Measuring Stress in Diverse Gender Minority Adolescents

测量不同性别少数民族青少年的压力

基本信息

批准号：
10263262
负责人：
HARMONY R RHOADES
金额：
$ 20.63万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-14 至 2022-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10263262
关键词：
Address Adolescence Adolescent Adult Anxiety Area Behavioral Birth Breast Calendar Characteristics Clinical assessments Communities Consensus Cross-Sectional Studies DSM-V Data Data Analyses Development Device or Instrument Development Discrimination Distress Emotional Ensure Equipment and supply inventories Ethnic Origin Etiology Foundations Funding Future Gender Gender Identity Goals Hate Health Healthy People 2020 Heterosexuals High Prevalence Impairment Institutes Interview LGBT Health Lead Lesbian Gay Bisexual Life Measurement Measures Medical Mental Depression Mental Health Methodology Methods Minority Occupational Outcome Persons Population Post-Traumatic Stress Disorders Postdoctoral Fellow Prejudice Process Psychometrics Puberty Public Health Race Reporting Research Research Personnel Respondent Sampling Schools Self-Injurious Behavior Series Source Stress Suicide Suicide attempt Technology Testing Time Ultrasonography United States National Institutes of Health Victimization Vulnerable Populations Woman Work anxiety symptoms austin base behavioral health behavioral health intervention cisgender cognitive interview critical developmental period data cleaning design dysphoria ethnic diversity ethnic minority population experience gender dysphoria gender minority girls health disparity high risk improved instrument life history neglect peer psychosocial racial diversity recruit sex sexual minority social social media social stigma socioeconomics stem stressor substance misuse substance use success theories therapy development transgender

项目摘要

Measuring Stress in Diverse Gender Minority Adolescents Project Summary (30 lines) This study will develop a comprehensive measure of stress for TGA—the Transgender Adolescent Stress Scale (TASS). TGA experience significantly higher risks of many behavioral health outcomes, including anxiety, depression, substance use and suicide. Such disparities are likely related to experiences of gender dysphoria, and separately, minority stress – i.e., prejudice, stigma, and victimization against transgender persons – but existing research has typically focused on adults, and existing measures have sub-optimal psychometric characteristics. Thus, we will develop a comprehensive measure of transgender adolescent stress – which includes subscales for gender dysphoria and minority stress that can be used independently or in concert -- as a means to facilitate improved clinical assessment and intervention development. Toward this end, Aim 1 will utilize a modified Delphi process and data analysis of existing interviews with TGAs to identify and operationalize unique stressors that influence transgender persons during adolescence, including cognitive interviews (n=20) with transgender adolescents. Based on the extensive experience of the team in developing the Sexual Minority Adolescent Stress Inventory (SMASI), these methods will ensure that Aim 1 results in a comprehensive preliminary Transgender Adolescent Stress Scale (TASS) ready for testing. In Aim 2, we will utilize a dual- method social media and respondent driven sampling (RDS) approach to recruit 450 racially and ethnically diverse TGAs. These adolescents will complete the preliminary TASS as well as a series of behavioral health, substance use, and suicidality measures. Data analysis in Aim 2 will focus on assessing reliability and criterion validity of the TASS, as well as convergant/divergent validity of the TASS as compared to existing measures. In each stage, the presence of an expert panel, as well as rigorous methods for recruitment, data cleaning, and analysis, will ensure that the produced TASS is a comprehensive measure ready to be utilized by researchers and clinicians to better understand and address stress experiences among transgender adolescents.

测量不同性别少数民族青少年的压力项目概要（30行）这项研究将为 TGA（跨性别者）制定全面的压力测量方法青少年压力量表（TASS）显示许多行为的风险显着升高。健康结果，包括焦虑、抑郁、药物滥用和自杀。可能与性别焦虑的经历以及少数群体的压力有关——即偏见、跨性别者的耻辱和受害——但现有的研究通常表明重点针对成年人，而现有的测量方法具有次优的心理测量特征，因此，我们将制定一项针对跨性别青少年压力的综合衡量标准——其中包括性别焦虑和少数群体压力的子量表可以独立使用或协同使用 ——作为促进改进临床评估和干预开发的手段。为此，目标 1 将利用修改后的 Delphi 流程以及对现有访谈的数据分析 TGA 旨在识别并实施影响跨性别者的独特压力源青春期，包括对跨性别青少年的认知访谈（n=20）。团队在制定性少数青少年压力量表方面拥有丰富的经验（SMASI），这些方法将确保目标 1 产生全面的初步结果跨性别青少年压力量表 (TASS) 已准备好进行测试在目标 2 中，我们将使用双重测试。方法社交媒体和受访者驱动抽样 (RDS) 方法招募 450 名种族和这些青少年将完成初步的 TASS 以及测试。目标 2 中的一系列行为健康、药物使用和自杀测量数据分析。重点评估 TASS 的可靠性和标准有效性，以及收敛/发散与现有措施相比，TASS 的有效性在每个阶段都有专家在场。小组以及严格的招募、数据清理和分析方法将确保生成的 TASS 是一项可供研究人员使用的综合测量方法支持者更好地理解和解决跨性别青少年的压力经历。