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Clin Psychol Psychother. 2017 Jan;24(1):264-268. doi: 10.1002/cpp.1992. Epub 2015 Nov 19.

Metacognitions as Mediators of Gender Identity-related Anxiety.

Author information

1
King's College London, Institute of Psychiatry, Department of Psychology, London, UK and CASCAID, South London & Maudsley NHS Foundation Trust, London, UK.
2
Division of Psychology, School of Applied Sciences, London South Bank University, London, UK.
3
Studi Cognitivi, Milan, Italy.
4
Department of Psychology, Kingston University, Kingston upon Thames, UK.

Abstract

OBJECTIVE:

Research has found that the prevalence of psychological distress is substantially higher in transgender compared to cisgender populations. This study explored the role of metacognitions as mediators of anxiety in a sample comprising of cisgender and transgender individuals.

METHOD:

One-hundred and twenty-five individuals (19 trans-male; 24 male; 25 trans-female; 57 female) completed a series of measures that assessed metacognitions, worry and anxiety.

RESULTS:

Correlation analyses were used to identify potential mediators of the relationship between gender identity and anxiety. A mediation model indicated that beliefs about thoughts concerning uncontrollability and danger entirely mediated the relationship between gender identity and anxiety (b = 2.00, bias corrected and accelerated confidence interval [0.68, 3.49]).

CONCLUSIONS:

Metacognitions play an important role in anxiety in transgender individuals.

HIGHLIGHTS:

-Metacognitions were found to mediate anxiety in transgender and cisgender individuals. -The exploration of metacognitions in transgender individuals experiencing psychological distress may have clinical utility. Copyright © 2015 John Wiley & Sons, Ltd.

KEYWORDS:

Anxiety; Cisgender; Metacognitions; Psychological Distress; Transgender

PMID:
26585813
DOI:
10.1002/cpp.1992
[Indexed for MEDLINE]

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