{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:46:32Z","timestamp":1791499592835,"version":"4.3.4"},"reference-count":61,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019573","name":"Amsterdam UMC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019573","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","intpsychogeriatrics.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Psychogeriatrics"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.inpsyc.2025.100049","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T15:29:08Z","timestamp":1739978948000},"page":"100049","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Mental health outcomes and loneliness in older transgender individuals receiving long-term gender-affirming hormone therapy compared with older cisgender individuals"],"prefix":"10.1016","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6941-1815","authenticated-orcid":false,"given":"Jason O.","family":"van Heesewijk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge L.","family":"de Groot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3140-3502","authenticated-orcid":false,"given":"Koen M.A.","family":"Dreijerink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantal M.","family":"Wiepjes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6398-2484","authenticated-orcid":false,"given":"Almar A.L.","family":"Kok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasja M.","family":"van Schoor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn","family":"Huisman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin den","family":"Heijer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9713-4835","authenticated-orcid":false,"given":"Baudewijntje P.C.","family":"Kreukels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.inpsyc.2025.100049_bib1","doi-asserted-by":"crossref","first-page":"1808","DOI":"10.1111\/andr.12884","article-title":"Long-term effect of gender-affirming hormone treatment on depression and anxiety symptoms in transgender people: A prospective cohort study","volume":"9","author":"Aldridge","year":"2021","journal-title":"Andrology"},{"key":"10.1016\/j.inpsyc.2025.100049_bib2","series-title":"Een halve eeuw transgenderzorg aan de VU","author":"Bakker","year":"2020"},{"key":"10.1016\/j.inpsyc.2025.100049_bib3","first-page":"95","volume":"25","author":"Beekman","year":"1994","journal-title":"Tijdschr voor Gerontol En Geriatr"},{"key":"10.1016\/j.inpsyc.2025.100049_bib4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/S0005-7967(98)00025-4","article-title":"Confirmatory factor analysis of the General Self-Efficacy Scale","volume":"36","author":"Bosscher","year":"1998","journal-title":"Behav Res Ther"},{"key":"10.1016\/j.inpsyc.2025.100049_bib5","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1080\/15532739.2016.1258352","article-title":"Transgender and anxiety: a comparative study between transgender people and the general population","volume":"18","author":"Bouman","year":"2017","journal-title":"Int J Transgenderism"},{"key":"10.1016\/j.inpsyc.2025.100049_bib6","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1080\/14681994.2016.1184754","article-title":"Predictors of psychological well-being among treatment seeking transgender individuals","volume":"31","author":"Bouman","year":"2016","journal-title":"Sex Relatsh Ther"},{"key":"10.1016\/j.inpsyc.2025.100049_bib7","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1159\/000084557","article-title":"The impact of change in cognitive functioning and cognitive decline on disability, well-being, and the use of healthcare services in older persons. Results of Longitudinal Aging Study Amsterdam","volume":"19","author":"Comijs","year":"2005","journal-title":"Dement Geriatr Cogn Disord"},{"key":"10.1016\/j.inpsyc.2025.100049_bib8","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1080\/13607863.2021.1876638","article-title":"A systematic review of longitudinal risk factors for loneliness in older adults","volume":"26","author":"Dahlberg","year":"2022","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib9","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1177\/014662168500900307","article-title":"The development of a Rasch-type loneliness scale","volume":"9","author":"De Jong-Gierveld","year":"1985","journal-title":"Appl Psychol Meas"},{"key":"10.1016\/j.inpsyc.2025.100049_bib10","unstructured":"De Minister van Veiligheid en Justitie (2014). Wet van 18 december 2013 tot wijziging van Boek 1 van het Burgerlijk Wetboek en de Wet gemeentelijke basisadministratie persoonsgegevens in verband met het wijzigen van de voorwaarden voor en de bevoegdheid ter zake van wijziging van de vermelding van het geslacht in de akte van geboorte. Staatsblad van het Koninkrijk der Nederlanden."