Body Dissatisfaction and Mental Health Outcomes of Youth on Gender-Affirming Hormone Therapy
Body Dissatisfaction and Mental Health Outcomes of Youth on Gender-Affirming Hormone Therapy
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DOI：
10.1542/peds.2019-3006
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发表时间：
2020-04-01
期刊：
影响因子：
8
通讯作者：
Lopez, Ximena
中科院分区：
文献类型：
--
作者：
Kuper, Laura E.;Stewart, Sunita;Lopez, Ximena
OBJECTIVES: Our first aim was to examine baseline differences in body dissatisfaction, depression, and anxiety symptoms by gender, age, and Tanner (ie, pubertal) stage. Our second aim was to test for changes in youth symptoms over the first year of receiving gender-affirming hormone therapy. Our third aim was to examine potential differences in change over time by demographic and treatment characteristics. Youth experiences of suicidal ideation, suicide attempt, and nonsuicidal self-injury (NSSI) are also reported.METHODS: Participants (n = 148; ages 9-18 years; mean age 14.9 years) were receiving gender-affirming hormone therapy at a multidisciplinary program in Dallas, Texas (n = 25 puberty suppression only; n = 123 feminizing or masculinizing hormone therapy). Participants completed surveys assessing body dissatisfaction (Body Image Scale), depression (Quick Inventory of Depressive Symptoms), and anxiety (Screen for Child Anxiety Related Emotional Disorders) at initial presentation to the clinic and at follow-up. Clinicians completed the Quick Inventory of Depressive Symptoms and collected information on youth experiences of suicidal ideation, suicide attempt, and NSSI.RESULTS: Affirmed males reported greater depression and anxiety at baseline, but these differences were small (P
