10.1080/15532739.2011.700873 · Cited by 3,145 · see citing works
Multidimensional assessment of coping: a critical evaluation
Endler, N. S., & Parker, J. D. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.58.5.844 · Cited by 2,237 · cited 1× · see citing works
“Additional validation analysis of the WOC-R was conducted by Endler and Parker (1990).”
MethodHendricks, M. L., & Testa, R. J. (2012) · Professional Psychology: Research and Practice · doi:10.1037/a0029597 · Cited by 2,134 · see citing works
Injustice at Every Turn: A Report of the National Transgender Discrimination Survey
Grant, J. M., Motter, L. A., & Tanis, J. (2011) · Cited by 2,063 · see citing works
Hiding feelings: The acute effects of inhibiting negative and positive emotion.
Gross, J. J., & Levenson, R. W. (1997) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.106.1.95 · Cited by 1,843 · see citing works
Hiding feelings: The acute effects of inhibiting negative and positive emotion
Gross, J. J., & Levenson, R. W. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.1.95 · Cited by 1,834 · see citing works
Statistical tests for moderator variables: Flaws in analyses recently proposed.
Cronbach, L. J. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.102.3.414 · Cited by 996 · see citing works
Clements-Nolle, K., Marx, R., & Katz, M. (2006) · Journal of Homosexuality · doi:10.1300/j082v51n03_04 · Cited by 965 · see citing works
Clements-Nolle, K. D., Marx, R., Guzman, R., & Katz, M. H. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.6.915 · Cited by 776 · see citing works
Budge, S. L., Adelson, J. L., & Howard, K. A. S. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0031774 · Cited by 676 · see citing works
Self-citationWho Is Multiracial? Assessing the Complexity of Lived Race
Harris, D., & Sim, J. J. (2002) · American Sociological Review · doi:10.2307/3088948 · Cited by 658 · see citing works
Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.178319 · Cited by 619 · see citing works
The Development and Validation of the Genderism and Transphobia Scale
Hill, D. B., & Willoughby, B. L. B. (2005) · Sex Roles · doi:10.1007/s11199-005-7140-x · Cited by 577 · see citing works
Lev, A. I. (2004) · Cited by 560 · see citing works
Stress Generation, Avoidance Coping, and Depressive Symptoms: A 10-Year Model.
Holahan, C. J., Moos, R. H., Holahan, C. K., Brennan, P. L., & Schutte, K. K. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.4.658 · Cited by 558 · see citing works
Limitations of Diagnostic Criteria and Assessment Instruments for Mental Disorders
Regier, D. A., Kaelber, C. T., Rae, D. S., Farmer, M. E., Knaüper, B., Kessler, R. C., & NORQUIST, G. S. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.2.109 · Cited by 549 · see citing works
The social costs of emotional suppression: a prospective study of the transition to college
Srivastava, S., Tamir, M., McGonigal, K. M., John, O. P., & Gross, J. J. (2009) · Journal of Personality and Social Psychology · doi:10.1037/a0014755 · Cited by 504 · see citing works
Nemoto, T., Bödeker, B., & Iwamoto, M. (2011) · American Journal of Public Health · doi:10.2105/ajph.2010.197285 · Cited by 410 · see citing works
Nuttbrock, L. A., Hwahng, S., Bockting, W. O., Rosenblum, A., Mason, M., Macri, M., & Becker, J. (2010) · The Journal of Sex Research · doi:10.1080/00224490903062258 · Cited by 398 · see citing works
Perceived Determinants of Mental Health for Bisexual People: A Qualitative Examination
Ross, L. E., Dobinson, C., & Eady, A. (2010) · American Journal of Public Health · doi:10.2105/ajph.2008.156307 · Cited by 317 · see citing works
Interaction of cognitive avoidance coping and stress in predicting depression/anxiety
Blalock, J. A., & Joiner, T. E. (2000) · Cognitive Therapy and Research · doi:10.1023/a:1005450908245 · Cited by 256 · see citing works
Factor, R. J., & Rothblum, E. D. (2007) · Journal of LGBT Health Research · doi:10.1080/15574090802092879 · Cited by 244 · see citing works
