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

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月向伦理委员会冈山大学医学院申请了综合治疗“性别认同障碍综合治疗的临床研究”。冈山大学医学院伦理委员会于2000年3月批准了我们。我们采取泌尿科、妇科、整形外科等综合治疗。到2004年3月为止，在冈山大学附属医院以性别焦虑症为主诉的450名患者接受了检查。其中性别认同障碍病例为428例。冈山大学医学院伦理委员会批准了101名患者的激素治疗，100名患者接受了激素治疗。对19例接受变性手术的患者和14例接受乳房切除术的患者进行心理治疗和心理测试（韦氏成人智力量表、Lazarus型压力应对量表、抑郁量表、 ...更多信息 ventory和Ego Aptitude量表）。本文回顾了87例患者的韦氏成人智力量表的测试结果。在受教育年限超过13年的组中，MTF组的言语智商显著高于FTM组。对较低项目的评估显示，小于12年的教育组之间，MTF患者的“信息得分”显着高于FTM患者。在同一组中，FTM组的数字符号得分显著高于MTF组。在受教育年限超过13年的组中，MTF组的“理解得分”显著高于FTM组。这些结果符合生理性别特征。六套双胞胎和同胞对一致的性别认同障碍和三套不一致的双胞胎。家庭中性别认同障碍的发病率高于公众。我们认为，遗传因素和环境因素共同构成了性别认同障碍的爆发因素。少

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