Young people with features of gender dysphoria: Demographics and associated difficulties
Young people with features of gender dysphoria: Demographics and associated difficulties
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DOI：
10.1177/1359104514558431
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发表时间：
2016-01-01
影响因子：
1.8
通讯作者：
Dunsford, Michael
中科院分区：
文献类型：
--
作者：
Holt, Vicky;Skagerberg, Elin;Dunsford, Michael
本文介绍了一项针对218名儿童和青少年（平均年龄 = 14岁，标准差 = 3.08，年龄范围 = 5 - 17岁）的人口统计学变量及相关困难的横断面研究结果，这些儿童和青少年具有性别不安的特征，在1年期间（2012年1月1日 - 2012年12月31日）被转诊至伦敦的性别认同发展服务机构（GIDS）。数据从患者档案（即转诊信、临床记录和临床医生报告）中提取。最常报告的相关困难是欺凌、情绪低落/抑郁和自我伤害。在一些相关困难方面存在性别差异，自我伤害的报告在出生性别为女性的人群中明显更为常见，而自闭症谱系障碍在出生性别为男性的人群中明显更为常见。研究结果还表明，许多困难随着年龄增长而增加。报告了有关人口统计学变量、性别不安、性取向和家庭特征的研究结果，并讨论了横断面研究的局限性和影响。总之，患有性别不安的年轻人经常出现各种各样的相关困难，临床医生需要考虑到这些困难，我们的文章强调了这些年轻人往往复杂的表现情况。
This article presents the findings from a cross-sectional study on demographic variables and associated difficulties in 218 children and adolescents (Mean age=14years, SD=3.08, range=5-17 years), with features of gender dysphoria, referred to the Gender Identity Development Service (GIDS) in London during a 1-year period (1 January 2012-31 December 2012). Data were extracted from patient files (i.e. referral letters, clinical notes and clinician reports). The most commonly reported associated difficulties were bullying, low mood/depression and self-harming. There was a gender difference on some of the associated difficulties with reports of self-harm being significantly more common in the natal females and autism spectrum conditions being significantly more common in the natal males. The findings also showed that many of the difficulties increased with age. Findings regarding demographic variables, gender dysphoria, sexual orientation and family features are reported, and limitations and implications of the cross-sectional study are discussed. In conclusion, young people with gender dysphoria often present with a wide range of associated difficulties which clinicians need to take into account, and our article highlights the often complex presentations of these young people.