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      Quality of Life and Perceived Social Support Before and After Sex Reassignment Surgery

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          Abstract

          This study aimed to explore the pre- and postoperative differences in quality of life and perceived social support of Female-to-Male transsexual patients who underwent mastectomy and complete hysterectomy. Sixty-three Female-to-Male female individuals who underwent complete hysterectomy and mastectomy between November 2019 and November 2020 were included in this study. Data were collected using the Personal Information Form, Multidimensional Scale of Perceived Social Support, and the World Health Organization Quality of Life Scale Short Form. The pre- and postoperative perceived social support mean scores of patients were 57.2 ± 9.0 and 74.9 ± 7.3, respectively. The pre- and postoperative quality of life mean scores of patients were 76.9 ± 8.3 and 107.8 ± 10.1, respectively. There were statistically significant differences between the measurements ( p < .05). In addition, the patients whose education level was primary school, whose income was less than their expenditure, whose father was a primary school graduate, whose family had a strict family opinion on sexuality, whose family had a traditional view, and who had a high body mass index were found to have higher postoperative social support perceptions and quality of life. The patients’ postoperative quality of life and perceived social support improved after sex reassignment surgery.

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          Most cited references32

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          Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment

          (1998)
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            Psychometric characteristics of the Multidimensional Scale of Perceived Social Support.

            The initial study describing the development of the Multidimensional Scale of Perceived Social Support (MSPSS) indicated that it was a psychometrically sound instrument (Zimet, Dahlem, Zimet, & Farley, 1988). The current study attempted to extend the initial findings by demonstrating the internal reliability, factorial validity, and subscale validity of the MSPSS using three different subject groups: (a) 265 pregnant women, (b) 74 adolescents living in Europe with their families, and (c) 55 pediatric residents. The MSPSS was found to have good internal reliability across subject groups. In addition, strong factorial validity was demonstrated, confirming the three-subscale structure of the MSPSS: Family, Friends, and Significant Other. Finally, strong support was also found for the validity of the Family and Significant Other subscales.
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              Stigma, mental health, and resilience in an online sample of the US transgender population.

              We assessed the association between minority stress, mental health, and potential ameliorating factors in a large, community-based, geographically diverse sample of the US transgender population. In 2003, we recruited through the Internet a sample of 1093 male-to-female and female-to-male transgender persons, stratified by gender. Participants completed an online survey that included standardized measures of mental health. Guided by the minority stress model, we evaluated associations between stigma and mental health and tested whether indicators of resilience (family support, peer support, identity pride) moderated these associations. Respondents had a high prevalence of clinical depression (44.1%), anxiety (33.2%), and somatization (27.5%). Social stigma was positively associated with psychological distress. Peer support (from other transgender people) moderated this relationship. We found few differences by gender identity. Our findings support the minority stress model. Prevention needs to confront social structures, norms, and attitudes that produce minority stress for gender-variant people; enhance peer support; and improve access to mental health and social services that affirm transgender identity and promote resilience.
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                Author and article information

                Contributors
                (View ORCID Profile)
                (View ORCID Profile)
                Journal
                Clinical Nursing Research
                Clin Nurs Res
                SAGE Publications
                1054-7738
                1552-3799
                March 2022
                August 19 2021
                March 2022
                : 31
                : 3
                : 481-488
                Affiliations
                [1 ]Ege University Atatürk Health Care Vocational School, Bornova, Izmir, Turkey
                [2 ]Ege University Faculty of Medicine, Bornova, Izmir, Turkey
                [3 ]Munzur University Faculty of Health Sciences, Aktuluk, Tunceli, Turkey
                [4 ]Muğla Sıtkı Koçman University, Merkez, Turkey
                Article
                10.1177/10547738211040636
                34409884
                9d79d050-c42b-4e29-b4fa-1219597dc6b7
                © 2022

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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