Clinical Management of Gender Dysphoria in Children and Adolescents: The Dutch Approach
Clinical Management of Gender Dysphoria in Children and Adolescents: The Dutch Approach
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DOI：
10.1080/00918369.2012.653300
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发表时间：
2012-01-01
影响因子：
2.6
通讯作者：
Cohen-Kettenis, Peggy T.
中科院分区：
文献类型：
--
作者：
de Vries, Annelou L. C.;Cohen-Kettenis, Peggy T.
荷兰对12岁以下青春期前儿童和12岁起患有性别焦虑症的青少年的临床管理办法，首先是彻底评估青年的功能或情况的任何脆弱方面，并在必要时采取适当的干预措施。对于仅患有性别焦虑症的儿童，一般建议是观察等待并仔细观察性别焦虑症在青春期的第一阶段如何发展。性别焦虑的青少年在年满16岁时可以被认为有资格接受青春期抑制和随后的跨性别激素治疗。目前，与提供物理医疗干预的情况相比，在这些情况下拒绝物理医疗干预似乎对青少年和成年人的健康更有害。
The Dutch approach on clinical management of both prepubertal children under the age of 12 and adolescents starting at age 12 with gender dysphoria, starts with a thorough assessment of any vulnerable aspects of the youth's functioning or circumstances and, when necessary, appropriate intervention. In children with gender dysphoria only, the general recommendation is watchful waiting and carefully observing how gender dysphoria develops in the first stages of puberty. Gender dysphoric adolescents can be considered eligible for puberty suppression and subsequent cross-sex hormones when they reach the age of 16 years. Currently, withholding physical medical interventions in these cases seems more harmful to wellbeing in both adolescence and adulthood when compared to cases where physical medical interventions were provided.