Victimization and depressive symptomology in transgender adults: The mediating role of avoidant coping

Journal of Counseling Psychology

Volumn 64, Issue 1, 2017, Pages 41-51

  White Hughto, Jaclyn M ^a,b   Pachankis, John E ^b   Willie, Tiara C ^b   Reisner, Sari L ^c,d  

^a FENWAY INSTITUTE   (United States)

^b YALE UNIVERSITY   (United States)

^c BOSTON CHILDREN S HOSPITAL   (United States)

^d HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Coping; Depression; Discrimination; Transgender; Victimization

Indexed keywords

ADAPTIVE BEHAVIOR; ADOLESCENT; ADULT; AGED; CRIME VICTIM; DEPRESSION; FEMALE; HUMAN; MALE; MASSACHUSETTS; MIDDLE AGED; PARTNER VIOLENCE; PSYCHOLOGY; QUESTIONNAIRE; SOCIAL STIGMA; TRANSGENDER;

ADAPTATION, PSYCHOLOGICAL; ADOLESCENT; ADULT; AGED; CRIME VICTIMS; DEPRESSION; FEMALE; HUMANS; MALE; MASSACHUSETTS; MIDDLE AGED; SOCIAL STIGMA; SPOUSE ABUSE; SURVEYS AND QUESTIONNAIRES; TRANSGENDER PERSONS;

EID: 85008626009     PISSN: 00220167     EISSN: None     Source Type: Journal    
DOI: 10.1037/cou0000184     Document Type: Article

References (95)

