The purpose of this paper is to show the relationship of male transsexuals with their family
structure as well as the level of depression, anxiety and stress. This paper will highlight that
there are strong influence of their family relationships with their psychosocial problems. The
general objective for this study is to determine the family values and psychological factors
among transsexual community in Kuantan, Pahang. The specific objectives include
describing their socio-demographic status, measuring the prevalence of their psychological
factors in term of depression, anxiety and stress as well as to measure the family values of
transsexuals in terms of total family value, togetherness and harmony, expression,
relationships and family dynamic, conflict and centric and lastly religiosity and traditional
practice. This study will also describe the association between family values and the
psychological factors. The study employs three interview-filled forms which are sociodemographic
form, Asian Family Characteristics Scale and Depression Anxiety Stress Scale
(DASS 21). Among 40 respondents, 14 of them were depressed (35%), 18 were anxious
(45%) and 14 were stressed (35%). For family relationship, 20 of them are having poor total
family value (50%). On further analysis, result shows that those who are having poor total
family value are 4 times more likely to develop depression and 7 times more likely to develop
stress compare to those who are having normal total family value. In conclusion, this study
reveals that family values have a significant effect on psychological aspects of the
transsexuals