Psychosexual Outcome of Gender-Dysphoric Children
Psychosexual Outcome of Gender-Dysphoric Children
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DOI：
10.1097/chi.0b013e31818956b9
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发表时间：
2008-12-01
影响因子：
13.3
通讯作者：
Cohen-Kettenis, Peggy T.
中科院分区：
文献类型：
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作者：
Wallien, Madeleine S. C.;Cohen-Kettenis, Peggy T.
目的：确定 16 岁或以上性别不安儿童的性心理结果，并检查与心理结果相关的儿童特征。方法：我们研究了 77 名在童年时因性别不安而被转诊至我们诊所的儿童（59 名男孩，18 名女孩；平均年龄 8.4 岁，年龄范围 5-12 岁）。在童年时期，我们测量了孩子们的跨性别认同以及对自己的性别和性别角色的不适感。在 10.4 +/- 3.4 年后的随访中，54 名儿童（平均年龄 18.9 岁，年龄范围 16-28 岁）同意参加。在这一组中，我们评估了性别不安和性取向。结果：在随访中，77 名参与者中的 30%（119 名男孩和 4 名女孩）没有回复我们的招募信或无法追踪； 27%（12名男孩和9名女孩）仍然存在性别不安（坚持组），43%（放弃组：28名男孩和5名女孩）不再存在性别不安。与其他两组的孩子相比，坚持组中的男孩和女孩在行为和情感上都更加极端地跨性别，并且更有可能在童年时期满足性别认同障碍（GID）标准。在随访中，坚持组中几乎所有男性和女性参与者都报告有同性恋或双性恋性取向。在抵制组中，所有女孩和一半男孩都报告有异性恋取向。抵抗组的另一半男孩有同性恋或双性恋的性取向。结论：大多数患有性别不安的儿童在青春期后不会继续存在性别不安。患有持续性 GID 的儿童的特点是童年时期的性别不安比停止性别不安的儿童更为严重。就性取向而言，儿童期 GID 最有可能的结果是同性恋或双性恋。 J. Am.阿卡德。儿童和青少年。精神病学，2008；47(12)：1413-1423。
Objective: To establish the psychosexual outcome of gender-dysphoric children at 16 years or older and to examine childhood characteristics related to psychosexual outcome. Method: We studied 77 children who had been referred in childhood to our clinic because of gender dysphoria (59 boys, 18 girls; mean age 8.4 years, age range 5-12 years). In childhood, we measured the children's cross-gender identification and discomfort with their own sex and gender roles. At follow-up 10.4 +/- 3.4 years later, 54 children (mean age 18.9 years, age range 16-28 years) agreed to participate. In this group, we assessed gender dysphoria and sexual orientation. Results: At follow-up, 30% of the 77 participants (119 boys and 4 girls) did not respond to our recruiting letter or were not traceable; 27% (12 boys and 9 girls) were still gender dysphoric (persistence group), and 43% (desistance group: 28 boys and 5 girls) were no longer gender dysphoric. Both boys and girls in the persistence group were more extremely cross-gendered in behavior and feelings and were more likely to fulfill gender identity disorder (GID) criteria in childhood than the children in the other two groups. At follow-up, nearly all male and female participants in the persistence group reported having a homosexual or bisexual sexual orientation. In the desistance group, all of the girls and half of the boys reported having a heterosexual orientation. The other half of the boys in the desistance group had a homosexual or bisexual sexual orientation. Conclusions: Most children with gender dysphoria will not remain gender dysphoric after puberty. Children with persistent GID are characterized by more extreme gender dysphoria in childhood than children with desisting gender dysphoria. With regard to sexual orientation, the most likely outcome of childhood GID is homosexuality or bisexuality. J. Am. Acad. Child and Adolesc. Psychiatry, 2008;47(12):1413-1423.