Beyond identity categories: chronotype and mental health as correlates of sleep quality in transgender and gender-diverse adults - Takeaways - MDSpire

Beyond identity categories: chronotype and mental health as correlates of sleep quality in transgender and gender-diverse adults

  • By

  • Paolo Meneguzzo

  • Alessio A. Gugliotta

  • Angela Favaro

  • Sara Montagnese

  • Marina Bonato

  • Alberto Scala

  • Marina Miscioscia

  • Andrea Garolla

  • July 3, 2026

  • 0 min

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  • 1

    Sleep disturbance is prevalent among transgender and gender-diverse adults, with 54.9% scoring above 5 on the Pittsburgh Sleep Quality Index.

  • 2

    Eveningness is linked to poorer sleep quality, especially among those receiving gender-affirming hormone therapy.

  • 3

    Lower mental health-related quality of life correlates with poorer sleep quality in transgender and gender-diverse individuals.

  • 4

    No linear association was found between the duration of hormone therapy and sleep quality in the study population.

  • 5

    The relationship between chronotype and sleep quality may differ based on gender-affirming hormone therapy status.

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