1. Abramowitz, J. S., Tolin, D. F., & Street, G. P. (2001). Paradoxical effects of thought suppression: A meta-analysis of controlled studies. Clinical Psychology Review, 21, 683-703. http://dx.doi.org/10.1016/S0272-7358(00)00057-X
2. Allison, P. D. (2001). Missing data. Thousand Oaks, CA: Sage.
3. Allison, P. D. (2003). Missing data techniques for structural equation modeling. Journal of Abnormal Psychology, 112, 545-557. http://dx.doi.org/10.1037/0021-843X.112.4.545
4. Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10, 77-84.
5. Arbuckle, J. L. (2014). Amos (Version 23.0) [Computer program]. Chicago, IL: IBM SPSS.
6. Ashmore, R. D., Deaux, K., & McLaughlin-Volpe, T. (2004). An organizing framework for collective identity: Articulation and significance of multidimensionality. Psychological Bulletin, 130, 80-114. http://dx.doi.org/10.1037/0033-2909.130.1.80
7. Bal, S., Van Oost, P., De Bourdeaudhuij, I., & Crombez, G. (2003). Avoidant coping as a mediator between self-reported sexual abuse and stress-related symptoms in adolescents. Child Abuse & Neglect, 27, 883-897. http://dx.doi.org/10.1016/S0145-2134(03)00137-6
8. Basile, K., Hertz, M., & Back, S. (2007). Intimate partner violence and sexual violence victimization assessment instruments for use in healthcare settings: Version 1. Retrieved from http://www.popline.org/node/ 199321
9. Beauchaine, T. P. (2007). A brief taxometrics primer. Journal of Clinical Child and Adolescent Psychology, 36, 654-676. http://dx.doi.org/10.1080/15374410701662840
10. Beevers, C., & Meyer, B. (2004). Thought suppression and depression risk. Cognition and Emotion, 18, 859 - 867. http://dx.doi.org/10.1080/ 02699930341000220
11. Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the U.S. transgender population. American Journal of Public Health, 103, 943-951. http://dx.doi.org/10.2105/AJPH.2013.301241
12. Bradley, K. L., Bagnell, A. L., & Brannen, C. L. (2010). Factorial validity of the Center for Epidemiological Studies Depression 10 in adolescents. Issues in Mental Health Nursing, 31, 408-412. http://dx.doi.org/10.3109/01612840903484105
13. Brown, B., Hernandez, V. R., & Villarreal, Y. (2011). Connections: A 12-session psychoeducational shame resilience curriculum. In R. Dearing & J. Tangney (Eds.), Shame in the therapy hour (pp. 355-371). Washington, DC: American Psychological Association. http://dx.doi.org/10.1037/12326-015
14. Budge, S. L., Adelson, J. L., & Howard, K. A. (2013). Anxiety and depression in transgender individuals: The roles of transition status, loss, social support, and coping. Journal of Consulting and Clinical Psychology, 81, 545-557. http://dx.doi.org/10.1037/a0031774
15. Carpenter, J. S., Andrykowski, M. A., Wilson, J., Hall, L. A., Rayens, M. K., Sachs, B., & Cunningham, L. L. (1998). Psychometrics for two short forms of the Center for Epidemiologic Studies-Depression Scale. Issues in Mental Health Nursing, 19, 481-494. http://dx.doi.org/10.1080/016128498248917
16. Clements-Nolle, K., Marx, R., Guzman, R., & Katz, M. (2001). HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: Implications for public health intervention. American Journal of Public Health, 91, 915-921. http://dx.doi.org/10.2105/ AJPH.91.6.915
17. Dohrenwend, B. P. (2000). The role of adversity and stress in psychopathology: Some evidence and its implications for theory and research. Journal of Health and Social Behavior, 41, 1-19. http://dx.doi.org/10.2307/2676357
18. Factor, R. J., & Rothblum, E. D. (2007). A study of transgender adults and their non-transgender siblings on demographic characteristics, social support, and experiences of violence. Journal of LGBT Health Research, 3, 11-30. http://dx.doi.org/10.1080/15574090802092879
19. Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20-35. http://dx.doi.org/10.1037/0033-2909.99.1.20
20. Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150-170. http:// dx.doi.org/10.1037/0022-3514.48.1.150
21. Folkman, S., & Lazarus, R. S. (1986). Stress-processes and depressive symptomatology. Journal of Abnormal Psychology, 95, 107-113. http:// dx.doi.org/10.1037/0021-843X.95.2.107
22. Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology, 54, 466-475. http://dx.doi.org/10.1037/0022-3514.54.3.466
23. Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 992-1003. http://dx.doi.org/10.1037/0022-3514.50.5.992
24. Gamarel, K. E., Reisner, S. L., Laurenceau, J. P., Nemoto, T., & Operario, D. (2014). Gender minority stress, mental health, and relationship quality: A dyadic investigation of transgender women and their cisgender male partners. Journal of Family Psychology, 28, 437-447. http://dx.doi.org/10.1037/a0037171
25. Gamarel, K. E., Reisner, S. L., Parsons, J. T., & Golub, S. A. (2012). Association between socioeconomic position discrimination and psychological distress: Findings from a community-based sample of gay and bisexual men in New York City. American Journal of Public Health, 102, 2094-2101. http://dx.doi.org/10.2105/AJPH.2012.300668
26. Gordon, A. R., & Meyer, I. H. (2007). Gender nonconformity as a target of prejudice, discrimination, and violence against LGB individuals. Journal of LGBT Health Research, 3, 55-71. http://dx.doi.org/10.1080/ 15574090802093562
27. Grant, J. M., Mottet, L. A., Tanis, L. A., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the National Transgender Discrimination Survey. Retrieved from http://www.thetaskforce.org/static_html/downloads/reports/reports/ntds_full.pdf
28. Greene, D. C., Britton, P. J., & Fitts, B. (2014). Long-term outcomes of lesbian, gay, bisexual, and transgender recalled school victimization. Journal of Counseling and Development, 92, 406-417. http://dx.doi.org/10.1002/j.1556-6676.2014.00167.x
29. Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Dovidio, J. (2009). How does stigma "get under the skin"?: The mediating role of emotion regulation. Psychological Science, 20, 1282-1289. http://dx.doi.org/10.1111/j.1467-9280.2009.02441.x
30. Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the Minority Stress Model. Professional Psychology: Research and Practice, 43, 460-467. http://dx.doi.org/10.1037/a0029597
31. Herman-Stabl, M. A., Stemmler, M., & Petersen, A. C. (1995). Approach and avoidant coping: Implications for adolescent mental health. Journal of Youth and Adolescence, 24, 649-665. http://dx.doi.org/10.1007/ BF01536949
32. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55. http://dx.doi.org/10.1080/1070 5519909540118
33. Hulme, P. A. (2004). Retrospective measurement of childhood sexual abuse: A review of instruments. Child Maltreatment, 9, 201-217. http:// dx.doi.org/10.1177/1077559504264264
34. IBM Corp. (2012). IBM SPSS Statistics for Windows (Version 21.0) [Computer software]. Armonk, NY: Author.
35. Kaysen, D., Kulesza, M., Balsam, K. F., Rhew, I. C., Blayney, J. A., Lehavot, K., & Hughes, T. L. (2014). Coping as a mediator of internalized homophobia and psychological distress among young adult sexual minority women. Psychology of Sexual Orientation and Gender Diversity, 1, 225-233. http://dx.doi.org/10.1037/sgd0000045
36. Kenny, D. A. (2015). Measuring model fit. Retrieved from http:// davidakenny.net/cm/fit.htm
37. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602. http://dx.doi.org/10.1001/ archpsyc.62.6.593
38. Keuroghlian, A. S., Reisner, S. L., White, J. M., & Weiss, R. D. (2015). Substance use and treatment of substance use disorders in a community sample of transgender adults. Drug and Alcohol Dependence, 152, 139-146. http://dx.doi.org/10.1016/j.drugalcdep.2015.04.008
39. Kline, R. (2010). Principles and practice of Structural equation modeling (3rd ed.). New York, NY: Guilford Press.
40. Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005). Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health. Social Science & Medicine, 61, 1576-1596. http://dx.doi.org/10.1016/j.socscimed.2005.03.006
41. Lazarus, R., & Folkman, S. (1984). Stress appraisal and coping. New York, NY: Springer.
42. Lee, K. J., & Carlin, J. B. (2010). Multiple imputation for missing data: Fully conditional specification versus multivariate normal imputation. American Journal of Epidemiology, 171, 624-632. http://dx.doi.org/10.1093/aje/kwp425