},{"key":"10.1016\/j.inpsyc.2025.100049_bib11","first-page":"1","article-title":"Long term hormonal treatment for transgender people","volume":"359","author":"den Heijer","year":"2017","journal-title":"Br Med J"},{"key":"10.1016\/j.inpsyc.2025.100049_bib12","first-page":"1","article-title":"On social health: history, conceptualization, and population patterning","author":"Doyle","year":"2024","journal-title":"Health Psychol Rev"},{"key":"10.1016\/j.inpsyc.2025.100049_bib13","series-title":"The division of labor in society","author":"Durkheim","year":"1984"},{"key":"10.1016\/j.inpsyc.2025.100049_bib14","series-title":"Discovering statistics using IBM SPSS statistics","author":"Field","year":"2013"},{"key":"10.1016\/j.inpsyc.2025.100049_bib15","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3928\/00989134-20220304-03","article-title":"Advancing gerontological health research with sexual and gender minorities across the globe","volume":"48","author":"Flatt","year":"2022","journal-title":"J Gerontol Nurs"},{"key":"10.1016\/j.inpsyc.2025.100049_bib16","doi-asserted-by":"crossref","first-page":"473","DOI":"10.31887\/DCNS.2008.10.4\/plfranzen","article-title":"Sleep disturbances and depression: risk relationships for subsequent depression and therapeutic implications","volume":"10","author":"Franzen","year":"2008","journal-title":"Dialog- Clin Neurosci"},{"key":"10.1016\/j.inpsyc.2025.100049_bib17","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1017\/S0144686X22000563","article-title":"Historical and social forces in the Iridescent Life Course: key life events and experiences of transgender older adults","volume":"44","author":"Fredriksen-Goldsen","year":"2024","journal-title":"Ageing Soc"},{"key":"10.1016\/j.inpsyc.2025.100049_bib18","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1093\/geront\/gnt021","article-title":"Physical and mental health of transgender older adults: an at-risk and underserved population","volume":"54","author":"Fredriksen-Goldsen","year":"2014","journal-title":"Gerontologist"},{"key":"10.1016\/j.inpsyc.2025.100049_bib19","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1177\/0091415019837591","article-title":"The evolution of aging with pride-national health, aging, and sexuality\/gender study: illuminating the iridescent life course of LGBTQ adults aged 80 years and older in the United States","volume":"88","author":"Fredriksen Goldsen","year":"2019","journal-title":"Int J Aging Hum Dev"},{"key":"10.1016\/j.inpsyc.2025.100049_bib20","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1089\/lgbt.2017.0093","article-title":"The role of discrimination in care postponement among trans-feminine individuals in the U.S. National Transgender discrimination survey","volume":"5","author":"Glick","year":"2018","journal-title":"LGBT Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib21","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/0883-9417(92)90028-H","article-title":"Sense of belonging: a vital mental health concept","volume":"6","author":"Hagerty","year":"1992","journal-title":"Arch Psychiatr Nurs"},{"key":"10.1016\/j.inpsyc.2025.100049_bib22","article-title":"Loneliness and Social Isolation among Transgender and Gender Diverse People","volume":"11","author":"Hajek","year":"2023","journal-title":"Healthc (Basel)"},{"key":"10.1016\/j.inpsyc.2025.100049_bib23","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1089\/trgh.2019.0007","article-title":"Gender dysphoria, mental health, and poor sleep health among transgender and gender nonbinary individuals: a qualitative study in New York City","volume":"5","author":"Harry-Hernandez","year":"2020","journal-title":"Transgend Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib24","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1210\/jc.2017-01658","article-title":"Endocrine treatment of gender-dysphoric\/gender-incongruent persons: an endocrine society clinical practice guideline","volume":"102","author":"Hembree","year":"2017","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.inpsyc.2025.100049_bib25","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1093\/aje\/155.2.176","article-title":"Causal knowledge as a prerequisite for confounding evaluation: an application to birth defects epidemiology","volume":"155","author":"Hernan","year":"2002","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.inpsyc.2025.100049_bib26","article-title":"An overview of depression among transgender women","volume":"2014","author":"Hoffman","year":"2014","journal-title":"Depress Res Treat"},{"key":"10.1016\/j.inpsyc.2025.100049_bib27","first-page":"1","article-title":"The impact of COVID-19 related adversity on the course of mental health during the pandemic and the role of protective factors: a longitudinal study among older adults in The Netherlands","author":"Holwerda","year":"2023","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"10.1016\/j.inpsyc.2025.100049_bib28","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/s10654-016-0192-0","article-title":"The Longitudinal Aging Study Amsterdam: cohort update 2016 and major findings","volume":"31","author":"Hoogendijk","year":"2016","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.inpsyc.2025.100049_bib29","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s10654-019-00541-2","article-title":"The Longitudinal Aging Study Amsterdam: