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Depression, Self-Esteem, and Resilience and its Relationship with Psychological Features of Sexuality among Transgender Men and Women from Brazil

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Abstract

This cross-sectional study investigated whether depression, self-esteem, and resilience (mental health indicators) are associated with some psychological features of sexuality (sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries) in a sample of 462 transgender men and women from Brazil. Pearson’s correlations were performed between all continuous variables in the study. Those that were significantly associated with the psychological features of sexuality in previous analyses were tested as independent variables in multiple linear regression models. Sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries were negatively related to self-esteem and resilience, while positively related to depression. Higher levels of depression were associated with sexual fear, while higher levels of depression and lower self-esteem were associated with sexual anxiety. In addition, higher levels of depression and lower levels of resilience were associated with sexual dissatisfaction. Depression and resilience were associated with the composite score of sexual dissatisfaction and sexual anxiety. Our results suggest that negative mental health indicators may impair the sexual life of transgender individuals. Clinical interventions should be developed and tested to address the psychological features of sexuality.

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Data will not be made available because it contains confidential patients’ information.

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Acknowledgements

We acknowledge the Coordination for the Improvement of Higher Education Personnel (CAPES) for supporting this research.

Funding

We acknowledge the Coordination for the Improvement of Higher Education Personnel (CAPES) for awarding the first author with a PhD grant.

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Correspondence to Ramiro Figueiredo Catelan.

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The authors declare that there is no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the institutional review board and Human Ethics Committee of the Hospital de Clínicas de Porto Alegre (HCPA) and Universidade Federal do Rio Grande do Sul (UFRGS) as well as by the Universidade de São Paulo (USP) and its institutional review board on June 6th, 2013 (Ethical approval number: 14221513.4.0000.5334).

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Informed consent was obtained from all individual participants included in the study.

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Catelan, R.F., Saadeh, A., Lobato, M.I.R. et al. Depression, Self-Esteem, and Resilience and its Relationship with Psychological Features of Sexuality among Transgender Men and Women from Brazil. Arch Sex Behav 51, 1993–2002 (2022). https://doi.org/10.1007/s10508-021-02189-0

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  • DOI: https://doi.org/10.1007/s10508-021-02189-0

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