https://sms.carm.es/ricsmur/handle/123456789/17604 2026-04-06T13:10:07Z 2026-04-06T13:10:07Z García-Hernández, Miguel Marín-Rodríguez, María Jiménez-Ruiz, Ismael Jiménez-Barbero, José-Antonio Sánchez-Munoz, María Pastor-Bravo, María-del-Mar https://sms.carm.es/ricsmur/handle/123456789/25698 2026-04-06T11:22:55Z 2026-02-11T00:00:00Z

Social Determinants of Health Influence on Trans and Gender-Diverse People: A Qualitative Photovoice Study García-Hernández, Miguel; Marín-Rodríguez, María; Jiménez-Ruiz, Ismael; Jiménez-Barbero, José-Antonio; Sánchez-Munoz, María; Pastor-Bravo, María-del-Mar Despite the introduction of inclusive and gender-affirming approaches in healthcare, transgender and non-binary people continue to show poorer physical, psychological, and social outcomes, shaped by social determinants within historically pathologizing and stigmatizing contexts. This study used qualitative participatory action research with photovoice among seven transgender individuals residing in Murcia, Spain; data were generated through semi-structured interviews and focus group dialogue, applying the SHOWED technique to the visual and discursive narratives of the participants, and analyzed with Atlas.ti v8. Educational, employment, and healthcare contexts significantly condition well-being. Well-being was determined by the circumstances and support in which gender identity is constructed, within sociocultural environments marked by gender stereotypes, exclusion from social spaces, and fears regarding the irreversibility of certain transition steps. Reported lifetime negative events, social barriers, exclusion, and persistent questioning of identity were associated with increased anxiety, depressive symptoms, and insomnia. At the same time, the relevance of resilience and support networks also emerged during the sessions. Replicating photovoice in diverse settings may help identify social and territorial inequities and inform improvements in clinical practice, healthcare education, public policies, and legislation for transgender and gender-nonconforming people.

2026-02-11T00:00:00Z Pastor-Bravo, María-del-Mar Marín-Rodríguez, María Martín-Castillo, David Jiménez-Barbero, José-Antonio García-Arenas, José-Joaquín Sánchez-Muñoz, María https://sms.carm.es/ricsmur/handle/123456789/25063 2026-03-09T09:01:11Z 2025-11-18T00:00:00Z

Experiences of Health Care Access Among Trans Adolescents in the Region of Murcia, Spain Pastor-Bravo, María-del-Mar; Marín-Rodríguez, María; Martín-Castillo, David; Jiménez-Barbero, José-Antonio; García-Arenas, José-Joaquín; Sánchez-Muñoz, María Objective: The objective of this research is to explore the healthcare access experiences of trans and gender-diverse adolescents in the Region of Murcia (Spain). Methodology: An exploratory qualitative study was conducted using an interpretative phenomenological approach, consisting of semi-structured interviews with adolescents and their families. The study sample consisted of 20 participants: 10 trans and gender-diverse adolescents residing in the Region of Murcia and their respective mothers. Interview dyads (adolescent and mother) were incorporated sequentially until data saturation was reached. Transcription and data pre-analysis were conducted simultaneously, following the steps outlined in Interpretative Phenomenological Analysis (IPA). Results: The results are structured based on personal barriers of the participants, perceived barriers in interactions with professionals, and institutional barriers to receiving quality healthcare. Conclusions: This study helps raise awareness about the situation faced by trans adolescents in healthcare settings. It is essential for healthcare professionals to receive greater training and awareness regarding transgender health and for centers to have action protocols, services, and facilities tailored to these patients.

2025-11-18T00:00:00Z Martín-Castillo, David García-Arenas, José-Joaquín Sánchez-Muñoz, María Jiménez-Barbero, José-Antonio Pastor-Bravo, María-del-Mar https://sms.carm.es/ricsmur/handle/123456789/24926 2026-03-09T08:59:47Z 2025-08-19T00:00:00Z

School-based victimization of transgender youth: A qualitative study Martín-Castillo, David; García-Arenas, José-Joaquín; Sánchez-Muñoz, María; Jiménez-Barbero, José-Antonio; Pastor-Bravo, María-del-Mar BACKGROUND: Evidence indicates that transgender adolescents are at heightened risk of experiencing violence during their school years. This study aims to explore victimization experiences from the perspective of transgender students and their mothers. METHODS: A qualitative phenomenological approach was used, employing in-depth interviews to examine experiences of school victimization among transgender youth and their mothers. Participants were recruited until data saturation was reached (n=10). Interviews were audio-recorded, transcribed, and analysed using thematic content analysis in parallel with ongoing data collection. RESULTS: Transgender children and adolescents, along with their mothers, described various victimization forms in school settings, including physical and verbal abuse, and cyberbullying. These experiences were associated with significant biopsychosocial consequences, such social withdrawal, violent behaviour, depression, and suicidal ideation. CONCLUSIONS: The findings in this study highlight the urgent need to understand and address the diverse forms of victimization faced by transgender students. The study underscores the importance of implementing comprehensive anti-bullying strategies, including awareness campaigns, peer support systems, targeted protocols, and specialized training for school personnel.