Psychiatric comorbidity in gender identity disorder
Hepp, U., Kraemer, B., Schnyder, U., Miller, N., & Delsignore, A. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.08.010 · Cited by 238 · see citing works
The lives of transgender people
(2012) · Choice Reviews Online · doi:10.5860/choice.49-5976 · Cited by 237 · see citing works
Gender Nonconformity as a Target of Prejudice, Discrimination, and Violence Against LGB Individuals
Gordon, A. R., & Meyer, I. H. (2007) · Journal of LGBT Health Research · doi:10.1080/15574090802093562 · Cited by 221 · see citing works
Rothman, E. F., Sullivan, M., Keyes, S. M., & Boehmer, U. (2012) · Journal of Homosexuality · doi:10.1080/00918369.2012.648878 · Cited by 206 · see citing works
Becoming visible: counseling bisexuals across the lifespan
(2008) · Choice Reviews Online · doi:10.5860/choice.45-2897 · Cited by 206 · see citing works
Budge, S. L., Tebbe, E. N., & Howard, K. A. S. (2010) · Journal of Counseling Psychology · doi:10.1037/a0020472 · Cited by 204 · see citing works
Self-citationGender Nonconformity, Homophobia, and Mental Distress in Latino Gay and Bisexual Men
Sandfort, T. G. M., Melendez, R. M., & Díaz, R. M. (2007) · The Journal of Sex Research · doi:10.1080/00224490701263819 · Cited by 203 · see citing works
Burdge, B. J. (2007) · Social Work · doi:10.1093/sw/52.3.243 · Cited by 203 · see citing works
American Counseling Association Competencies for Counseling with Transgender Clients
(2010) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2010.524839 · Cited by 195 · see citing works
Yoshikawa, H., Wilson, P. A., Chae, D. H., & Cheng, J.-F. (2004) · AIDS Education and Prevention · doi:10.1521/aeap.16.1.84.27719 · Cited by 185 · see citing works
(1997) · Medical Entomology and Zoology · Cited by 181 · see citing works
Why are depression and anxiety correlated? A test of the tripartite model.
Burns, D. D., & Eidelson, R. J. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.3.461 · Cited by 176 · see citing works
Davidson, M. E. (2007) · Sexuality Research and Social Policy · doi:10.1525/srsp.2007.4.4.60 · Cited by 172 · see citing works
The Lives of Transgender People
Drummond, A. (2012) · Psychology of Sexualities Review · doi:10.53841/bpssex.2012.3.1.98 · Cited by 169 · see citing works
Cardiovascular responses of embarrassment and effects of emotional suppression in a social setting
Harris, C. R. (2001) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.81.5.886 · Cited by 166 · see citing works
Transgender Emotional and Coping Processes
Budge, S. L., Katz‐Wise, S. L., Tebbe, E. N., Howard, K. A. S., Schneider, C. L., & Rodríguez, A. (2012) · The Counseling Psychologist · doi:10.1177/0011000011432753 · Cited by 154 · see citing works
Self-citationBilodeau, B. L. (2005) · Journal of Gay & Lesbian Issues in Education · doi:10.1300/j367v03n01_05 · Cited by 137 · see citing works
Why are depression and anxiety correlated? A test of the tripartite model.
Burns, D. D., & Eidelson, R. J. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.3.461 · Cited by 128 · see citing works
Pinto, R. M., Melendez, R. M., & Spector, A. Y. (2008) · Sexual and Gender Diversity in Social Services · doi:10.1080/10538720802235179 · Cited by 121 · see citing works
Psychiatric comorbidity among patients with gender identity disorder
Hoshiai, M., Matsumoto, Y., Sato, T., Ohnishi, M., Okabe, N., Kishimoto, Y., Terada, S., & Kuroda, S. (2010) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2010.02118.x · Cited by 120 · see citing works
Gnilka, P. B., Ashby, J. S., & Noble, C. M. (2012) · Journal of Counseling & Development · doi:10.1002/j.1556-6676.2012.00054.x · Cited by 113 · see citing works
Questioning Gender and Sexuality Binaries
McPhail, B. A. (2004) · Sexual and Gender Diversity in Social Services · doi:10.1300/j041v17n01_02 · Cited by 102 · see citing works
Ambiguous Identity in an Unambiguous Sex/Gender Structure: The Case of Bisexual Women
