EVALUATING THE EFFECTIVENESS OF GENDER-AFFIRMATIVE THERAPY IN ENHANCING SELF ESTEEM AND WELL-BEING AMONG TRANSGENDER INDIVIDUALS

Authors

  • Noshaba Razaq PhD Scholar at University of Haripur Author
  • Rashid Qayyum Professor of Psychiatry at Fazaia Medical College Author
  • Muhammad Naveed Khan Master Scholar in Public Health at International Jilin University China Author
  • Hafa Shaukat MBBS CMH Lahore medical College Lahore Author
  • Zunaira Naveed Assistant professor of Behavioral Sciences Department, Wah Medical College Texila (NUMS Author
  • Batool Arifa M.Phil Student at University of Haripur Author

DOI:

https://doi.org/10.17720/6m56ac16

Keywords:

Transgender, Gender-Affirmative Therapy, Self-Esteem, Psychological Well-Being, Socio-Economic Challenges, Pakistan.

Abstract

 Background: Transgender individuals in Pakistan face significant socio-economic and educational challenges, which may impact their mental health and overall well-being.

 

Objective: The primary objectives is to evaluate the impact of gender-affirmative therapy on selfesteem and psychological well-being, and provide recommendations for improving support systems and informing policy.

Methods: The study involved 120 transgender participants, including transgender women, transgender men, and non-binary/genderqueer individuals. Data on demographics, educational levels, and employment status were collected. The effectiveness of gender-affirmative therapy was assessed using the Rosenberg Self-Esteem Scale (RSES) and the General Health Questionnaire (GHQ-12) through pretest and posttest measures.

Results: The majority of participants were young, with 75% under the age of 35, and faced significant socio-economic challenges, including high illiteracy rates and limited formal employment opportunities. Post-therapy results showed a significant increase in self-esteem (mean  difference = 6.2, t = 5.89, p < 0.001) and a notable decrease in psychological distress (mean difference = -5.2, t = -4.73, p < 0.001).

Conclusion: Gender-affirmative therapy significantly improves self-esteem and psychological well-being among transgender individuals. However, systemic barriers to education and employment persist. The study highlights the need for culturally sensitive mental health services and policy changes to address these challenges and support transgender individuals in Pakistan. 

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References

Davidson M. Seeking refuge under the umbrella: Inclusion, exclusion, and organizing

within the category transgender. Sexuality Research & Social Policy. 2007;4(4):60–80.

https://link.springer.com/article/10.1525/srsp.2007.4.4.60

Valentine D. Imagining transgender: An ethnography of a category. Duke University Press;

Dec 31. https://doi.org/10.1515/9780822390213

Verbeek MJ, Hommes MA, Stutterheim SE, van Lankveld JJ, Bos AE. Experiences with

stigmatization among transgender individuals after transition: A qualitative study in the

Netherlands. International journal of transgender health. 2020 Apr 2;21(2):220-33.

https://doi.org/10.1080/26895269.2020.1750529

Suleman D, Kashif A, Gul S, Hamid S, Yunus A. Navigating shadows: the impact of social

stigma on the mental health of the transgender community in South Asia. Migration Letters.

;21(1):167-81. DOI:10.59670/ml.v21i1.5171

Auttama N, Seangpraw K, Ong-Artborirak P, Tonchoy P. Factors associated with selfesteem, resilience, mental health, and psychological self-care among university students in

Northern Thailand. Journal of Multidisciplinary Healthcare. 2021 May 27:1213-21.

https://doi.org/10.2147/JMDH.S308076

Diener E, Wirtz D, Biswas-Diener R, Tov W, Kim-Prieto C, Choi DW, Oishi S. New

measures of well-being. Assessing well-being: The collected works of Ed Diener.