2025-08-19T00:00:00Z Harris, Meredith-G Kazdin, Alan-E Hwang, Irving Manoukian, Sophie-M Sampson, Nancy-A Stein, Dan-J Viana-Llamas, María-Carmen Vigo, Daniel-V Alonso, Jordi Andrade, Laura-Helena Bruffaerts, Ronny Bunting, Brendan Caldas-de-Almeida, José-Miguel Chardoul, Stephanie de-Girolamo, Giovanni Gureje, Oye Haro, Josep-María Karam, Elie-G Kovess-Masfety, Viviane Medina-Mora, María-Elena Navarro-Mateu, Fernando Nishi, Daisuke Posada-Villa, José Rapsey, Charlene Stagnaro, Juan-Carlos ten-Have, Margreet Wciorka, Jacek Zarkov, Zahari Kessler, Ronald-C https://sms.carm.es/ricsmur/handle/123456789/24876 2026-03-09T08:58:14Z 2025-05-23T00:00:00Z

Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment Harris, Meredith-G; Kazdin, Alan-E; Hwang, Irving; Manoukian, Sophie-M; Sampson, Nancy-A; Stein, Dan-J; Viana-Llamas, María-Carmen; Vigo, Daniel-V; Alonso, Jordi; Andrade, Laura-Helena; Bruffaerts, Ronny; Bunting, Brendan; Caldas-de-Almeida, José-Miguel; Chardoul, Stephanie; de-Girolamo, Giovanni; Gureje, Oye; Haro, Josep-María; Karam, Elie-G; Kovess-Masfety, Viviane; Medina-Mora, María-Elena; Navarro-Mateu, Fernando; Nishi, Daisuke; Posada-Villa, José; Rapsey, Charlene; Stagnaro, Juan-Carlos; ten-Have, Margreet; Wciorka, Jacek; Zarkov, Zahari; Kessler, Ronald-C BACKGROUND: Perceived need for treatment is a first step along the pathway to effective mental health treatment. Perceived need encompasses a person's recognition that they have a problem and their belief that professional help is needed to manage the problem. These two components could have different predictors. METHODS: Respondents aged 18+ years with 12-month mental disorders from 25 representative household surveys in 21 countries in the World Mental Health Survey Initiative (n = 12,508). All surveys included questions about perceived need; 16 surveys (13 countries) included additional questions about respondents' main reason for perceived need-problem recognition or perceived inability to manage without professional help (n = 9814). Associations of three sets of predictors (disorder, socio-demographics, past treatment) with perceived need and its components were examined using Poisson regression models. RESULTS: Across the 16 surveys with additional questions, 42.4% of respondents with a 12-month mental disorder reported perceived need for treatment. In separate multivariable models for each predictor set: (1) Most disorder types (except alcohol use disorder, specific phobia), disorder severity, and number of disorders were associated with perceived need and both of its components; (2) Sociodemographic factors tended to differentially predict either problem recognition (females, 30-59 years, disabled/unemployed) or need for professional help (females, homemakers, disabled/unemployed, public insurance); (3) Past treatment factors (type of professional, psychotherapy, helpful or unhelpful treatment) were associated with perceived need and both components, except number of past professionals differentially predicted problem recognition. In a consolidated model: employment and insurance became non-significant; type and number of past professionals seen became more important; helpful past treatment predicted greater need for professional help while unhelpful treatment predicted lower problem recognition. Problem recognition was the more important component in determining perceived need for some groups (e.g., severe disorder, people who consulted non-mental health professionals). CONCLUSIONS: Greater clinical need is a key determinant of perceived need for treatment. Findings suggest a need for strategies to address low perceived need (e.g., in males, older people, alcohol use disorders) and lower endorsement of professional treatment in some groups, and to improve patient's treatment experiences which are important enablers of future help-seeking.

2025-05-23T00:00:00Z