Mental health and quality of life in non-binary transgender adults: a case control study

Abstract

Background: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking.

Aim: To compare the mental health and quality of life of a community sample of non-binary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth.

Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures.

Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups.

Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate non-binary identifying people.     

I—Must a Semantic Minimalist be a Semantic Internalist?

I aim to show that a semantic minimalist need not also be a semantic internalist. §I introduces minimalism and internalism and argues that there is a prima facie case for a minimalist being an internalist. §II sketches some positive arguments for internalism which, if successful, show that a minimalist must be an internalist. §III goes on to reject these arguments and contends that the prima facie case for uniting minimalism and internalism is also not compelling. §IV returns to an objection from §I and argues for a way to meet it which does not depend on giving up semantic externalism.     

Unwilling or willing but unable: can horses interpret human actions as goal directed?

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Cetacean responses to violation of expectation paradigm in a free-swim context

Animal Cognition - The investigation of individual responses to unexpected stimuli or outcomes provides insights into basic cognitive processes, such as mental representations, emotional states of...     

Exploring the Role of Sport Sense of Community in Perceived Athlete Burnout,Sport Motivation,and Engagement

The main purpose of this work was to examine the relationships between the sport sense of community, athlete burnout, engagement, and motivation in adolescent athletes, adopting a longitudinal perspective, and using both person- and variable-centred approaches. A total of 250 adolescent athletes were involved in the study. Athletes' perceptions of burnout, engagement and motivation significantly differed across two different clusters: high and low sport sense of community profiles. Consistent with our hypothesis, sport sense of community dimensions (i.e., satisfaction of needs and influence) negatively predicted athlete burnout and controlled motivation, and positively predicted engagement and autonomous motivation six months later.

Lay Summary: Athlete burnout is associated with negative consequences for athletes’ well-being, whereas engagement reflects a positive state. The sport sense of community refers to the athletes’ relationship with their sport environment. In this study, we provided preliminary evidence of the protective role of the sport sense of community on athlete burnout.