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Int. J. Environ. Res. Public Health 2018, 15(3), 508; https://doi.org/10.3390/ijerph15030508

Internalized Transphobia, Resilience, and Mental Health: Applying the Psychological Mediation Framework to Italian Transgender Individuals

1
Department of Neurosciences and Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Napoli, Italy
2
Department of Humanistic Studies, University of Calabria, 87036 Rende, Italy
3
Department of Humanistic Studies, University of Naples Federico II, 80133 Napoli, Italy
*
Author to whom correspondence should be addressed.
Received: 30 January 2018 / Revised: 10 March 2018 / Accepted: 12 March 2018 / Published: 13 March 2018
(This article belongs to the Special Issue Breakthroughs in LGBT Health Research)
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Abstract

Transgender and gender nonconforming (TGNC) people are a highly-stigmatized population. For this reason, they might internalize society’s normative gender attitudes and develop negative mental health outcomes. As an extension of the minority stress model, the psychological mediation framework sheds light on psychological processes through which anti-transgender discrimination might affect mental health. Within this framework, the current study aimed at assessing in 149 TGNC Italian individuals the role of internalized transphobia as a mediator between anti-transgender discrimination and mental health, considering resilience as the individual-level coping mechanism buffering this relationship. The results suggest that both indicators of internalized transphobia (i.e., shame and alienation) mediate the relationship between anti-transgender discrimination and depression, while only alienation mediates the relationship between anti-transgender discrimination and anxiety. Furthermore, the results suggest that the indirect relation between anti-transgender discrimination and anxiety through alienation is conditional on low and moderate levels of resilience. Findings have important implications for clinical practice and psycho-social interventions to reduce stigma and stress caused by interpersonal and individual stigma. View Full-Text
Keywords: internalized transphobia; resilience; mental health; mediation; transgender internalized transphobia; resilience; mental health; mediation; transgender
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Scandurra, C.; Bochicchio, V.; Amodeo, A.L.; Esposito, C.; Valerio, P.; Maldonato, N.M.; Bacchini, D.; Vitelli, R. Internalized Transphobia, Resilience, and Mental Health: Applying the Psychological Mediation Framework to Italian Transgender Individuals. Int. J. Environ. Res. Public Health 2018, 15, 508.

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