title: Metacognitions as Mediators of Gender Identity-related Anxiety.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  -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.
authors.affiliation: King's College London, Institute of Psychiatry, Department of Psychology, London, UK and CASCAID, South London & Maudsley NHS Foundation Trust, London, UK.
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Fernie
authors.affiliation: Division of Psychology, School of Applied Sciences, London South Bank University, London, UK.
authors.forename: Talen
authors.initials: T
authors.lastname: Wright
authors.affiliation: Studi Cognitivi, Milan, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Caselli
authors.affiliation: Department of Psychology, Kingston University, Kingston upon Thames, UK.
authors.forename: Ana V
authors.initials: AV
authors.lastname: Nikčević
authors.affiliation: Division of Psychology, School of Applied Sciences, London South Bank University, London, UK.
authors.forename: Marcantonio M
authors.initials: MM
authors.lastname: Spada
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000175:diagnosis* / Q000523:psychology*; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D000067489:Metacognition; D008875:Middle Aged; D011594:Psychometrics / Q000706:statistics & numerical data; D013223:Statistics as Topic; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology*; D055815:Young Adult
keywords: Anxiety; Cisgender; Metacognitions; Psychological Distress; Transgender