Symptom profiles of gender dysphoric patients of transsexual type compared to patients with personality disorders and healthy adults
Symptom profiles of gender dysphoric patients of transsexual type compared to patients with personality disorders and healthy adults
复制标题
DOI：
10.1034/j.1600-0447.2000.102004276.x
复制
发表时间：
2000-10-01
影响因子：
6.7
通讯作者：
Dahl, AA
中科院分区：
文献类型：
--
作者：
Haraldsen, IR;Dahl, AA
目的：变性型性别焦虑患者（TS）被认为具有严重的精神病理。然而，这些观点缺乏经验证明。方法：采用症状自评量表（SCL-90）对TS患者（86例）、人格障碍患者（98例）和成人健康对照（1068例）进行比较。所有患者均通过结构化访谈（DSM-III-R/IV的轴I、II和V）进行诊断。根据铅标准进一步对PD患者进行定性。结果：TS患者在整体症状指数和所有SCL-90量表上的得分明显低于PD患者。TS组总体得分略高于HC组，但均在正常范围内。结论：接受变性手术的TS患者治疗前后精神病理自评水平较低。这一发现使人们对变性欲症是一种严重精神障碍的观点产生了怀疑。
Objective: Gender dysphoric patients of transsexual type (TS) have been considered to have severe psychopathology. However, these notions have a weak empirical documentation.Method: TS patients (n=86), patients with personality disorder (PD, n=98) and adult healthy controls (HC, n = 1068) were compared by means of the Symptom Checklist 90 (SCL-90). All patients were diagnosed by structured interviews (Axis I, II and V of DSM-III-R/IV). PD patients were further characterized according to the LEAD-standard.Results: TS patients scored significantly lower than PD patients on the Global Symptom Index and all SCL-90 subscales. Although the TS group generally scored slightly higher than the HC group, all scores were within the normal range.Conclusion: TS patients selected for sex reassignment showed a relatively low level of self-rated psychopathology before and after treatment. This finding casts doubt on the view that transsexualism is a severe mental disorder.