Metacognitions as Mediators of Gender Identity-related Anxiety

Clin Psychol Psychother. 2017 Jan;24(1):264-268. doi: 10.1002/cpp.1992. Epub 2015 Nov 19.


Objective: Research has found that the prevalence of psychological distress is substantially higher in transgender compared to cisgender populations. This study explored the role of metacognitions as mediators of anxiety in a sample comprising of cisgender and transgender individuals.

Method: One-hundred and twenty-five individuals (19 trans-male; 24 male; 25 trans-female; 57 female) completed a series of measures that assessed metacognitions, worry and anxiety.

Results: Correlation analyses were used to identify potential mediators of the relationship between gender identity and anxiety. A mediation model indicated that beliefs about thoughts concerning uncontrollability and danger entirely mediated the relationship between gender identity and anxiety (b = 2.00, bias corrected and accelerated confidence interval [0.68, 3.49]).

Conclusions: Metacognitions play an important role in anxiety in transgender individuals.

Highlights: -Metacognitions were found to mediate anxiety in transgender and cisgender individuals. -The exploration of metacognitions in transgender individuals experiencing psychological distress may have clinical utility. Copyright © 2015 John Wiley & Sons, Ltd.

Keywords: Anxiety; Cisgender; Metacognitions; Psychological Distress; Transgender.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Anxiety / diagnosis*
  • Anxiety / psychology*
  • Depression / diagnosis
  • Depression / psychology
  • Female
  • Gender Identity*
  • Humans
  • Male
  • Metacognition*
  • Middle Aged
  • Psychometrics / statistics & numerical data
  • Statistics as Topic
  • Surveys and Questionnaires
  • Transgender Persons / psychology*
  • Young Adult