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Trans-Inclusive Couple Relationships in the Context of Gender Affirmation: A Systematic Review and Qualitative Metasynthesis

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dc.contributor.authorRío, Marais del
dc.contributor.authorLópez-Bauta, Adis
dc.contributor.authorSalgado, Elizabeth
dc.contributor.authorBennett, Ana Flavia
dc.date.accessioned2025-10-29T13:48:32Z
dc.date.available2025-10-29T13:48:32Z
dc.date.issued2025
dc.description.abstractBackground: The gender affirmation process represents a fundamental identity milestone for transgender individuals, introducing unique stressors that affect both partners and their relationship. In trans-inclusive couples, this process entails significant adjustments in response to identity and relational changes. This systematic review aimed to characterize the empirical evidence regarding the experiences of trans-inclusive couples during the gender affirmation process of transgender individuals. Method: Literature searches were conducted in Web of Science, Scopus, and PubMed following PRISMA guidelines. The inclusion criteria for studies were as follows: (1) peer-reviewed empirical articles, (2) a focus on trans-inclusive romantic relationships in the context of gender affirmation, (3) publication between January 2000 and December 2024, and (4) written in English or Spanish. Of the 122 potentially eligible articles, six qualitative studies were included in the final analysis. The data were extracted using an ad hoc form and analyzed through thematic synthesis. Most studies presented a minimal risk of bias. Results: Five main themes were identified: (1) subjective trajectories in trans identity affirmation, (2) emotional and identity reconfiguration of the cisgender partner, (3) relational transformations in the context of gender affirmation, (4) relationships with family and the importance of support networks, and (5) social, political, and structural contexts of gender affirmation. Conclusions: The gender affirmation process, together with minority stress, has been shown to uniquely impact trans-inclusive couples, generating effects across multiple levels that extend beyond the couple relationship itself. The findings highlight the need for clinical support and public policies that recognize the relational dimension of this process. However, available studies are primarily based in Global North contexts and focus on limited couple compositions, which restricts the generalizability of the results.
dc.description.versionVersión aceptada
dc.format.extent47 p.
dc.identifier.citationdel Río, M., López-Bauta, A., Salgado, E., & Bennett, A. F. (2025). Trans-Inclusive Couple Relationships in the Context of Gender Affirmation: A Systematic Review and Qualitative Metasynthesis. International Journal of Sexual Health, 1–20. https://doi.org/10.1080/19317611.2025.2573695
dc.identifier.doihttps://doi.org/10.1080/19317611.2025.2573695
dc.identifier.urihttps://hdl.handle.net/11447/10381
dc.language.isoen
dc.publisherUniversidad del Desarrollo. Facultad de Psicología
dc.subjectTrans-inclusive couples
dc.subjectGender affirmation process
dc.subjectTransgender individuals
dc.subjectRomantic relationships
dc.subjectSystematic review
dc.titleTrans-Inclusive Couple Relationships in the Context of Gender Affirmation: A Systematic Review and Qualitative Metasynthesis
dc.typeArticle
dcterms.accessRightsEmbargo
dcterms.sourceInternational Journal of Sexual Health
dspace.entity.typePublication

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