The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study

ObjectiveTo explore the relationship between non-suicidal self-injury (NSSI) and childhood abuse in transgender people and the mediating effect of emotional dysregulation traits in the association between childhood abuse and non-suicidal self-injury.Patients and methodsFrom May to October 2021, 296...

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Main Authors: Qiang Cao, Qi Zhang, Yuquan Chen, Zixu He, Zhibiao Xiang, Haoran Guan, Na Yan, Yi Qiang, Mantao Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1062601/full
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author Qiang Cao
Qiang Cao
Qi Zhang
Qi Zhang
Yuquan Chen
Zixu He
Zhibiao Xiang
Haoran Guan
Na Yan
Yi Qiang
Mantao Li
author_facet Qiang Cao
Qiang Cao
Qi Zhang
Qi Zhang
Yuquan Chen
Zixu He
Zhibiao Xiang
Haoran Guan
Na Yan
Yi Qiang
Mantao Li
author_sort Qiang Cao
collection DOAJ
description ObjectiveTo explore the relationship between non-suicidal self-injury (NSSI) and childhood abuse in transgender people and the mediating effect of emotional dysregulation traits in the association between childhood abuse and non-suicidal self-injury.Patients and methodsFrom May to October 2021, 296 female-to-male (FTM) and 675 male-to-females (MTF), with age of 24.5 ± 6.4 years, were recruited using peer-driven sampling and anonymous questionnaires in Guangdong Province. The Childhood Abuse Questionnaire (CTQ-SF), the Personality Diagnostic Questionnaire (PDQ-4+) emotion regulation ability scale and the DSM-5 Clinical Examination of Stereotypic Disorders were used to measure childhood abuse experiences, emotional dysregulation traits and self-injurious behaviour, respectively.ResultsChildhood abuse scores were positively correlated with both emotional dysregulation traits scores and non-suicidal self-injury (NSSI) behaviours (p < 0.01), and emotional dysregulation traits scores were positively correlated with NSSI behaviours (p < 0.01); emotional dysregulation traits partially mediated the association between childhood abuse and NSSI behaviours, with the mediating effect accounting for 23.23% of the total effect. In addition, among the factors of childhood abuse, emotional dysregulation traits mediated the association between emotional abuse, emotional neglect, sexual abuse, physical abuse, physical neglect and NSSI behaviour significantly, with the mediating effect accounting for 22.48%–32.58% of the total effect.ConclusionTransgender NSSI behaviours are associated with childhood abuse and emotional dysregulation traits, and emotional dysregulation traits partially mediates the association between childhood abuse and NSSI behaviours, and screening for emotional dysregulation traits in transgender people and timely interventions are needed to improve the current situation of discrimination against transgender people.
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spelling doaj.art-32fe2420bb2745099428dc2ce41e4a0a2023-08-09T13:43:45ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-08-011410.3389/fpsyg.2023.10626011062601The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort studyQiang Cao0Qiang Cao1Qi Zhang2Qi Zhang3Yuquan Chen4Zixu He5Zhibiao Xiang6Haoran Guan7Na Yan8Yi Qiang9Mantao Li10Department of Earth Sciences, Kunming University of Science and Technology, Kunming, ChinaSchool of Medicine, Macau University of Science and Technology, Macau, Macao SAR, ChinaDepartment of Earth Sciences, Kunming University of Science and Technology, Kunming, ChinaUndergraduate Department, Taishan University, Taian, ChinaChinese Academy of Medical Sciences, Beijing, ChinaUndergraduate Department, University of New South Wales, Sydney, NSW, AustraliaXiangya School of Medicine Central South University, Changsha, ChinaSchool of Medicine, Macau University of Science and Technology, Macau, Macao SAR, ChinaSchool of Medicine, Macau University of Science and Technology, Macau, Macao SAR, ChinaDepartment of Earth Sciences, Kunming University of Science and Technology, Kunming, ChinaDepartment of Earth Sciences, Kunming University of Science and Technology, Kunming, ChinaObjectiveTo explore the relationship between non-suicidal self-injury (NSSI) and childhood abuse in transgender people and the mediating effect of emotional dysregulation traits in the association between childhood abuse and non-suicidal self-injury.Patients and methodsFrom May to October 2021, 296 female-to-male (FTM) and 675 male-to-females (MTF), with age of 24.5 ± 6.4 years, were recruited using peer-driven sampling and anonymous questionnaires in Guangdong Province. The Childhood Abuse Questionnaire (CTQ-SF), the Personality Diagnostic Questionnaire (PDQ-4+) emotion regulation ability scale and the DSM-5 Clinical Examination of Stereotypic Disorders were used to measure childhood abuse experiences, emotional dysregulation traits and self-injurious behaviour, respectively.ResultsChildhood abuse scores were positively correlated with both emotional dysregulation traits scores and non-suicidal self-injury (NSSI) behaviours (p < 0.01), and emotional dysregulation traits scores were positively correlated with NSSI behaviours (p < 0.01); emotional dysregulation traits partially mediated the association between childhood abuse and NSSI behaviours, with the mediating effect accounting for 23.23% of the total effect. In addition, among the factors of childhood abuse, emotional dysregulation traits mediated the association between emotional abuse, emotional neglect, sexual abuse, physical abuse, physical neglect and NSSI behaviour significantly, with the mediating effect accounting for 22.48%–32.58% of the total effect.ConclusionTransgender NSSI behaviours are associated with childhood abuse and emotional dysregulation traits, and emotional dysregulation traits partially mediates the association between childhood abuse and NSSI behaviours, and screening for emotional dysregulation traits in transgender people and timely interventions are needed to improve the current situation of discrimination against transgender people.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1062601/fulltransgenderchildhood abusenon-suicidal self-inflicted injuryintermediary effectmental health
spellingShingle Qiang Cao
Qiang Cao
Qi Zhang
Qi Zhang
Yuquan Chen
Zixu He
Zhibiao Xiang
Haoran Guan
Na Yan
Yi Qiang
Mantao Li
The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study
Frontiers in Psychology
transgender
childhood abuse
non-suicidal self-inflicted injury
intermediary effect
mental health
title The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study
title_full The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study
title_fullStr The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study
title_full_unstemmed The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study
title_short The relationship between non-suicidal self-injury and childhood abuse in transgender people: a cross-sectional cohort study
title_sort relationship between non suicidal self injury and childhood abuse in transgender people a cross sectional cohort study
topic transgender
childhood abuse
non-suicidal self-inflicted injury
intermediary effect
mental health
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1062601/full
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