43. Leichsenring, F., Beutel, M., & Leibing, E. (2007). Psychodynamic psychotherapy for social phobia: A treatment manual based on supportiveexpressive therapy. Bulletin of the Menninger Clinic, 71, 56-83. http:// dx.doi.org/10.1521/bumc.2007.71.1.56
44. Lombardi, E. (2009). Varieties of transgender/transsexual lives and their relationship with transphobia. Journal of Homosexuality, 56, 977-992. http://dx.doi.org/10.1080/00918360903275393
45. MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99-128. http://dx.doi.org/10.1207/s15327906mbr3901_4
46. McFarlane, J., Parker, B., Soeken, K., & Bullock, L. (1992). Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. Journal of the American Medical Association, 267, 3176-3178. http://dx.doi.org/10.1001/jama.1992.03480 230068030
47. Merwin, R. M., Rosenthal, M. Z., & Coffey, K. A. (2009). Experiential avoidance mediates the relationship between sexual victimization and psychological symptoms: Replicating findings with an ethnically diverse sample. Cognitive Therapy and Research, 33, 537-542. http://dx.doi.org/10.1007/s10608-008-9225-7
48. Meyer, I. H. (2003a). Prejudice as stress: Conceptual and measurement problems. American Journal of Public Health, 93, 262-265. http://dx.doi.org/10.2105/AJPH.93.2.262
49. Meyer, I. H. (2003b). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674-697. http://dx.doi.org/10.1037/0033-2909.129.5.674
50. Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social statuses confer more stress and fewer coping resources? Social Science & Medicine, 67, 368-379. http://dx.doi.org/10.1016/j.socscimed.2008.03.012
51. Mizock, L., & Lewis, T. K. (2008). Trauma in transgender populations: Risk, resilience, and clinical care. Journal of Emotional Abuse, 8, 335-354. http://dx.doi.org/10.1080/10926790802262523
52. Mizock, L., & Mueser, K. T. (2014). Employment, mental health, internalized stigma, and coping with transphobia among transgender individuals. Psychology of Sexual Orientation and Gender Diversity, 1, 146-158. http://dx.doi.org/10.1037/sgd0000029
53. National Coalition of Anti-Violence Programs. (2013). Lesbian, gay, bisexual, transgender, queer, and HIV-affected intimate partner violence. Retrieved from http://www.avp.org/storage/documents/ncavp2013 ipvreport_webfinal.pdf
54. Nemoto, T., Bödeker, B., & Iwamoto, M. (2011). Social support, exposure to violence and transphobia, and correlates of depression among maleto- female transgender women with a history of sex work. American Journal of Public Health, 101, 1980-1988. http://dx.doi.org/10.2105/ AJPH.2010.197285
55. Newman, M. L., Holden, G. W., & Delville, Y. (2011). Coping with the stress of being bullied: Consequences of coping strategies among college students. Social Psychological & Personality Science, 2, 205-2011. http://dx.doi.org/10.1177/1948550610386388
56. Nuttbrock, L., Hwahng, S., Bockting, W., Rosenblum, A., Mason, M., Macri, M., & Becker, J. (2010). Psychiatric impact of gender-related abuse across the life course of male-to-female transgender persons. Journal of Sex Research, 47, 12-23. http://dx.doi.org/10.1080/ 00224490903062258
57. Pachankis, J. E. (2009). The use of cognitive-behavioral therapy to promote authenticity. Pragmatic Case Studies in Psychotherapy, 5, 28-38. http://dx.doi.org/10.14713/pcsp.v5i4.997
58. Pachankis, J. E. (2014). Uncovering clinical principles and techniques to address minority stress, mental health, and related health risks among gay and bisexual men. Clinical Psychology: Science and Practice, 21, 313-330. http://dx.doi.org/10.1111/cpsp.12078
59. Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83, 875-889. http://dx.doi.org/10.1037/ ccp0000037
60. Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879-903. http://dx.doi.org/10.1037/0021-9010.88.5.879
61. Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. http://dx.doi.org/10.1177/014662167700100306
62. Reisner, S. L., Biello, K., Rosenberger, J. G., Austin, S. B., Haneuse, S., Perez-Brumer, A., Mimiaga, M. J. (2014). Using a two-step method to measure transgender identity in Latin America/the Caribbean, Portugal, and Spain. Archives of Sexual Behavior, 43, 1503-1514. http://dx.doi.org/10.1007/s10508-014-0314-2