Ault, A. (1996) · Sociological Quarterly · doi:10.1111/j.1533-8525.1996.tb00748.x · Cited by 101 · see citing works
Transforming the paradigm of transgender health: a field in transition
Bockting, W. O. (2009) · Sexual & Relationship Therapy · doi:10.1080/14681990903037660 · Cited by 101 · see citing works
Golub, S. A., Walker, J. J., Longmire-Avital, B., Bimbi, D. S., & Parsons, J. T. (2010) · Journal of Health Psychology · doi:10.1177/1359105310364169 · Cited by 94 · see citing works
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2011) · Journal of Youth and Adolescence · doi:10.1007/s10964-011-9681-3 · Cited by 92 · see citing works
Sharpening the Focus: Emotion Regulation, Arousal, and Social Competence
Gross, J. J. (1998) · Psychological Inquiry · doi:10.1207/s15327965pli0904_8 · Cited by 91 · see citing works
Dodge, B., & Sandfort, T. G. M. (2007) · Cited by 87 · see citing works
Frazier, P. A., Tix, A. P., & Barnett, C. L. (2003) · Personality and Social Psychology Bulletin · doi:10.1177/0146167203254545 · Cited by 85 · see citing works
Schleicher, H. E., Harris, K. J., Catley, D., & Nazir, N. (2009) · Journal of American College Health · doi:10.3200/jach.57.5.507-512 · Cited by 84 · see citing works
Moving Counseling Forward on LGB and Transgender Issues
Smith, L. C., Shin, R. Q., & Officer, L. M. (2011) · The Counseling Psychologist · doi:10.1177/0011000011403165 · Cited by 74 · see citing works
Yeh, C. J., Okubo, Y., Ma, P. W., Shea, M., Ou, D., & Pituc, S. T. (2008) · PubMed · Cited by 73 · see citing works
Social Support and Positive Health Practices
McNicholas, S. L. (2002) · Western Journal of Nursing Research · doi:10.1177/019394502237387 · Cited by 73 · see citing works
Raj, R. (2002) · International Journal of Transgenderism · Cited by 64 · see citing works
Changes in affect during treatment for depression and anxiety
Kring, A. M., Persons, J. B., & Thomas, C. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.02.001 · Cited by 63 · see citing works
Identity Support, Identity Devaluation, and Well-Being Among Lesbians
Beals, K. P., & Peplau, L. A. (2005) · Psychology of Women Quarterly · doi:10.1111/j.1471-6402.2005.00176.x · Cited by 59 · see citing works
Psychosocial Stressors and Patterns of Coping in Adolescent Suicide Attempters
Mathew, A., & Nanoo, S. (2013) · Indian Journal of Psychological Medicine · doi:10.4103/0253-7176.112200 · Cited by 53 · see citing works
King, A. R. (2011) · Journal of college student development · doi:10.1353/csd.2011.0050 · Cited by 49 · see citing works
Katz, J., Petracca, M., & Rabinowitz, J. (2009) · American Journal of Family Therapy · doi:10.1080/01926180802405596 · Cited by 43 · see citing works
Boisvert, J. A., McCreary, D. R., Wright, K. D., & Asmundson, G. J. G. (2003) · Depression and Anxiety · doi:10.1002/da.10080 · Cited by 42 · see citing works
Mixed Resilience: A Study of Multiethnic Mexican American Stress and Coping in Arizona
Jackson, K. F., Wolven, T., & Aguilera, K. (2013) · Family Relations · doi:10.1111/j.1741-3729.2012.00755.x · Cited by 35 · see citing works
Anxiety and depression change together during treatment
Persons, J. B., Roberts, N. A., & Zalecki, C. A. (2003) · Behavior Therapy · doi:10.1016/s0005-7894(03)80010-2 · Cited by 29 · see citing works
Gender Please, Without the Gender Police
Detloff, M. (2006) · Journal of Lesbian Studies · doi:10.1300/j155v10n01_05 · Cited by 5 · see citing works
MYERS, K. A. (2012) · Journal of Contemporary Ethnography · doi:10.1177/0891241611431701 · Cited by 4 · see citing works
Distress in the Transition Process: The Role of Loss, Community, and Coping.
Budge, S. L. (2011) · ProQuest LLC eBooks · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Non-binary/Genderqueer Identities: a Critical Review of the Literature
Matsuno, E. G., & Budge, S. L. (2017) · Current Sexual Health Reports · doi:10.1007/s11930-017-0111-8 · Cited by 341 · see citing works
Self-citationSuicide risk in trans populations: An application of minority stress theory.
