Quality of life and associated factors in Swiss trans people: a cross-sectional study.

Background: Experiences of stressful life events during transition may have a negative impact on quality of life (QoL) in trans persons. Little attention has been paid to this population in Switzerland, resulting in sparse data on their QoL and associated social factors. Methods: 30 participants were recruited during their medical transition treatment and surveyed on their experiences within this time period (13 months after the first medical intervention on average). After performing a diagnostic interview to evaluate their mental health, health-related QoL, psychological distress, self-esteem and the impact of life events that occurred in the last six months on participants were further assessed. Results: Approximately 17% of participants had suffered from major depression, 43% reported having had suicidal thoughts or having attempted suicide, and 43% suffered from an anxiety disorder. Psychological distress was twice as high compared to the norm values of the cis population. With regard to QoL, trans individuals showed impairments in the mental domain. Stressful life events were particularly evident on a psychological and social level. Analysis showed a negative correlation between impact of life events and mental QoL and between psychological distress and mental QoL. At the same time, there was a positive correlation between self-esteem and mental QoL. Psychological distress and self-esteem emerged as independent significant predictors of mental QoL. Conclusion: This study shows lowered mental QoL and associations of low mental QoL with psychological distress, low self-esteem and stressful life events in trans individuals in Switzerland. The findings concur with the Gender Minority Stress Model and point out that medical transition must not be viewed in isolation but must be embedded in the framework of integrative psychosocial support.

Is the future near or far depending on the verb tense markers used? An experimental investigation into the effects of the grammaticalization of the future.

Psycholinguistic approaches that study the effects of language on mental representations have ignored a potential role of the grammaticalization of the future (i.e., how the future manifests linguistically). We argue that the grammaticalization of the future may be an important aspect, as thinking about the future is omnipresent in our everyday life. The aim of this study was to experimentally manipulate the degree of future time references (i.e., present and future verb tense and temporal adverbials) to address their impact on the perceived location of future events. Across four experiments, two in French and two in German, no effect was found, irrespective of our verb and adverbial manipulations, and contrary to our hypotheses. Bayes factors confirmed that our null effects were not due to a lack of power. We present one of the first empirical accounts investigating the role of the grammaticalization of the future on effects of mental representations. We discuss possible reasons for these null results and illustrate further avenues for future research.

An Interdisciplinary Approach to Understanding the Psychological Impact of Different Grammaticalizations of the Future.

Considering how fundamental and ubiquitous temporal information is in discourse (e.g., Zwaan & Radvansky, 1998), it seems rather surprising that the impact of the grammaticalization of the future on the way we perceive the future has only been scarcely studied. We argue that this may be due to its rather abstract nature and how it has been previously operationalized. In this review, we lay the foundation for studying the impact of the grammaticalization of the future on mental representations of the future by taking an interdisciplinary perspective, connecting cognitive sciences, linguistics, psycholinguistics, economics, and health psychology. More specifically, we argue that experimental psycholinguistics, combined with more applied domains, constitute a promising research avenue.

Quality of Life in Transitioned Trans Persons: A Retrospective Cross-Sectional Cohort Study.

BACKGROUND: Medical gender-affirming interventions (GAI) are important in the transition process of many trans persons. The aim of this study was to examine the associations between GAI and quality of life (QoL) of transitioned trans individuals. METHODS: 143 trans persons were recruited from a multicenter outpatient Swiss population as well as a web-based survey. The QoL was assessed using the Short Form (36) Health Survey questionnaire (SF-36). Depressive symptoms were examined using the Short Form of the Center for Epidemiologic Studies-Depression Scale (ADS-K). Multiple interferential analyses and a regression analysis were performed. RESULTS: Both transfeminine and transmasculine individuals reported a lower QoL compared to the general population. Within the trans group, nonbinary individuals showed the lowest QoL scores and significantly more depressive symptoms. A detailed analysis identified sociodemographic and transition-specific influencing factors. CONCLUSIONS: Medical GAI are associated with better mental wellbeing but even after successful medical transition, trans people remain a population at risk for low QoL and mental health, and the nonbinary group shows the greatest vulnerability.

Gender Minority Stress and Depressive Symptoms in Transitioned Swiss Transpersons.

Compared to the general population, transpersons are exposed to higher levels of discrimination and violence. The stigmatization of transpersons can lead to physical and psychological problems. In particular, transindividuals exhibit a higher prevalence of depression compared to the cispopulation. The gender minority stress model (GMSM) provides a comprehensive theoretical basis to interpret these biopsychosocial interactions. Using the GMSM, this study aimed to identify associations between experience of stigmatization and the mental health of transitioned transpersons using correlational analyses and multiple regression models. In total, 143 transpersons were recruited. Multivariate analyses identified three variables (i.e., unemployment, nonaffirmation of gender identity, and internalized transphobia) to explain variance of depressive symptoms. Furthermore, a mediation of the proximal factors between distal factors and depressive symptoms was found. However, the moderating effect of resilience factors was not demonstrated. The results confirmed the importance of distal and proximal minority stressors for the mental health of transpersons. At the same time, the protective influence of resilience factors seemed to be surprisingly minor. In the treatment of transpersons, practitioners should not only focus on somatic aspects, but also consider the person's previous experiences of stigmatization.