{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:57:44Z","timestamp":1790060264059,"version":"4.0.1"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"name":"Health Investigation Fund Carlos III Health Institute","award":["01\/0447"],"award-info":[{"award-number":["01\/0447"]}]}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,8,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Social anxiety in gender dysphoria is still under investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the prevalence and associated factors of social anxiety in a sample of individuals with gender dysphoria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional design was used in a clinical sample attending a public gender identity unit in Spain. The sample consisted of 210 individuals (48% trans female and 52% trans male).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Mini-International Neuropsychiatric Interview (MINI) for diagnosis of social anxiety disorder, Structured Clinical Interview, Exposure to Violence Questionnaire (EVQ), Beck Depression Inventory (BDI-II), and Functional Social Support Questionnaire (Duke-UNC-11).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the total sample, 31.4% had social anxiety disorder. Social anxiety disorder was highly correlated with age (r = \u22120.181; CI = 0.061\u20130.264; P = .009) and depression (r = 0.345; CI = 0.213\u20130.468; P &amp;lt; .001); it is strongly associated to current cannabis use (relative risk [RR] = 1.251; CI = 1.070\u20131.463; P = .001) and lifetime suicidal ideation (RR = 1.902; CI 1.286\u20132.814; P &amp;lt; .001). Moreover, it is significantly associated to lifetime nonsuicidal self-injury (RR = 1.188; CI 1.018\u20131.386; P = .011), nationality (RR = 7.792; CI 1.059\u201357.392; P = .013), perceived violence at school during childhood and adolescence (r = 0.169; CI = 0.036\u20130.303; P = .014), unemployment (RR = 1.333; CI 1.02\u20131.742; P = .021), and hospitalization of parents in childhood (RR = 1.146; CI = 1.003\u20134.419; P = .046). Using multivariable analysis, the highly significant variables within the model were depression score (odds ratio [OR] = 1.083; CI = 1.045\u20131.123; P &amp;lt; .001) and current cannabis use (OR = 3.873; CI = 1.534\u20139.779, P = .004), also age (OR = 0.948; CI = 0.909\u20130.989; P = .012), hospitalization of parents during childhood (OR = 2.618; CI = 1.107\u20136.189; P = .028), and nationality (OR = 9.427; CI = 1.065\u201383.457; P = .044) were associated with social anxiety disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the necessity of implementing actions to prevent and treat social anxiety in this high-risk population.<\/jats:p>\n                  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