63. Reisner, S. L., Biello, K. B., White Hughto, J. M., Kuhns, L., Mayer, K. H., Garofalo, R., & Mimiaga, M. J. (2016). Psychiatric diagnoses and comorbidities in a diverse, multicity cohort of young transgender women baseline findings from Project Lifeskills. Journal of the American Medical Association, 170, 481-486.
64. Reisner, S. L., Conron, K. J., Tardiff, L. A., Jarvi, S., Gordon, A. R., & Austin, S. B. (2014). Monitoring the health of transgender and other gender minority populations: Validity of natal sex and gender identity survey items in a U.S. national cohort of young adults. BMC Public Health, 14, 1224-1234. http://dx.doi.org/10.1186/1471-2458-14-1224
65. Reisner, S. L., Falb, K. L., Wagenen, A. V., Grasso, C., & Bradford, J. (2013). Sexual orientation disparities in substance misuse: The role of childhood abuse and intimate partner violence among patients in care at an urban community health center. Substance Use & Misuse, 48, 274-289. http://dx.doi.org/10.3109/10826084.2012.755702
66. Reisner, S. L., Gamarel, K. E., Nemoto, T., & Operario, D. (2014). Dyadic effects of gender minority stressors in substance use behaviors among transgender women and their non-transgender male partners. Psychology of Sexual Orientation and Gender Diversity, 1, 63-71. http://dx.doi.org/ 10.1037/0000013
67. Reisner, S. L., Greytak, E. A., Parsons, J. T., & Ybarra, M. L. (2015). Gender minority social stress in adolescence: Disparities in adolescent bullying and substance use by gender identity. Journal of Sex Research, 52, 243-256. http://dx.doi.org/10.1080/00224499.2014.886321
68. Reisner, S. L., Mimiaga, M. J., Bland, S., Mayer, K. H., Perkovich, B., & Safren, S. A. (2009). HIV risk and social networks among male-tofemale transgender sex workers in Boston, MA. The Journal of the Association of Nurses in AIDS Care, 20, 373-386. http://dx.doi.org/10.1016/j.jana.2009.06.003
69. Reisner, S. L., Vetters, R., White, J., Cohen, E., LeClerc, M., Zaslow, S., Mimiaga, M. (2015). Laboratory-confirmed HIV and STI seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center. AIDS Care, 27, 1031-1036. http://dx.doi.org/10.1080/09540121.2015.1020750
70. Reisner, S. L., White Hughto, J., Dunham, E., Heflin, K., Begenyi, J., Coffey-Esquivel, J., & Cahill, S. (2015). Legal protections in public accommodations settings: A critical public health issue for gender minority people. Milbank Quarterly, 93, 484-515. http://dx.doi.org/10.1111/1468-0009.12127
71. Reisner, S. L., White Hughto, J. M., Gamarel, K. E., Keuroghlian, A. S., Mizock, L., & Pachankis, J. E. (2016). Discriminatory experiences associated with Posttraumatic Stress Disorder symptoms among transgender adults. Journal of Counseling Psychology, 63, 509-519. http:// dx.doi.org/10.1037/cou0000143
72. Reisner, S. L., White, J. M., Mayer, K. H., & Mimiaga, M. J. (2014). Sexual risk behaviors and psychosocial health concerns of female-tomale transgender men screening for STDs at an urban community health center. AIDS Care, 26, 857-864. http://dx.doi.org/10.1080/09540121.2013.855701
73. Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748-756. http://dx.doi.org/10.1037/0022-006X.60.5.748
74. Rosario, M., Schrimshaw, E. W., Hunter, J., & Gwadz, M. (2002). Gayrelated stress and emotional distress among gay, lesbian, and bisexual youths: A longitudinal examination. Journal of Consulting and Clinical Psychology, 70, 967-975. http://dx.doi.org/10.1037/0022-006X.70.4.967
75. SAS Institute Inc. (2013). SAS 9.4 [Computer program]. Cary, NC: Author.
76. Stotzer, R. L. (2009). Violence against transgender people: A review of United States data. Aggression and Violent Behavior, 14, 170-179. http://dx.doi.org/10.1016/j.avb.2009.01.006
77. Szymanski, D. M., & Henrichs-Beck, C. (2014). Exploring sexual minority women's experiences of external and internalized heterosexism and sexism and their links to coping and distress. Sex Roles, 70, 28-42. http://dx.doi.org/10.1007/s11199-013-0329-5
