Perfis clínico-relacionais e mudança precoce na psicoterapia com adolescentes transgêneros

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.16410

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Publicado: ago 20, 2026
Edição: v. 44 n. 1 (2026)
Seção Artículos


Palavras-chave: saúde do adolescente saúde mental sofrimento psicológico diversidade de gênero

Conteúdo do artigo principal

Autores

  Jesús Vidal-Rojas
Colectivo de Estudios en Psicoterapia y Análisis Social, Santiago, Chile
  María José Lobos
Hospital Dr. Exequiel González Cortés, Santiago, Chile
  Pedro Fuentes
Hospital Dr. Exequiel González Cortés, Santiago, Chile

Resumo

Objetivo: identificar perfis clínicos e contextuais entre adolescentes trans no início do acompanhamento psicológico e examinar mudanças precoces no sofrimento psicológico durante as cinco primeiras sessões. Método: estudo observacional retrospectivo com 88 adolescentes trans (10-17 anos) atendidos em dois hospitais públicos chilenos. Foi realizada uma análise de classes latentes com seis indicadores: momento do processo identitário, afirmatividade familiar, bullying transfóbico, faixa etária, tentativas prévias de suicídio e diagnóstico clínico. O sofrimento psicológico foi avaliado pelo YP-CORE nas sessões 1, 3 e 5. O comportamento suicida foi mensurado pela Escala de Okasha. Resultados: emergiu-se uma solução de três classes com alta entropia (H = 0.961): (1) Revelação Identitária e Alta Proteção Relacional (12.5 %, n = 11); (2) Identidades Afirmadas em Contexto de Ambivalência Familiar (55.7 %, n = 49); e (3) Vulnerabilidade Clínico-Relacional Acumulativa (31.9 %, n = 28). Os perfis diferiram significativamente quanto ao sofrimento psicológico basal (H = 9.04, p = 0.011). Os perfis extremos apresentaram reduções significativas entre as sessões 1 e 3 (d = −0.66 a −1.01), enquanto o perfil com ambivalência familiar mostrou melhora mais gradual até a sessão 5 (d = − 0.50). Conclusão: os resultados evidenciam heterogeneidade clínica entre jovens trans e reforçam a necessidade de intervenções diferenciadas.

Como Citar
Vidal-Rojas, J., Lobos, M. J., & Fuentes, P. (2026). Perfis clínico-relacionais e mudança precoce na psicoterapia com adolescentes transgêneros. Avances En Psicología Latinoamericana , 44(1). https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.16410
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