Clinical study for clinical features and prognosis of Gender Identity Disorders in Japan

日本性别认同障碍临床特征及预后的临床研究

• 批准号: 14570924
• 负责人: SATO Toshiki
• 金额: $ 0.77万
• 依托单位: OKAYAMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14570924/
• 关键词: Gender Identity Disorders; Transsexualism; Sex Reassignment Surgery; Hormonal Therapy; Psychological test; Twins Siblings; 知能検査

A comprehensive treatment of Gender Identity Disorders consists of a diagnosis, psychotherapy, hormonal treatment, surgical operation. We applied for the comprehensive treatment as "Clinical study for a comprehensive treatment of Gender Identity Disorders" to Ethics Committee Okayama University Medical School in September, 1999. Ethics Committee Okayama University Medical School approved us in March, 2000. We do a comprehensive treatment with urology, gynaecology, plastic surgery.450 patients had a checkup in Okayama University Hospital in chief complaint in gender dysphoria by March, 2004. Number of cases of gender identity disorders is 428 in that. Ethics Committee Okayama University Medical School approved hormonal treatment of 101 patients and 100 patients received hormonal treatment. 19 patients received sex reassignment surgery and 14 patients received mastectomy.We carried out psychotherapy and psychological tests (Wechsler adult intelligence scale, Lazarus Type Stress Coping In … More ventory and Ego Aptitude Scale). We reviewed results of 87 patients about Wechsler adult intelligence scale. In the group that education calendars were more than 13 years, MTF patients had a significantly higher verbal IQ than FTM patients. An assessment of the lower items revealed between less than 12 years educational groups that the "information score" of MTF patients was significantly higher than it of FTM patients. In the same group, the "digit symbol score" of FTM patients was significantly higher than it of MTF patients. MTF patients had a significantly higher "comprehension score" than FTM patients in the group that education calendars were more than 13 years. These results accorded for a physical sexual characteristic.Six sets of twins and siblings-pairs concordant for Gender Identity Disorders and three sets of discordant twins were reported. An incidence of Gender Identity Disorders in a family is higher than the incidence in the public. We suppose that genetic factor and environmental factor contribute to an outbreak factor of Gender Identity Disorders. Less

性别认同障碍的综合治疗包括诊断、心理治疗、激素治疗、外科手术。我们于1999年9月向冈山大学医学院伦理委员会申请了“性别认同障碍综合治疗的临床研究”的综合治疗。冈山大学医学院伦理委员会于2000年3月批准了我们。我们有泌尿科、妇科、整形外科的综合治疗。截至2004年3月，有450名患者在冈山大学医院接受了性别焦虑主诉检查。其中性别认同障碍的病例数为428例。伦理委员会冈山大学医学院批准了101例患者的激素治疗，100例患者接受了激素治疗。19例患者接受了变性手术，14例患者接受了乳房切除术。我们进行了心理治疗和心理测试（韦氏成人智力量表、拉撒路式压力应对量表和自我能力倾向量表）。回顾性分析87例成人韦氏智力量表的测试结果。在受教育时间超过13年的一组中，MTF患者的语言智商明显高于FTM患者。对较低项目的评估显示，在教育程度低于12年的组中，MTF患者的“信息得分”显著高于FTM患者。在同一组中，FTM患者的“数字符号评分”显著高于MTF患者。MTF患者的“理解得分”明显高于FTM患者在教育日历超过13年的组。这些结果符合生理上的性特征。报告了6对性别认同障碍的双胞胎和兄弟姐妹，以及3对不一致的双胞胎。性别认同障碍在家庭中的发病率高于在公众中的发病率。我们认为遗传因素和环境因素是性别认同障碍的爆发因素。少

项目成果

性同一性障害に関する第二次特別委員会: "性同一性障害に関する診断と治療のガイドライン(第2版)"精神経誌. 104. 618-632 (2002)

第二届性别认同障碍特别委员会：《性别认同障碍诊治指南（第2版）》心理学杂志104. 618-632（2002）。

佐藤俊樹, 岡部伸幸 他: "性同一性障害の双生児例、同胞例"臨床精神医学. 32. 1419-1424 (2003)

Toshiki Sato、Nobuyuki Okabe 等人：“性别认同障碍的双胞胎和兄弟姐妹病例”《临床精神病学》32. 1419-1424 (2003)。

The second special committee for Gender Identity Disorders: "A diagnosis and therapeutic guideline for Gender Identity Disorders (the second edition)"Psychiat.Neurol.Jap.. 104. 618-632 (2002)

第二届性别认同障碍特别委员会：《性别认同障碍诊断与治疗指南（第二版）》Psychiat.Neurol.Jap.. 104. 618-632 (2002)

中塚幹也, 佐藤俊樹 他: "岡山大学ジェンダークリニックにおける性同一性障害121例の検討"産科と婦人科. 70. 368-373 (2003)

Mikiya Nakatsuka、Toshiki Sato 等人：“冈山大学性别诊所 121 例性别认同障碍病例的回顾”妇产科 70. 368-373 (2003)。

M.Nakatsuka, T.Sato et al.: "Clinical Characteristics of 121 patients with gender identity disorder in Okayama, Japan"Obstet.Gynecol. 70. 368-373 (2003)

M.Nakatsuka、T.Sato 等人：“日本冈山 121 名性别认同障碍患者的临床特征”Obstet.Gynecol。