Psychological and psychosocial functioning of binary transgender and nonbinary youth has been understudied in settings treating individuals at risk for psychiatric hospitalization. Further, little is currently known about potential differences in baseline levels of psychiatric distress and adaptive functioning across gender-diverse youth and their psychiatrically distressed cisgender counterparts. Key differences may elucidate avenues for adapted treatment and protocols among youth presenting for psychiatric care. Archival data of 426 youth (Mage = 14.94, SD = 1.5 years) referred to a psychiatric Intensive Outpatient Program (IOP) were used to examine differences in self-reported domains of psychological (e.g., depression, anxiety, Posttraumatic Stress Disorder [PTSD], emotion dysregulation) and psychosocial (e.g., parental and interpersonal relations) functioning across gender. The group included N = 272 cisfemale (64.1%), N = 137 cismale (32.2%), N = 10 transgender (2.3%) and N = 7 nonbinary (1.6%) self-identified youth. Cismales reported the lowest levels of distress and highest levels of adaptive functioning as compared to the other groups, whereas binary transgender and cisfemale youth did not significantly differ across any measured domain. Nonbinary youth reported higher levels of anxiety, hyperactivity, psychological inflexibility, and inadequacy than cisfemales, but largely did not differ from binary transgender youth. Beyond statistical comparisons, nonbinary youth demonstrated globally elevated levels of psychiatric distress and compromised adaptive functioning, with most ratings falling in the clinically significant and/or at-risk ranges. Results highlight the need for clinicians to carefully attend to unique needs of nonbinary youth and for future research to expand upon our preliminary findings. Clinical implications are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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大家还好吗？接受强化门诊精神病学服务的跨性别、非二元和顺式青年的基线心理困扰和适应性功能。

二元跨性别和非二元青年的心理和社会心理功能在治疗有精神病住院风险的个体的环境中未被充分研究。此外，目前对不同性别的青年及其精神困扰的顺性别者之间的精神困扰基线水平和适应性功能的潜在差异知之甚少。关键差异可能会阐明在接受精神科护理的青年中调整治疗和方案的途径。426 名青年（Mage = 14.94，SD = 1.5 岁）的档案数据被用于检查精神科重症门诊计划 (IOP) 中自我报告的心理领域（如抑郁、焦虑、创伤后应激障碍 [PTSD] ，情绪失调）和社会心理（例如，父母和人际关系）跨性别运作。该组包括 N = 272 顺式女性 (64.1%)、N = 137 顺式 (32.2%)、N = 10 跨性别 (2.3%) 和 N = 7 非二元 (1.6%) 自我认同的青年。与其他组相比，Cismales 报告了最低水平的痛苦和最高水平的适应性功能，而二元跨性别和顺式女性青年在任何测量领域都没有显着差异。与顺式女性相比，非二元青年报告的焦虑、多动、心理僵化和不足的程度更高，但与二元跨性别青年在很大程度上没有差异。除了统计比较之外，非二元青年在全球范围内表现出更高水平的精神困扰和适应功能受损，大多数评级都落在临床显着和/或风险范围内。结果强调了临床医生需要仔细关注非二元青年的独特需求，并且未来的研究需要扩展我们的初步研究结果。临床意义进行了讨论。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。