Tebbe, E. A., & Moradi, B. (2016) · Journal of Counseling Psychology · doi:10.1037/cou0000152 · Cited by 268 · see citing works
Barr, S. M., Budge, S. L., & Adelson, J. L. (2016) · Journal of Counseling Psychology · doi:10.1037/cou0000127 · Cited by 252 · see citing works
Self-citationThe terminology of identities between, outside and beyond the gender binary – A systematic review
Thorne, N., Yip, A. K.-T., Bouman, W. P., Marshall, E. O., & Arcelus, J. (2019) · International Journal of Transgenderism · doi:10.1080/15532739.2019.1640654 · Cited by 182 · see citing works
Adult development and quality of life of transgender and gender nonconforming people
Bockting, W., Coleman, E., Deutsch, M. B., Guillamon, A., Meyer, I., Meyer, W., Reisner, S., Sevelius, J., & Ettner, R. (2016) · Current Opinion in Endocrinology, Diabetes & Obesity · doi:10.1097/med.0000000000000232 · Cited by 181 · see citing works
Lesbian, Gay, Bisexual, and Transgender Careers and Human Resource Development
McFadden, C. (2015) · Human Resource Development Review · doi:10.1177/1534484314549456 · Cited by 156 · see citing works
Identifying Predictors of Psychological Distress During COVID-19: A Machine Learning Approach
Prout, T. A., Zilcha‐Mano, S., Doorn, K. A., Békés, V., Christman-Cohen, I., Whistler, K., Kui, T., & Giuseppe, M. D. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.586202 · Cited by 154 · see citing works
Kidd, J. D., Jackman, K., Barucco, R., Dworkin, J. D., Dolezal, C. L., Navalta, T. V., Belloir, J. A., & Bockting, W. O. (2021) · Journal of Homosexuality · doi:10.1080/00918369.2020.1868185 · Cited by 153 · see citing works
“I would have preferred more options”: accounting for non‐binary youth in health research
Frohard‐Dourlent, H., Dobson, S., Clark, D. B. A., Doull, M., & Saewyc, E. (2016) · Nursing Inquiry · doi:10.1111/nin.12150 · Cited by 148 · see citing works
Invalidation experiences among non-binary adolescents
Johnson, K. C., LeBlanc, A. J., Deardorff, J., & Bockting, W. O. (2020) · The Journal of Sex Research · doi:10.1080/00224499.2019.1608422 · Cited by 142 · see citing works
Genders and Individual Treatment Progress in (Non-)Binary Trans Individuals
Koehler, A., Eyssel, J., & Nieder, T. O. (2017) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2017.11.007 · Cited by 119 · see citing works
Health Care Experiences of Transgender Binary and Nonbinary University Students
Goldberg, A. E., Kuvalanka, K. A., Budge, S. L., Benz, M. B., & Smith, J. Z. (2019) · The Counseling Psychologist · doi:10.1177/0011000019827568 · Cited by 117 · see citing works
Self-citationMoody, C., Fuks, N., Peláez, S., & Smith, N. G. (2015) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000130 · Cited by 92 · see citing works
Nonbinary-Affirming Psychological Interventions
Matsuno, E. G. (2019) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.09.003 · Cited by 92 · see citing works
Gender differences in mental health prevalence in autism
Sedgewick, F., Leppänen, J., & Tchanturia, K. (2020) · Advances in Autism · doi:10.1108/aia-01-2020-0007 · Cited by 88 · see citing works
Coping, family social support, and psychological symptoms among student veterans.
Romero, D. H., Riggs, S. A., & Ruggero, C. J. (2015) · Journal of Counseling Psychology · doi:10.1037/cou0000061 · Cited by 89 · see citing works
Galupo, M. P., Pulice-Farrow, L., & Ramirez, J. L. (2017) · Springer eBooks · doi:10.1007/978-3-319-55658-1_10 · Cited by 78 · see citing works
Strübel, J., Sabik, N. J., & Tylka, T. L. (2020) · Body Image · doi:10.1016/j.bodyim.2020.08.004 · Cited by 80 · see citing works
Ansara, G. (2015) · Australian Journal on Ageing · doi:10.1111/ajag.12278 · Cited by 75 · see citing works
Stanton, A. M., Batchelder, A. W., Kirakosian, N., Scholl, J., King, D., Grasso, C., Potter, J., Mayer, K. H., & O’Cleirigh, C. (2021) · PLOS ONE · doi:10.1371/journal.pone.0245872 · Cited by 71 · see citing works
Exploring Healthcare Experiences of Transgender Individuals
Ross, K., Law, M. P., & Bell, A. (2016) · Transgender Health · doi:10.1089/trgh.2016.0021 · Cited by 70 · see citing works
Predictors of eating-related psychopathology in transgender and gender nonbinary individuals
