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- W4384642505 abstract "Abstract Introduction Although research has documented the marked disparities in rates of psychosis‐spectrum diagnoses in various socially marginalized populations, there is limited research addressing the needs of gender expansive individuals in the context of psychosis‐spectrum illnesses using a minority stress lens. As clinical high‐risk for psychosis (CHR‐p) assessment and treatment becomes accessible to increasingly diverse populations, there is a need for clinicians to demonstrate greater clinical competency working with individuals across diverse social backgrounds and identities. Methods We examined rates of gender expansive (GE) patients seeking evaluation at an urban‐based CHR‐p clinic and compared the diagnostic profile of GE individuals to cisgender patients. Post‐hoc analyses were conducted on clinical variables with significant differences between the cisgender and GE groups. Results The proportion of GE patients seeking evaluation increased from 2017 (9.3%) to 2021 (16.7%). Compared to cisgender youth, GE patients had significantly higher depressive, social anxiety, borderline personality disorder symptoms, higher levels of suicidality and non‐suicidal self‐injurious behaviour, and lower role functioning. Gender identity was predictive of suicidality controlling for social anxiety, borderline symptoms, and role functioning. Conclusions We review implications for CHR‐p treatment and discuss ways to integrate minority stress theory and gender‐affirming practices into coordinated specialty care for CHR‐p patients." @default.
- W4384642505 created "2023-07-19" @default.
- W4384642505 creator A5013155655 @default.
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- W4384642505 date "2023-07-18" @default.
- W4384642505 modified "2023-09-23" @default.
- W4384642505 title "Gender‐affirming care in the assessment and treatment of psychosis risk: Considering minority stress in current practice and future research" @default.
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- W4384642505 doi "https://doi.org/10.1111/eip.13456" @default.
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- W4384642505 hasPublicationYear "2023" @default.
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