:247-66. https://link.springer.com/chapter/10.1007/978-90-481-2354-4_12

Velasco RA, Slusser K, Coats H. Stigma and healthcare access among transgender and

gender‐diverse people: A qualitative meta‐synthesis. Journal of advanced nursing. 2022

Oct; 78(10):3083-100. https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.15323

Azhar S, Ahmad I, Herrera MM, Tariq N, Lerner R. “I would prefer to be dead than to live

this way”: Lived experiences of stigma and discrimination against khwaja sira in Swat,

Pakistan. Cambridge Prisms: Global Mental Health. 2024 Jan;11:e60.

DOI: https://doi.org/10.1017/gmh.2024.539. Akhtar M, Bilour N. State of mental health among transgender individuals in Pakistan:

Psychological resilience and self-esteem. Community mental health journal. 2020

May;56(4):626-34. https://link.springer.com/article/10.1007/s10597-019-00522-5

Bracey N. Mapping gender affirming therapy experiences with transgender clients in

Aotearoa (Doctoral dissertation, Open Access Te Herenga Waka-Victoria University of

Wellington).

Usta Sağlam NG, Zengin K, Osmanlı Shirolu S, Sulu C, Kırpınar MM, Turan Ş. Disordered

eating behaviors in gender-affirmative treatment seeking transgender people. Eating

Disorders. 2024 Apr 3:1-6. https://doi.org/10.1080/10640266.2024.2336277

Van Der Miesen AI, Steensma TD, de Vries AL, Bos H, Popma A. Psychological

functioning in transgender adolescents before and after gender-affirmative care compared

with cisgender general population peers. Journal of Adolescent Health. 2020 Jun

;66(6):699-704. https://doi.org/10.1016/j.jadohealth.2019.12.018

Spencer KG, Berg DR, Bradford NJ, Vencill JA, Tellawi G, Rider G. The genderaffirmative life span approach: A developmental model for clinical work with transgender

and gender-diverse children, adolescents, and adults. Psychotherapy. 2021 Mar;58(1):37.

https://psycnet.apa.org/record/2021-35621-001

Velasco RA, Slusser K, Coats H. Stigma and healthcare access among transgender and

gender‐diverse people: A qualitative meta‐synthesis. Journal of advanced nursing. 2022

Oct;78(10):3083-100. https://doi.org/10.1111/jan.15323

Sultan S, Mehmood B, Ahmed Z, Tahira K, Rahim M, Farhan F. HEALTH AND

EDUCATIONAL ISSUES OF TRANSGENDER (KHAWAJA-SIRAS) IN PAKISTAN.

Journal of Khyber College of Dentistry. 2020 Dec 31;10(04):67-71.

https://journalofkcd.com/kcd/article/view/195

Waqar A, Waqar Z, Jamal MN. Unequal Employment Opportunities for Transgenders:

Empirical Study on Employees of Pakistan. Journal of Organizational Behavior Review.

;4(2):181-97. https://dergipark.org.tr/en/pub/jobreview/issue/71457/1129491

Özgen MH, De Vos CM, Yağmur Ö, Sevelius J. Online Group Psychotherapy to Increase

Self-acceptance and Reduce Shame Among Transgender Migrants: An Observational

Report. Turkish Journal of Psychiatry. 2024;35(1):8.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003373/

Glynn TR, Gamarel KE, Kahler CW, Iwamoto M, Operario D, Nemoto T. The role of

gender affirmation in psychological well-being among transgender women. Psychology of

sexual orientation and gender diversity. 2016 Sep;3(3):336.

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Published

2024-04-30

How to Cite

Razaq, N., Qayyum, R., Naveed Khan, M., Shaukat, H., Naveed , Z., & Arifa , B. (2024). EVALUATING THE EFFECTIVENESS OF GENDER-AFFIRMATIVE THERAPY IN ENHANCING SELF ESTEEM AND WELL-BEING AMONG TRANSGENDER INDIVIDUALS. History of Medicine, 10(2), 1084-1092. https://doi.org/10.17720/6m56ac16