cohort update 2019 and additional data collections","volume":"35","author":"Hoogendijk","year":"2020","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.inpsyc.2025.100049_bib30","doi-asserted-by":"crossref","first-page":"2533","DOI":"10.1186\/s12889-023-17466-x","article-title":"Health disparities in one of the world\u2019s most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands","volume":"23","author":"Hughes","year":"2023","journal-title":"BMC Public Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib31","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1093\/ije\/dyq219","article-title":"Cohort profile: the Longitudinal Aging Study Amsterdam","volume":"40","author":"Huisman","year":"2011","journal-title":"Int J Epidemiol"},{"key":"10.1016\/j.inpsyc.2025.100049_bib32","series-title":"Manual of the loneliness scale 1999","author":"Jong-Gierveld","year":"1999"},{"key":"10.1016\/j.inpsyc.2025.100049_bib33","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","article-title":"Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence","volume":"129","author":"Meyer","year":"2003","journal-title":"Psychol Bull"},{"key":"10.1016\/j.inpsyc.2025.100049_bib34","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.neubiorev.2020.08.006","article-title":"Associations between sex hormones, sleep problems and depression: A systematic review","volume":"118","author":"Morssinkhof","year":"2020","journal-title":"Neurosci Biobehav Rev"},{"key":"10.1016\/j.inpsyc.2025.100049_bib35","unstructured":"Motmans, J., T'Sjoen, G. and Meier, P. (2015). Experiences of violence of transgender people in Belgium."},{"key":"10.1016\/j.inpsyc.2025.100049_bib36","unstructured":"National Research Council (US) Panel on Race Ethnicity and Health in Later Life (2004). Stress. In A.N. Bulatao RA (Ed.) Understanding Racial and Ethnic Differences in Health in Late Life: A Research Agenda Washington (DC): National Academies Press (US)."},{"key":"10.1016\/j.inpsyc.2025.100049_bib37","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s11154-018-9459-y","article-title":"Quality of life of treatment-seeking transgender adults: a systematic review and meta-analysis","volume":"19","author":"Nobili","year":"2018","journal-title":"Rev Endocr Metab Disord"},{"key":"10.1016\/j.inpsyc.2025.100049_bib38","doi-asserted-by":"crossref","first-page":"300","DOI":"10.2105\/AJPH.2011.300568","article-title":"Gender abuse, depressive symptoms, and HIV and other sexually transmitted infections among male-to-female transgender persons: a three-year prospective study","volume":"103","author":"Nuttbrock","year":"2013","journal-title":"Am J Public Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib39","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2307\/2136319","article-title":"The structure of coping","volume":"19","author":"Pearlin","year":"1978","journal-title":"J Health Soc Behav"},{"key":"10.1016\/j.inpsyc.2025.100049_bib40","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpr.2021.102113","article-title":"Associations between minority stress, depression, and suicidal ideation and attempts in transgender and gender diverse (TGD) individuals: Systematic review and meta-analysis","volume":"91","author":"Pellicane","year":"2022","journal-title":"Clin Psychol Rev"},{"key":"10.1016\/j.inpsyc.2025.100049_bib41","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/014662167700100306","article-title":"The CES-D scale: a self-report depression scale for research in the general population","volume":"1","author":"Radloff","year":"1977","journal-title":"Appl Psychol Meas"},{"key":"10.1016\/j.inpsyc.2025.100049_bib42","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1093\/geronb\/gbv040","article-title":"Greater perceived age discrimination in england than the united states: results from HRS and ELSA","volume":"70","author":"Rippon","year":"2015","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"10.1016\/j.inpsyc.2025.100049_bib43","series-title":"Society and the adolescent self-image. Princeton, NJ","author":"Rosenberg","year":"1965"},{"key":"10.1016\/j.inpsyc.2025.100049_bib44","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1161\/01.CIR.99.16.2192","article-title":"Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy","volume":"99","author":"Rozanski","year":"1999","journal-title":"Circulation"},{"key":"10.1016\/j.inpsyc.2025.100049_bib45","first-page":"257","article-title":"Health equity in aging for transgender people","volume":"81","author":"Simmons","year":"2020","journal-title":"N C Med J"},{"key":"10.1016\/j.inpsyc.2025.100049_bib46","doi-asserted-by":"crossref","first-page":"3139","DOI":"10.1007\/s10508-024-02938-x","article-title":"Needs, experiences, and hopes for aging futures among older adults in the LGBTQ communities: a qualitative study in Israel","volume":"53","author":"Sperling","year":"2024","journal-title":"Arch Sex Behav"},{"key":"10.1016\/j.inpsyc.2025.100049_bib47","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1017\/S0033291796004382","article-title":"A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects","volume":"27","author":"Spinhoven","year":"1997","journal-title":"Psychol