Long-term follow-up: psychosocial outcome of Belgian transsexuals after sex reassignment surgery
Long-term follow-up: psychosocial outcome of Belgian transsexuals after sex reassignment surgery
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DOI：
10.1016/j.sexol.2006.04.002
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发表时间：
2006-04-01
期刊：
影响因子：
1.2
通讯作者：
Monstrey, S.
中科院分区：
文献类型：
--
作者：
De Cuypere, G.;Elaut, E.;Monstrey, S.
背景- 为了确定性别重置手术（SRS）对性别认同障碍患者的益处，仍然需要对大量手术后的变性人进行随访研究。- 作者想评估自1985年以来接受根特多学科性别小组治疗的变性人在较长时间后的心理、社会和专业功能。他们还探讨了一些预后因素，以期完善的程序。- 从1986年至2001年期间接受SRS的107名讲荷兰语的变性人中，有62名（35名男性对女性，27名女性对男性）完成了各种问卷调查，并由研究人员亲自采访，他们没有参与受试者的初步评估或治疗。- 在GAF（DSM-IV）量表上，女变男的变性人得分显著高于男变女的变性人（85.2比76.2）。虽然在研究组和正常人群之间没有观察到心理功能（SCL-90）的差异，但发现预先存在精神病理学的受试者保留了更多的心理症状。受试者宣称他们的家庭和社会生活总体上发生了积极的变化。他们中没有人对SRS表示遗憾。同性恋倾向、申请SRS时的年龄较小以及有吸引力的外表是积极的预后因素。- 虽然变性治疗对变性人是一种有效的治疗方法，但从长远来看，术后的变性人在某些方面仍然是一个脆弱的人。(C)2006年，Elsevier SAS。All rights reserved.
Background. - To establish the benefit of sex reassignment surgery (SRS) for persons with a gender identity disorder, follow-up studies comprising large numbers of operated transsexuals are still needed.Aims. - The authors wanted to assess how the transsexuals who had been treated by the Ghent multidisciplinary gender team since 1985, were functioning psychologically, socially and professionally after a longer period. They also explored some prognostic factors with a view to refining the procedure.Method. - From 107 Dutch-speaking transsexuals who had undergone SRS between 1986 and 2001, 62 (35 male-to-females and 27 female-to-males) completed various questionnaires and were personally interviewed by researchers, who had not been involved in the subjects' initial assessment or treatment.Results. - On the GAF (DSM-IV) scale the female-to-male transsexuals scored significantly higher than the male-to-females (85.2 versus 76.2). While no difference in psychological functioning (SCL-90) was observed between the study group and a normal population, subjects with a pre-existing psychopathology were found to have retained more psychological symptoms. The subjects proclaimed an overall positive change in their family and social life. None of them showed any regrets about the SRS. A homosexual orientation, a younger age when applying for SRS, and an attractive physical appearance were positive prognostic factors.Conclusion. - While sex reassignment treatment is an effective therapy for transsexuals, also in the long term, the postoperative transsexual remains a fragile person in some respects. (C) 2006 Elsevier SAS. All rights reserved.