78. Szymanski, D. M., & Owens, G. P. (2008). Do coping styles moderate or mediate the relationship between internalized heterosexism and sexual minority women's psychological distress? Psychology of Women Quarterly, 32, 95-104. http://dx.doi.org/10.1111/j.1471-6402.2007.00410.x
79. Tebbe, E. A., & Moradi, B. (2016). Suicide risk in trans populations: An application of minority stress theory. Journal of Counseling Psychology, 63, 520-533. http://dx.doi.org/10.1037/cou0000152
80. Testa, R. J., Jimenez, C. L., & Rankin, S. (2014). Risk and resilience during transgender identity development: The effects of awareness and engagement with other transgender people on affect. Journal of Gay & Lesbian Mental Health, 18, 31-46. http://dx.doi.org/10.1080/19359705.2013.805177
81. Thoits, P. A. (1991). Gender differences in coping with emotional distress. In J. Eckenrode (Ed.), The social context of coping (pp. 107-138). New York, NY: Springer. http://dx.doi.org/10.1007/978-1-4899-3740-7_6
82. Thomas, A. J., Witherspoon, K. M., & Speight, S. L. (2008). Gendered racism, psychological distress, and coping styles of African American women. Cultural Diversity & Ethnic Minority Psychology, 14, 307-314. http://dx.doi.org/10.1037/1099-9809.14.4.307
83. U. S. Census. (2016). Quick facts: Massachusetts. Retrieved from http:// www.census.gov/quickfacts/table/PST045215/25
84. van Buuren, S. (2007). Multiple imputation of discrete and continuous data by fully conditional specification. Statistical Methods in Medical Research, 16, 219-242. http://dx.doi.org/10.1177/0962280206074463
85. van Buuren, S., Brand, J. P. L., Groothuis-Oudshoorn, C. G. M., & Rubin, D. B. (2006). Fully conditional specification in multivariate imputation. Journal of Statistical Computation and Simulation, 76, 1049-1064. http://dx.doi.org/10.1080/10629360600810434
86. Wagner, E. F., Myers, M. G., & McIninch, J. L. (1999). Stress-coping and temptation-coping as predictors of adolescent substance use. Addictive Behaviors, 24, 769-779. http://dx.doi.org/10.1016/S0306-4603(99) 00058-1
87. West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with nonnormal variables: Problems and remedies. In H. Hoyle (Ed.), Structural equation modeling: Concepts, issues, and application (pp. 56-75). Thousand Oaks, CA: Sage.
88. Weston, R., & Gore, P. A. (2006). A brief guide to structural equation modeling. The Counseling Psychologist, 34, 719-751. http://dx.doi.org/ 10.1177/0011000006286345
89. White Hughto, J. M., Murchison, G., Clark, K., Pachankis, J. E., & Reisner, S. L. (2016). Geographic and individual differences in healthcare access for U.S. transgender adults: A multilevel analysis. LGBT Health. Advance online publication. http://dx.doi.org/10.1089/lgbt.2016.0044
90. White Hughto, J. M., Reisner, S. L., & Pachankis, J. E. (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine, 147, 222-231. http://dx.doi.org/10.1016/j.socscimed.2015.11.010
91. Williams, D. R., Yan, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socio-economic status, stress and discrimination. Journal of Health Psychology, 2, 335-351. http://dx.doi.org/10.1177/135910539700200305
92. Wills, T. A. (1986). Stress and coping in early adolescence: Relationships to substance use in urban school samples. Health Psychology, 5, 503-529. http://dx.doi.org/10.1037/0278-6133.5.6.503
93. Ybarra, M. L., Diener-West, M., & Leaf, P. J. (2007). Examining the overlap in internet harassment and school bullying: Implications for school intervention. The Journal of Adolescent Health, 41, S42-S50. http://dx.doi.org/10.1016/j.jadohealth.2007.09.004
94. Zhang, W., O'Brien, N., Forrest, J. I., Salters, K. A., Patterson, T. L., Montaner, J. S. G., Lima, V. D. (2012). Validating a Shortened Depression Scale (10 item CES-D) among HIV-positive people in British Columbia, Canada. PLoS ONE, 7, e40793-e40793. http://dx.doi.org/ 10.1371/journal.pone.0040793
95. Zimmerman, M. A. (1995). Psychological empowerment: Issues and illustrations. American Journal of Community Psychology, 23, 581-599. http://dx.doi.org/10.1007/BF02506983