Uniacke, B., Glasofer, D. R., Devlin, M. J., Bockting, W. O., & Attia, E. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101527 · Cited by 70 · see citing works
Budge, S. L., Thai, J. L., Tebbe, E. A., & Howard, K. A. S. (2016) · The Counseling Psychologist · doi:10.1177/0011000015609046 · Cited by 69 · see citing works
Self-citationOne size does not fit all: differential transgender health experiences
Kattari, S. K., Ash, B. A., Kinney, M. K., Walls, N. E., & Kattari, L. (2019) · Social Work in Health Care · doi:10.1080/00981389.2019.1677279 · Cited by 68 · see citing works
Sociopolitical Change and Transgender People’s Perceptions of Vulnerability and Resilience
Bockting, W. O., Barucco, R., LeBlanc, A. J., Singh, A. A., Mellman, W., Dolezal, C. L., & Ehrhardt, A. Α. (2019) · Sexuality Research and Social Policy · doi:10.1007/s13178-019-00381-5 · Cited by 67 · see citing works
Brennan, S. L., Irwin, J., Drincic, A., Amoura, N. J., Randall, A. D., & Smith-Sallans, M. (2017) · International Journal of Transgenderism · doi:10.1080/15532739.2017.1365034 · Cited by 67 · see citing works
Toplu-Demirtaş, E., Kemer, G., Pope, A. L., & Moe, J. L. (2018) · Journal of Counseling Psychology · doi:10.1037/cou0000261 · Cited by 65 · see citing works
Wellness and Distress in LGBTQ Populations: A Meta-Analysis
Moe, J. L. (2016) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2016.1163520 · Cited by 65 · see citing works
Taylor, J., Zalewska, A., Gates, J. J., & Millon, G. (2018) · International Journal of Transgenderism · doi:10.1080/15532739.2018.1445056 · Cited by 66 · see citing works
Jackman, K., Dolezal, C. L., Levin, B., Honig, J., & Bockting, W. O. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.08.092 · Cited by 63 · see citing works
Health, disability and quality of life among trans people in Sweden–a web-based survey
Zeluf, G., Dhejne, C., Orre, C., Mannheimer, L. N., Deogan, C. L., Höijer, J., & Thorson, A. E. (2016) · BMC Public Health · doi:10.1186/s12889-016-3560-5 · Cited by 60 · see citing works
Subjective Ratings of Gender Dysphoria Scales by Transgender Individuals
Galupo, M. P., & Pulice-Farrow, L. (2019) · Archives of Sexual Behavior · doi:10.1007/s10508-019-01556-2 · Cited by 60 · see citing works
Genderism in the LGBTQQIA Community: An Interpretative Phenomenological Analysis
Farmer, L. B., & Byrd, R. (2015) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2015.1103679 · Cited by 56 · see citing works
Dowers, E., White, C., Cook, K., & Kingsley, J. (2020) · International Journal of Transgender Health · doi:10.1080/26895269.2020.1771805 · Cited by 55 · see citing works
Quality of Life in Transitioned Trans Persons: A Retrospective Cross-Sectional Cohort Study
Jellestad, L., Jäggi, T., Corbisiero, S., Schaefer, D. J., Jenewein, J., Schneeberger, A. R., Kühn, A., & Núñez, D. G. (2018) · BioMed Research International · doi:10.1155/2018/8684625 · Cited by 55 · see citing works
Rodriguez-Seijas, C., Fields, E. C., Bottary, R., Kark, S. M., Goldstein, M. R., Kensinger, E. A., Payne, J. D., & Cunningham, T. J. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.590318 · Cited by 49 · see citing works
Losty, M., & O’Connor, J. (2017) · Psychoanalytic Psychotherapy · doi:10.1080/02668734.2017.1384933 · Cited by 49 · see citing works
Tordoff, D. M., Haley, S. G., Shook, A. G., Kantor, A. Z., Crouch, J. M., & Ahrens, K. R. (2020) · Sex Roles · doi:10.1007/s11199-020-01160-y · Cited by 49 · see citing works
Psychological Functioning in Non-binary Identifying Adolescents and Adults
de Graaf, N. M., Huisman, B., Cohen‐Kettenis, P. T., Twist, J., Hage, K., Carmichael, P., Kreukels, B. P. C., & Steensma, T. D. (2021) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2021.1950087 · Cited by 53 · see citing works
Self-Reported Changes in Attractions and Social Determinants of Mental Health in Transgender Adults
Katz‐Wise, S. L., Reisner, S. L., Hughto, J. M. W., & Budge, S. L. (2016) · Archives of Sexual Behavior · doi:10.1007/s10508-016-0812-5 · Cited by 46 · see citing works
Self-citationRider, G. N., Vencill, J. A., Berg, D. R., Becker-Warner, R., Candelario-Pérez, L., & Spencer, K. G. (2019) · International Journal of Transgenderism · doi:10.1080/15532739.2018.1485069 · Cited by 45 · see citing works
