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Vol 21 (2023): Continuous Publishing
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Published online: 2023-06-09

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Does hormone treatment help Polish transgender individuals cope with stress?

Rafał Gerymski1, Angelika Gaworska1
Journal of Sexual and Mental Health 2023;21:1-7.


Introduction: The results of Polish studies indicate that transgender individuals have lower quality of life than cisgender people. Research shows that hormone treatment and transition-related surgeries can buffer the stress’ impact on the quality of life of transgender people. The objective of this study was to explore whether hormone treatment and transition-related surgeries moderate in the relationship between stress and life satisfaction in transgender individuals.
Material and methods: One hundred twenty-four transgender individuals in the age between 18 and 53 years old (M = 23.60; SD = 6.32) participated in the presented study — 41 transgender women and 83 transgender men. Recruitment of the respondents took place via the Internet. SWLS, PSS-10 and authors’ own questionnaire on hormone treatment were used.
Results: There were significant differences in the level of stress between transgender individuals using hormone treatment and those who did not. The ones who used hormone treatment had lower levels of perceived stress than those, who did not. The analysis showed the negative and strong relationship between perceived stress and life satisfaction in studied sample. Results of hormone treatment were negatively and weakly related to transgender individuals’ life satisfaction. The relationship between hormone treatment and perceived stress was not significant.
Conclusions: This manuscript draws attention to the important role of coping strategies in Polish transgender people. Psychologists and specialists working with transgender people should try to find significant predictors of transgender people’s life satisfaction. This is important because finding significant resources will improve transgender individuals’ quality of life.

