Gender Diversity Among Youth Attending an Intensive Interdisciplinary Pain Treatment Program

Transgender and gender diverse (TGD) youth with chronic pain may be at unique risk for psychological distress and associated functional impairment, yet research on the intersection of chronic pain and gender identity is lacking. In a retrospective chart review of 491 participants admitted to a pedia...

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Bibliographic Details
Published in:Journal of clinical psychology in medical settings 2024-09, Vol.31 (3), p.560-570
Main Authors: Scheurich, Jennifer A., Sim, Leslie A., Gonzalez, Cesar A., Weiss, Karen E., Dokken, Peggy J., Willette, Amber T., Harbeck-Weber, Cynthia
Format: Article
Language:English
Subjects:
Age
Anxiety
Children & youth
Chronic pain
Cisgender
Enrollments
Family Medicine
Females
Gender dysphoria
Gender identity
General Practice
Health Psychology
Interdisciplinary aspects
Medicine
Medicine & Public Health
Mental health
Non-binary gender
Patients
Pediatrics
Peers
Stress
Teenagers
Transgender persons
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Summary:Transgender and gender diverse (TGD) youth with chronic pain may be at unique risk for psychological distress and associated functional impairment, yet research on the intersection of chronic pain and gender identity is lacking. In a retrospective chart review of 491 participants admitted to a pediatric intensive interdisciplinary pain treatment (IIPT) program in the midwestern United States over an approximately 4-year period, 6.11% were TGD. TGD participants who completed the IIPT program reported significant and large improvements in anxiety, depression, pain catastrophizing, and functional ability. At baseline, TGD participants presented as more emotionally distressed and functionally impaired compared to age-matched, cisgender peers. When accounting for baseline scores, TGD participants who completed the IIPT program reported similar scores to cisgender peers at discharge, yet TGD youth were significantly less likely than cisgender peers to complete the IIPT program. Future directions and implications for clinical practice are discussed.
ISSN:1068-9583
1573-3572
1573-3572
DOI:10.1007/s10880-023-09997-7