Social strain, distress, and gender dysphoria among transgender women and Hijra in Vadodara, India
Arvind, A., Pandya, A., Amin, L., Aggarwal, M., Agrawal, D., Tiwari, K., Singh, S., Nemkul, M., & Agarwal, P. (2021) · International Journal of Transgender Health · doi:10.1080/26895269.2020.1845273 · Cited by 41 · see citing works
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Conlin, S. E., Douglass, R. P., Larson-Konar, D. M., Gluck, M., Fiume, C., & Heesacker, M. (2019) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2019.1597818 · Cited by 39 · see citing works
Evelyn, S., Clancy, E. M., Klettke, B., & Tatnell, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116560 · Cited by 38 · see citing works
“Though often included with binary transgender individuals for research and sampling purposes, non-binary gender diverse people may experience even greater levels of gender-based discrimination and negative mental health outcomes than binary transgender individuals, as their gender identity further defies cultural gend…”
BackgroundPsychological Wellbeing and Perceived Social Acceptance in Gender Diverse Individuals
Romani, A., Mazzoli, F., Ristori, J., Cocchetti, C., Cassioli, E., Castellini, G., Mosconi, M., Meriggiola, M. C., Gualdi, S., Giovanardi, G., et al. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.08.012 · Cited by 35 · see citing works
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Levitt, H. M., Surace, F. I., Wheeler, E. E., Maki, E., Alcántara, D., Cadet, M., Cullipher, S., Desai, S., Sada, G. G., Hite, J., et al. (2017) · Sex Roles · doi:10.1007/s11199-017-0802-7 · Cited by 35 · see citing works
Non-binarité et transidentités à l’adolescence : une revue de la littérature
Poirier, F., Condat, A., Laufer, L., Rosenblum, O., & Cohen, D. (2018) · Neuropsychiatrie de l Enfance et de l Adolescence · doi:10.1016/j.neurenf.2018.08.004 · Cited by 29 · see citing works
Coming Out to Family and Friends in the Trans and Gender Diverse Context
Taube, L. N., & Mussap, A. J. (2022) · Journal of Homosexuality · doi:10.1080/00918369.2022.2106465 · Cited by 28 · see citing works
Cosgrove, D. (2020) · Sexual and Gender Diversity in Social Services · doi:10.1080/10538720.2020.1850385 · Cited by 27 · see citing works
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Stockmann, C., & Díaz, D. A. (2017) · Journal of Nursing Education · doi:10.3928/01484834-20171120-07 · Cited by 26 · see citing works
Cosgrove, D., Bozlak, C. T., & Reid, P. (2020) · Affilia · doi:10.1177/0886109920944535 · Cited by 26 · see citing works
Geist, C., Reynolds, M. M., & Gaytán, M. S. (2017) · Sociology Compass · doi:10.1111/soc4.12470 · Cited by 24 · see citing works
Sexuality-based stigma and depression among sexual minority individuals in rural United States
Marsack, J. E., & Stephenson, R. B. (2016) · Journal of Gay & Lesbian Mental Health · doi:10.1080/19359705.2016.1233164 · Cited by 20 · see citing works
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Bowling, J., Schoebel, V., & Vercruysse, C. (2019) · Transgender Health · doi:10.1089/trgh.2019.0015 · Cited by 19 · see citing works
Budge, S. L., Orovecz, J. J., Owen, J. J., & Sherry, A. R. (2016) · Counselling Psychology Quarterly · doi:10.1080/09515070.2016.1214558 · Cited by 18 · see citing works
Self-citationBreslow, A. S., Wojcik, H., Cox, R. W., Tran, N. M., & Brewster, M. E. (2020) · Transgender Health · doi:10.1089/trgh.2020.0038 · Cited by 17 · see citing works
Pipkin, A., Ward, L., Cotton, S., & Shearn, C. (2023) · International Journal of Transgender Health · doi:10.1080/26895269.2023.2260795 · Cited by 16 · see citing works
Outside the norm: Mental health, school adjustment and community engagement in non-binary youth
Durbeej, N., Abrahamsson, N., Papadopoulos, F. C., Beijer, K., Salari, R., & Sarkadi, A. (2019) · Scandinavian Journal of Public Health · doi:10.1177/1403494819890994 · Cited by 15 · see citing works
Understanding and Addressing the Health Implications of Anti-LGBTQ+ Legislation
King, E. B., Hebl, M. R., Corrington, A. R., Dhanani, L. Y., Holmes, O., Lindsey, A., Madera, J. M., Maneethai, D., Martinez, L. R., Ng, E. S., et al. (2024) · Occupational Health Science · doi:10.1007/s41542-024-00174-2 · Cited by 13 · see citing works
