Baseline Physiologic and Psychosocial Characteristics of Transgender Youth Seeking Care for Gender Dysphoria.
Baseline Physiologic and Psychosocial Characteristics of Transgender Youth Seeking Care for Gender Dysphoria.
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DOI：
10.1016/j.jadohealth.2015.04.027
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发表时间：
2015-10
影响因子：
7.6
通讯作者：
Clark, Leslie F.
中科院分区：
文献类型：
--
作者：
Olson, Johanna;Schrager, Sheree M.;Belzer, Marvin;Simons, Lisa K.;Clark, Leslie F.
本研究的目的是描述一项前瞻性观察研究中跨性别青少年（12-24 岁）参与者的基线特征，这些研究对象是在大型城市跨性别青少年诊所寻求性别不安治疗的人。符合资格的参与者在 2011 年 2 月至 2013 年 6 月期间连续接受护理，并在初次研究访问时完成了计算机辅助调查。生理数据是从医学图表中提取的。数据通过描述性统计进行分析，跨男性和跨女性参与者之间的比较有限。共有 101 名青少年接受了生理参数评估，96 名青少年完成了评估心理社会参数的调查。大约一半（50.5%）的青少年在出生时被指定为男性。基线生理值在出生时指定性别的正常范围内。青少年在平均年龄 8.3 岁时就认识到性别不一致（标准差 = 4.5），但很晚才向家人透露（平均 = 17.1；标准差 = 4.2）。所有参与者的性别不安程度很高。百分之三十五的参与者报告了临床范围内的抑郁症状。超过一半的年轻人表示一生中至少想过一次自杀，近三分之一的人至少尝试过一次。基线生理参数在出生时指定性别的正常范围内。跨性别青年从小就意识到他们的内在性别认同与指定性别之间的不一致。抑郁症和自杀倾向的流行表明，及时、适当的干预可能会使青少年受益。随着时间的推移对这些青少年的评估将有助于确定医疗干预和心理健康治疗的影响。
The purpose of this study was to describe baseline characteristics of participants in a prospective observational study of transgender youth (aged 12–24 years) seeking care for gender dysphoria at a large, urban transgender youth clinic. Eligible participants presented consecutively for care at between February 2011 and June 2013 and completed a computer-assisted survey at their initial study visit. Physiologic data were abstracted from medical charts. Data were analyzed by descriptive statistics, with limited comparisons between transmasculine and transfeminine participants. A total of 101 youth were evaluated for physiologic parameters, 96 completed surveys assessing psychosocial parameters. About half (50.5%) of the youth were assigned a male sex at birth. Baseline physiologic values were within normal ranges for assigned sex at birth. Youth recognized gender incongruence at a mean age of 8.3 years (standard deviation = 4.5), yet disclosed to their family much later (mean = 17.1; standard deviation = 4.2). Gender dysphoria was high among all participants. Thirty-five percent of the participants reported depression symptoms in the clinical range. More than half of the youth reported having thought about suicide at least once in their lifetime, and nearly a third had made at least one attempt. Baseline physiologic parameters were within normal ranges for assigned sex at birth. Transgender youth are aware of the incongruence between their internal gender identity and their assigned sex at early ages. Prevalence of depression and suicidality demonstrates that youth may benefit from timely and appropriate intervention. Evaluation of these youth over time will help determine the impact of medical intervention and mental health therapy.
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影响因子：
12.7
作者：
Russell, ST;Joyner, K
通讯作者：
Joyner, K
影响因子：
2.6
作者：
de Vries, Annelou L. C.;Cohen-Kettenis, Peggy T.
通讯作者：
Cohen-Kettenis, Peggy T.
影响因子：
3.4
作者：
Beck, AT;Steer, RA;Ranieri, WF
通讯作者：
Ranieri, WF
影响因子：
8
作者：
de Vries, Annelou L. C.;McGuire, Jenifer K.;Cohen-Kettenis, Peggy T.
通讯作者：
Cohen-Kettenis, Peggy T.
影响因子：
3.2
作者：
Grossman, Arnold H.;D'Augelli, Anthony R.
通讯作者：
D'Augelli, Anthony R.