Hormone-treated transsexuals report less social distress, anxiety and depression
Hormone-treated transsexuals report less social distress, anxiety and depression
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DOI：
10.1016/j.psyneuen.2011.08.010
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发表时间：
2012-05-01
影响因子：
3.7
通讯作者：
Salamero, Manel
中科院分区：
文献类型：
--
作者：
Gomez-Gil, Esther;Zubiaurre-Elorza, Leire;Salamero, Manel
简介：本研究的目的是评估变性者当前的社会困扰、焦虑和抑郁症状的存在情况。方法：我们调查了 187 名参加性别认同单元的变性者患者； 120 人接受过激素变性 (SR) 治疗，67 人没有接受。我们使用社交焦虑和痛苦量表（SADS）来评估社交焦虑，并使用医院焦虑和抑郁量表（HADS）来评估当前的抑郁和焦虑。结果：未经治疗的变性组除了HAD-焦虑量表（HAD-A）外，平均SADS和HADS评分均在正常范围内。与接受激素治疗的患者相比，未开始跨性别激素治疗的患者的 SAM、HAD-A 和 HAD 抑郁 (HADD) 平均评分显着更高（分别为 F = 4.362，p = .038；F = 14.589，p = .001；F = 9.523，p = .002）。同样，未接受治疗的患者当前出现焦虑和抑郁症状的比例明显高于接受治疗的患者（分别为 61% vs. 33% 和 31% vs. 8%）。 结论：结果表明，大多数参加性别认同单元的变性患者报告了亚临床水平的社交困扰、焦虑和抑郁。此外，接受跨性别激素治疗的患者这些症状的发生率低于未开始激素治疗的患者。尽管研究结果并未最终证明激素治疗对变性人有直接的积极作用，但开始这种治疗可能与这些患者更好的心理健康有关。 (C) 2011 Elsevier Ltd. 保留所有权利。
Introduction: The aim of the present study was to evaluate the presence of symptoms of current social distress, anxiety and depression in transsexuals.Methods: We investigated a group of 187 transsexual patients attending a gender identity unit; 120 had undergone hormonal sex-reassignment (SR) treatment and 67 had not. We used the Social Anxiety and Distress Scale (SADS) for assessing social anxiety and the Hospital Anxiety and Depression Scale (HADS) for evaluating current depression and anxiety.Results: The mean SADS and HADS scores were in the normal range except for the HAD-Anxiety subscale (HAD-A) on the non-treated transsexual group. SAM, HAD-A, and HAD-Depression (HADD) mean scores were significantly higher among patients who had not begun cross-sex hormonal treatment compared with patients in hormonal treatment (F = 4.362, p = .038; F = 14.589, p = .001; F = 9.523, p = .002 respectively). Similarly, current symptoms of anxiety and depression were present in a significantly higher percentage of untreated patients than in treated patients (61% vs. 33% and 31% vs. 8% respectively).Conclusions: The results suggest that most transsexual patients attending a gender identity unit reported subclinical levels of social distress, anxiety, and depression. Moreover, patients under cross-sex hormonal treatment displayed a lower prevalence of these symptoms than patients who had not initiated hormonal therapy. Although the findings do not conclusively demonstrate a direct positive effect of hormone treatment in transsexuals, initiating this treatment may be associated with better mental health of these patients. (C) 2011 Elsevier Ltd. All rights reserved.