The impact of strengths-based group counseling on LGBTQ + young adults in the coming out process
Ali, S., & Lambie, G. W. (2018) · Journal of Gay & Lesbian Mental Health · doi:10.1080/19359705.2018.1530159 · Cited by 14 · see citing works
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Kichler, R. (2021) · Journal of Homosexuality · doi:10.1080/00918369.2021.1943277 · Cited by 14 · see citing works
Martinez, L. R., Sawyer, K. B., & Wilson, M. C. (2017) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2017.09.004 · Cited by 14 · see citing works
Kinney, M. K., & Cosgrove, D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159032 · Cited by 13 · see citing works
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Matsuno, E. G., Goodman, J. A., Israel, T., Choi, A. Y., Lin, Y.-J. R., & Kary, K. G. (2020) · Journal of Homosexuality · doi:10.1080/00918369.2020.1819714 · Cited by 13 · see citing works
Pipkin, A., Smith, A. W., & Shearn, C. (2022) · Mindfulness · doi:10.1007/s12671-022-01893-9 · Cited by 12 · see citing works
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Henderson, E. R. (2021) · Journal of Homosexuality · doi:10.1080/00918369.2021.1892406 · Cited by 10 · see citing works
Pantoja-Patiño, J. R. (2020) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2020.1790469 · Cited by 9 · see citing works
Heffernan, K., Dauenhauer, J. A., & Cesnales, N. I. (2023) · International Journal of Social Work Values and Ethics · doi:10.55521/10-020-112 · Cited by 9 · see citing works
Brown, D. L. (2021) · Feminist Media Studies · doi:10.1080/14680777.2021.1980077 · Cited by 8 · see citing works
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Chambi-Martínez, C. A. A., Moraga-Escobar, E. I., Peralta-Jiménez, G. A., Vera‐Calzaretta, A., Barrientos, J., Pihan, R., V, Gonzalo Klaassen, P., & Páez, D. (2021) · International Journal of Sexual Health · doi:10.1080/19317611.2021.2014014 · Cited by 7 · see citing works
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Wynn, R. D., Guo, L., Williamson, J., Stare, B. G., & Miller, R. A. (2022) · Currents Journal of Diversity Scholarship for Social Change · doi:10.3998/ncidcurrents.1779 · Cited by 7 · see citing works
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Singh, A. A., Finan, R., & Estevez, R. (2023) · Emerging issues in family and individual resilience · doi:10.1007/978-3-031-38977-1_1 · Cited by 9 · see citing works
Hail-Jares, K., Vichta, R., Butler, T. M., & Dunne, A. (2021) · Journal of Social Distress and the Homeless · doi:10.1080/10530789.2021.1967647 · Cited by 7 · see citing works
Mei, Z., Cai, C., Wang, T., Luo, S., Yang, Y., Lam, C., Wang, Z., & Luo, S. (2025) · BMC Psychology · doi:10.1186/s40359-025-03569-0 · Cited by 6 · see citing works
Gass, B. V., Horvath, K. J., Marrow, E., Rood, B. A., & Pantalone, D. W. (2020) · LGBT Health · doi:10.1089/lgbt.2020.0035 · Cited by 6 · see citing works
Support networks of transmasculine and nonbinary young adults during chosen name transition
Muzzey, F. K., Kinney, M. K., Maas, M. K., & McCauley, H. L. (2021) · Psychology and Sexuality · doi:10.1080/19419899.2021.1902379 · Cited by 6 · see citing works
Williams, C. R., McGregor, K., Feld, A., & Boskey, E. R. (2023) · LGBT Health · doi:10.1089/lgbt.2023.0056 · Cited by 6 · see citing works
Breaking the binary: self-narratives of young people in Italy
Mónaco, S. (2024) · Journal of Youth Studies · doi:10.1080/13676261.2024.2321174 · Cited by 6 · see citing works
Saunders, B. J. (2017) · The International Journal of Children s Rights · doi:10.1163/15718182-02502010 · Cited by 6 · see citing works
Lived Experiences of Individuals with Gender Dysphoria: A Qualitative Analysis
Kausar, N., Mumtaz, S., & Shoaib, M. (2023) · Sexuality & Culture · doi:10.1007/s12119-023-10140-9 · Cited by 5 · see citing works
McGhee, C. M., Misiolek, B. A., Kattari, S. K., Tupper, C., & Chalker, L. (2025) · Health Promotion Practice · doi:10.1177/15248399241311287 · Cited by 5 · see citing works
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Holland, M. R., & Kahlor, L. A. (2023) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2022.0304 · Cited by 5 · see citing works