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  1. Rainbow Europe Map and Index 2020. https://ilga-europe.org/report/rainbow-europe-2020/ (20.09.2021).
  2. Mazurczak A, Mrowicki M, Adamczewska-Stachura M. Legal situation of non-heterosexual and transgender people in Poland. The international standard for the protection of human rights of LGBT people and the state of compliance with it from the perspective of the Ombudsman. Ombudsman Bulletin, Warsaw 2019.
  3. Agency for Health Technology Assessment and Tariff System. Health Technology Assessment Report on Public Funding of Hormone Treatment in Transgender People. Polish Ministry of Health. 2015.
  4. Doroszkiewicz E. Transgender discrimination in the employment sphere. Pracownik i Pracodawca. 2020; 4(1-2): 40–53.
  5. Dynarski W, Śmiszek K. Trans-Fuzja Foundation. Legal situation of transgender people in Poland. Research report and proposed changes. Trans-Fuzja Foundation, Warsaw 2013.
  6. BBC. Polish election: Andrzej Duda says LGBT 'ideology' worse than communism. https://www.bbc.com/news/world-europe-53039864 (20.09.2021).
  7. Time. Polish President Calls “LGBT Ideology” More Harmful Than Communism. https://time.com/5853277/andrzej-duda-lgbt-ideology-communism/ (20.09.2021).
  8. Gerymski R. Influence of the sex reassignment on the subjective well-being of transgender men–results of the pilot study and discussion about future research. Przegląd Seksuologiczny. 2017; 16(4): 9–14.
  9. Gerymski R. Support and coping as moderators of the relationship between perceived stress and the quality of life of transgender people. Czasopismo Psychologiczne. 2018; 24(3): 607–616.
  10. Gerymski R. Short Sexual Well-Being Scale – a cross-sectional validation among transgender and cisgender people. Health Psychology Report. 2020; 9(3): 276–287.
  11. Biczkowska P, Cierzan K, Gierczak J, Gumowska A, Kudlik M, Banucha K, Borowski M, Kośnicka I, Smorczewska M. Degeneration. Literature, culture, language, translation studies. Wydawnictwo Uniwersytetu Gdańskiego, Gdańsk 2013.
  12. Dhejne C, van Vlerken R, Heylens G, et al. Mental health and gender dysphoria: A review of the literature. Int Rev Psychiatry. 2016; 28(1): 44–57.
  13. Heylens G, Elaut E, Kreukels BPC, et al. Psychiatric characteristics in transsexual individuals: multicentre study in four European countries. Br J Psychiatry. 2014; 204(2): 151–156.
  14. Valentine SE, Shipherd JC. A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clin Psychol Rev. 2018; 66: 24–38.
  15. Streed CG, McCarthy EP, Haas JS. Association between gender minority status and self-reported physical and mental health in the united states. JAMA Intern Med. 2017; 177(8): 1210–1212.
  16. Bradford J, Reisner SL, Honnold JA, et al. Experiences of transgender-related discrimination and implications for health: results from the Virginia Transgender Health Initiative Study. Am J Public Health. 2013; 103(10): 1820–1829.
  17. Zucker KJ, Lawrence AA, Kreukels BPC. Gender dysphoria in adults. Annu Rev Clin Psychol. 2016; 12: 217–247.
  18. Krzystyniak KL, Kalota H. Medical aspects of gender dysphoria. Gabinet Prywatny. 2019; 26(4): 35–42.
  19. Kaltiala-Heino R, Bergman H, Työläjärvi M, et al. Gender dysphoria in adolescence: current perspectives. Adolesc Health Med Ther. 2018; 9: 31–41.
  20. Simbar M, Nazarpour S, Mirzababaie M, et al. Quality of life and body image of individuals with gender dysphoria. J Sex Marital Ther. 2018; 44(6): 523–532.
  21. Tebbe EA, Moradi B. Suicide risk in trans populations: an application of minority stress theory. J Couns Psychol. 2016; 63(5): 520–533.
  22. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5): 674–697.
  23. Hatzenbuehler ML, Pachankis JE. Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: research evidence and clinical implications. Pediatr Clin North Am. 2016; 63(6): 985–997.
  24. McCann E, Brown M. Discrimination and resilience and the needs of people who identify as transgender: a narrative review of quantitative research studies. J Clin Nurs. 2017; 26(23-24): 4080–4093.
  25. Folkman S, Lazarus RS, Dunkel-Schetter C, et al. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol. 1986; 50(5): 992–1003.
  26. Filipkowski J, Gerymski R. Jacy ludzie mogą liczyć na wsparcie? Ciemna triada i konwersacyjna niebezpośredniość jako predyktory wsparcia społecznego. Annales Universitatis Mariae Curie-Skłodowska, sectio J – Paedagogia-Psychologia. 2020; 33(2): 253.
  27. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985; 98(2): 310–357.
  28. Nobili A, Glazebrook C, Arcelus J. Quality of life of treatment-seeking transgender adults: a systematic review and meta-analysis. Rev Endocr Metab Disord. 2018; 19(3): 199–220.
  29. Weinforth G, Fakin R, Giovanoli P, et al. Quality of life following male-to-female sex reassignment surgery. Dtsch Arztebl Int. 2019; 116(15): 253–260.
  30. Cysarz D, Piwowarczyk A, Czernikiewicz W, et al. Changes in body image satisfaction, sense of coherence and life satisfaction during the therapy of women with transsexualism. A preliminary report. Psychiatr Pol. 2008; 42(1): 115–123.
  31. Gómez-Gil E, Zubiaurre-Elorza L, Esteva I, et al. Hormone-treated transsexuals report less social distress, anxiety and depression. Psychoneuroendocrinology. 2012; 37(5): 662–670.
  32. Colizzi M, Costa R, Todarello O. Transsexual patients' psychiatric comorbidity and positive effect of cross-sex hormonal treatment on mental health: results from a longitudinal study. Psychoneuroendocrinology. 2014; 39: 65–73.
  33. Costa R, Colizzi M. The effect of cross-sex hormonal treatment on gender dysphoria individuals' mental health: a systematic review. Neuropsychiatr Dis Treat. 2016; 12: 1953–1966.
  34. de Vries ALC, McGuire JK, Steensma TD, et al. Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics. 2014; 134(4): 696–704.
  35. White Hughto JM, Reisner SL. A systematic review of the effects of hormone therapy on psychological functioning and quality of life in transgender individuals. Transgend Health. 2016; 1(1): 21–31.
  36. Diener E, Emmons RA, Larsen RJ, et al. The satisfaction with life scale. J Pers Assess. 1985; 49(1): 71–75.
  37. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24(4): 385–396.
  38. Hayes AF. ntroduction to mediation, moderation, and conditional process analysis. 3rd ed. The Guilford Press, New York 2013.
  39. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008; 40(3): 879–891.
  40. Meier SC, Labuski CM. The demograhics of the transgender oulation. In: Baumle AK, Labuski CM. ed. International handbook on the demography of sexuality. Springer, New York 2013: 289–327.
  41. Herman-Jeglińska A, Grabowska A, Dulko S. Masculinity, femininity, and transsexualism. Arch Sex Behav. 2002; 31(6): 527–534.
  42. Dynarski W, Jąderek I. Trans-Fuzja Foundation. Transpłciowość a opieka zdrowotna w Polsce. Raport z badań. Trans-Fuzja Foundation, Warsaw 2015.
  43. Rood BA, Reisner SL, Surace FI, et al. Expecting rejection: understanding the minority stress experiences of transgender and gender-nonconforming individuals. Transgend Health. 2016; 1(1): 151–164.
  44. White Hughto JM, Reisner SL, Pachankis JE. Transgender stigma and health: a critical review of stigma determinants, mechanisms, and interventions. Soc Sci Med. 2015; 147: 222–231.
  45. Gorin-Lazard A, Baumstarck K, Boyer L, et al. Is hormonal therapy associated with better quality of life in transsexuals? A cross-sectional study. J Sex Med. 2012; 9(2): 531–541.
  46. Bouman W, Davey A, Meyer C, et al. Predictors of psychological well-being among treatment seeking transgender individuals. Sex Relatsh Ther. 2016; 31(3): 359–375.