Karen Bluth, Ani Bryce, Christine R. Lathren, Jinyoung Park, Samantha Pflum, Matthew Clayton
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Abstract
Objectives
This open trial aimed to determine the feasibility and acceptability of a modified version of Mindful Self-Compassion for Teens for transgender adolescents and assess changes in suicide ideation and other measures of emotional well-being. As an exploratory measure, we investigated potential moderators of suicide ideation outcomes, such as self-compassion.
Method
Two cohorts of transgender and gender-diverse adolescents recruited from the US and Canada (n = 35; age range 13–17, M = 14.9, SD = 1.19) participated in an eight-session online self-compassion program. Quantitative measures of wellbeing (i.e., suicide ideation, depression, resilience) were collected at baseline, post-intervention, and 2-month follow-up, and qualitative data (through open-ended questions on an electronic form) were collected at post-intervention and 2-month follow-up.
Results
Suicide ideation decreased with large effect sizes from baseline to follow-up, and most other measures of wellbeing improved with small to moderate effect sizes. Feasibility was confirmed, and acceptability differed markedly between cohorts, with the cohort with greater acceptability improving in mental health attributes to a greater degree. Self-compassion and thwarted belongingness, a factor related to suicide ideation, moderated suicide ideation such that those with greater self-compassion or less thwarted belongingness experienced less suicide ideation.
Conclusions
Self-compassion programs can be beneficial to help transgender adolescents manage the stressors and negative emotional outcomes arising from the anti-trans sociopolitical discourse that has been pervasive in the US. We provide recommendations for future implementations, including that someone who is transgender be part of the instructional staff. Future studies would benefit from larger sample sizes and randomized control trials to confirm the present findings.
期刊介绍：
Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
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