The current study aimed at systematically reviewing evidence on the relationships between gender minority stress and mental health outcomes among European transgender and gender diverse (TGD) individuals. A systematic search was conducted in PsycINFO, PubMED, Scopus, and Google Scholar. It was based on Boolean operators to combine terms related to minority stress, TGD identities, and mental health. Thirty studies were identified as eligible. The results confirmed that gender minority stress factors are significantly related with mental health problems among European TGD individuals. Distal stressors were identified as strongly associated with poorer mental health, with gender-related discrimination emerging as the most documented risk factor. The significant role of proximal stressors was also highlighted, with some mediation analyses detecting an indirect effect on mental health. However, identity concealment appeared unrelated to mental health outcomes. Resilience-promoting factors buffering the impact of stressors were also identified, including self-esteem, pride, transitioning, and social support. Conversely, data on community connectedness as a source of resilience were inconclusive. The studies reviewed have several limitations, including lack of longitudinal designs, sampling bias, variability in measurement methods, and unaccounted ethnic variables. Research and clinical recommendations in this field are reported.

目前的研究旨在系统地审查欧洲跨性别者和性别多样化（TGD）个体中性别少数压力与心理健康结果之间关系的证据。在 PsycINFO、PubMED、Scopus 和 Google Scholar 中进行了系统检索。它基于布尔运算符，结合了与少数群体压力、TGD 身份和心理健康相关的术语。三十项研究被确定为合格。结果证实，性别少数压力因素与欧洲TGD个体的心理健康问题显着相关。远端压力源被认为与较差的心理健康状况密切相关，其中与性别相关的歧视成为记录最多的风险因素。近端压力源的重要作用也得到了强调，一些中介分析检测到对心理健康的间接影响。然而，身份隐藏似乎与心理健康结果无关。还确定了缓冲压力源影响的恢复力促进因素，包括自尊、自豪感、过渡和社会支持。相反，关于社区连通性作为复原力来源的数据尚无定论。所审查的研究存在一些局限性，包括缺乏纵向设计、抽样偏差、测量方法的可变性以及未考虑的种族变量。报告了该领域的研究和临床建议。