Transgender Adolescent Stress Survey-Dysphoria (Schrager et al., 2024)

Gender experience-related stresses in gender minority adolescents, 12 Items / 7 & 5 Item subscales, Ages 12-17

Populations: Gender Minority adolescents
Age ranges: 12-17
Languages: English
Countries: United States

Items

Subscales

Body Related Distress, 7 Items
Gender Expression Burden, 5 Items

Items by Subscale

Body Related Distress

My genitals do not match my gender identity
The size of my chest does not match my gender identity
The way my body experiences sexual arousal feels wrong to me
My body does not match my gender identity
My body is developing in ways that feel wrong for my gender identity
I try to hide parts of my body because they do not match my gender identity
I try to avoid seeing parts of my body that do not match my gender identity

Gender Expression Burden

My body will never fully match my gender
Making my gender expression match my gender will be a burden for the rest of my life
I worry I will never be seen as my gender identity
Making my appearance match my gender identity is exhausting
It takes a lot of effort to express my gender identity

Scoring

“Scores for the total TASS-D scale and its two subscales were calculated by summing distress ratings for a maximum overall score of 120 on the total scale (70 and 50 for the body distress and gender expression burden subscales, respectively). Missing values were mean-imputed if a participant was missing two or fewer item responses. If they were missing more than two items, the scale score was considered missing overall. This resulted in 433 participants having non-missing total scale scores for the validation analyses. The mean TASS-D score was 64.65 (SD = 30.76). Subscale scores were calculated with a similar mean-substitution procedure, where mean subscale scores were substituted for missing values if only one item was missing”

Citations

Schrager SM, Goldbach JT, Wood JK, O’Brien RP, Dunlap SL and Rhoades H (2024)Development and validation of the Transgender Adolescent Stress Survey-Dysphoria. Front. Psychol. 15:1448706.doi: 10.3389/fpsyg.2024.1448706

Scoring breakdown

Measure development

Significant design input from young people
Cognitive interviews with young people
Expert input

Validity

Green: Face validity
Green: Convergent validity
Green: Construct validity

Reliability

Green: Internal consistency
Green: Test-retest

Ease of use

Unknown: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

Green: Meets validation criteria
Red: Does not meet validation criteria
Unknown: Evidence not available