Drill, R. L., Malone, J. C., Flouton-Barnes, M., Cotton, L., Keyes, S., Wasserman, R., Wilson, K., Young, M., Laws, H. B., & Beinashowitz, J. (2019) · The Journal of Mental Health Training Education and Practice · doi:10.1108/jmhtep-02-2018-0009 · Cited by 5 · see citing works
Relations familiales et non-binarité : parcours de vie de jeunes adultes non binaires au Québec
Doucet, S., & Chamberland, L. (2021) · Enfances Familles Générations · doi:10.7202/1077685ar · Cited by 5 · see citing works
Coburn, K. O., Vennum, A., McGeorge, C. R., Markham, M. S., & Spencer, C. M. (2023) · International Journal of Transgender Health · doi:10.1080/26895269.2023.2268052 · Cited by 5 · see citing works
Trans Adults Amidst the COVID-19 Pandemic: Quality of Life, Pandemic Impact, and Vaccine Preferences
Harner, V., Munion, A. K., & Shelton, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312536 · Cited by 5 · see citing works
Lubis, F. Y., Abidin, F. A., Qodariah, L., Anindhita, V., & Purba, F. D. (2024) · PLoS ONE · doi:10.1371/journal.pone.0300365 · Cited by 4 · see citing works
Magyarlaki, A. P., & Pipkin, A. (2024) · International Journal of Transgender Health · doi:10.1080/26895269.2024.2387631 · Cited by 4 · see citing works
Barradas, I., Khan, Z. N., & Peer, A. (2025) · ACM Transactions on Interactive Intelligent Systems · doi:10.1145/3771719 · Cited by 4 · see citing works
Nonbinary people: Perceived social support in personal relationships and (virtual) communities
Teixeira, T., Carneiro, N. S., & Nogueira, C. (2023) · International Journal of Transgender Health · doi:10.1080/26895269.2023.2291131 · Cited by 4 · see citing works
Sandfort, T. G. M., Dominguez, K. D., Chimwaza, Y., Mbeda, C., Lucas, J. P., & hamilton, E. I. (2024) · LGBT Health · doi:10.1089/lgbt.2024.0221 · Cited by 4 · see citing works
Sinnard, M. T., Budge, S. L., & Rossman, H. K. (2021) · Counselling Psychology Quarterly · doi:10.1080/09515070.2021.1940102 · Cited by 4 · see citing works
Self-citationBaron, C. R., & Collins, N. L. (2025) · Social and Personality Psychology Compass · doi:10.1111/spc3.70071 · Cited by 4 · see citing works
Suicidal ideation and self-harm in transgender youth; role of social exclusion
Javaid, R., Khalid, A., & Akhtar, C. S. (2021) · Rehman Journal of Health Sciences · doi:10.52442/rjhs.v2i2.45 · Cited by 3 · see citing works
Barrientos, J., Sáiz, J. L., Cárdenas-Castro, M., Guzmán‐González, M., Avilés, B., Lovera, L. S., & Espinoza-Tapia, R. (2023) · Springer eBooks · doi:10.1007/978-3-031-30644-0_6 · Cited by 3 · see citing works
Butorac, I., McNaney, R., Thomas, J., Flores-Herrera, A., Seguin, J. P., Northam, J. C., & Carter, A. (2026) · ACM Transactions on Computing for Healthcare · doi:10.1145/3805040 · Cited by 3 · see citing works
Sarika, K., & Maji, S. (2025) · Psychology in the Schools · doi:10.1002/pits.23433 · Cited by 2 · see citing works
Fatima, S., Fatima, N., & Muazzam, A. (2022) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2021.1972896 · Cited by 2 · see citing works
Kinney, M. K., Victor, B. G., & Fortenberry, J. D. (2023) · International Journal of Transgender Health · doi:10.1080/26895269.2023.2232351 · Cited by 2 · see citing works
A Qualitative Exploration of Gender Identity in Young People who identify as Neither Male nor Female
Boddington, E. (2016) · UEL Research Repository (University of East London) · doi:10.15123/pub.5383 · Cited by 2 · see citing works
- Authors
- Budge, S. L., Rossman, H. K., & Howard, K. A. S.
- Affiliations
- University of Louisville (US)
- Boston University (US)
- Venue
- Journal of LGBT Issues in Counseling
- Publisher
- Informa UK Limited
- Published
- 2014-01
- Volume
- 8
- Issue
- 1
- Pages
- 95-117
- ISSN
- 1553-8605 (ISSN-L)
- 1553-8338
- OpenAlex
- W1985610856
- Cited by
- 135
- References
- 82
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 9 · 2023: 12 · 2022: 8 · 2021: 20 · 2020: 15 · 2019: 13 · 2018: 12 · 2017: 11 · 2016: 14 · 2015: 5 · 2014: 1
- FWCI
- 9.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of LGBTQ Issues in Counseling (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- social support, coping, psychological distress, depression, anxiety, avoidance coping, transgender identity, moderating effect
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