Gender Diversity Among Youth Attending an Intensive Interdisciplinary Pain Treatment Program.

Document Type

Article

Publication Date

9-2024

Identifier

DOI: 10.1007/s10880-023-09997-7

Abstract

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.

Journal Title

Journal of clinical psychology in medical settings

Volume

31

Issue

3

First Page

560

Last Page

570

MeSH Keywords

Humans; Female; Male; Adolescent; Chronic Pain; Retrospective Studies; Pain Management; Child; Anxiety; Depression; Transgender Persons; Catastrophization; Midwestern United States

Keywords

Chronic pain; Gender diversity; Pain rehabilitation; Transgender

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