Levels of anxiety and depression in transgender people accessing services: A large matched control study

Gemma Witcomb

Loughborough University

Dr Gemma Witcomb is a Lecturer in Psychology at Loughborough University, UK and she has worked alongside the Nottingham Centre for Transgender Health (Nottingham, UK) for a number of years. Her research focus is on identifying predictors and correlates of symptoms of distress and coping in trans individuals and, through doing so, develop ways to better support trans individuals and their families through disclosure and, if applicable, transition process. More broadly, she is interested in mental health and public wellbeing and conducts research in areas including body image, eating disorders, and trauma.


Anxiety and depression are serious disorders which significantly impact upon a person’s wellbeing and quality of life. The transgender population is reported to be at an increased risk for such disorders, with symptoms often... [ view full abstract ]


Given these limitations, the first aim of the study was to explore differences in anxiety and depressive symptomology between a large sample of non-treated, transgender individuals attending a national transgender health... [ view full abstract ]


During a three-year period, from 2012-2015, all transgender individuals (n=937) attending a transgender health service in the UK were invited to participate in the study. Of these, 24 did not agree, leaving a final sample of... [ view full abstract ]

Main Outcome Measures

The main outcome measures were anxiety and depressive symptomology. For both anxiety and depression scores, individuals were categorized as either no disorder, possible disorder, or probable disorder based on cut-offs... [ view full abstract ]


Of the 913 transgender individuals, 259 were on CHT and 640 were not. Data was missing for 14 individuals and so they were excluded from further analysis. For Aim 1, the 640 individuals not on CHT were matched with individuals... [ view full abstract ]


This large scale, matched control study confirms that non-treated transgender individuals are at an increased risk of disorders that impact upon their wellbeing. This risk is predicted by other factors indicative of reduced... [ view full abstract ]


  1. Gemma Witcomb (Loughborough University)
  2. Walter Pierre Bouman (Nottingham Center for Transgender Health)
  3. Laurence Claes (University of Leuven)
  4. Nicola Brewin (Nottingham Center for Transgender Health)
  5. John Crawford (university of aberdeen)
  6. Jon Arcelus (Nottingham Center for Transgender Health)

Topic Area

Oral & Poster Topics: Mental health


OS-1A » Mental Health I: Mental & Sexual Health and Outcomes in Transgender Health (14:00 - Thursday, 6th April, Baltic)

Presentation Files