Med"},{"key":"10.1016\/j.inpsyc.2025.100049_bib48","doi-asserted-by":"crossref","DOI":"10.1177\/10436596241253866","article-title":"Social determinants of health inequities for older LGBT adults: a scoping review","author":"Srithumsuk","year":"2024","journal-title":"J Transcult Nurs"},{"key":"10.1016\/j.inpsyc.2025.100049_bib49","series-title":"Model P 22-1: Proces-verbaal van de uitslag van de verkiezing van de Tweede Kamer der Staten-Generaal","author":"Staatscourant","year":"2024"},{"key":"10.1016\/j.inpsyc.2025.100049_bib50","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s40471-022-00317-5","article-title":"Intersectional approaches to minority aging research","volume":"10","author":"Thomas Tobin","year":"2023","journal-title":"Curr Epidemiol Rep"},{"key":"10.1016\/j.inpsyc.2025.100049_bib51","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/j.jsxm.2017.10.064","article-title":"A longitudinal study of motivations before and psychosexual outcomes after genital gender-confirming surgery in transmen","volume":"14","author":"van de Grift","year":"2017","journal-title":"J Sex Med"},{"key":"10.1016\/j.inpsyc.2025.100049_bib52","article-title":"Cognitive functioning in older transgender individuals receiving long-term gender-affirming hormone therapy","author":"van Heesewijk","year":"2023","journal-title":"Int J Transgender Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib53","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1016\/j.jsxm.2021.05.013","article-title":"Long-term gender-affirming hormone therapy and cognitive functioning in older transgender women compared with cisgender women and men","volume":"18","author":"van Heesewijk","year":"2021","journal-title":"J Sex Med"},{"key":"10.1016\/j.inpsyc.2025.100049_bib54","series-title":"Meer debat, minder gehoord. Monitor mediarepresentatie van trans personen in 2022","author":"van Rossum","year":"2023"},{"key":"10.1016\/j.inpsyc.2025.100049_bib55","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.gerinurse.2022.11.018","article-title":"Conceptualizing transgender and gender-diverse older adults as a vulnerable population: a systematic review","volume":"49","author":"Velasco","year":"2023","journal-title":"Geriatr Nurs"},{"key":"10.1016\/j.inpsyc.2025.100049_bib56","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1080\/26895269.2020.1750529","article-title":"Experiences with stigmatization among transgender individuals after transition: a qualitative study in the Netherlands","volume":"21","author":"Verbeek","year":"2020","journal-title":"Int J Transgend Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib57","series-title":"SF-12: How to score the SF-12 Physical and Mental Health Summary Scales","author":"Ware","year":"1995"},{"key":"10.1016\/j.inpsyc.2025.100049_bib58","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.jsxm.2018.01.016","article-title":"The Amsterdam cohort of gender dysphoria study [1972\u20132015]: trends in prevalence, treatment, and regrets","volume":"15","author":"Wiepjes","year":"2018","journal-title":"J Sex Med"},{"key":"10.1016\/j.inpsyc.2025.100049_bib59","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.jad.2018.02.051","article-title":"Levels of depression in transgender people and its predictors: results of a large matched control study with transgender people accessing clinical services","volume":"235","author":"Witcomb","year":"2018","journal-title":"J Affect Disord"},{"key":"10.1016\/j.inpsyc.2025.100049_bib60","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1089\/lgbt.2014.0106","article-title":"Stigmatization and mental health in a diverse sample of transgender women","volume":"2","author":"Yang","year":"2015","journal-title":"LGBT Health"},{"key":"10.1016\/j.inpsyc.2025.100049_bib61","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"}],"container-title":["International Psychogeriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S104161022500287X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S104161022500287X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T04:43:29Z","timestamp":1777265009000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S104161022500287X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":61,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S104161022500287X"],"URL":"https:\/\/doi.org\/10.1016\/j.inpsyc.2025.100049","relation":{},"ISSN":["1041-6102"],"issn-type":[{"value":"1041-6102","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mental health outcomes and loneliness in older transgender individuals receiving long-term gender-affirming hormone therapy compared with older cisgender individuals","name":"articletitle","label":"Article Title"},{"value":"International Psychogeriatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.inpsyc.2025.100049","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc. on behalf of International Psychogeriatric Association.","name":"copyright","label":"Copyright"}],"article-number":"100049"}}