Mental Health Evaluation of Younger and Older Adolescents Referred to the Center of Expertise on Gender Dysphoria in Amsterdam, The Netherlands.

Autor: de Rooy FBB; Department of Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands. f.derooy@amsterdamumc.nl.; Center of Expertise on Gender Dysphoria, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. f.derooy@amsterdamumc.nl., Arnoldussen M; Department of Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands.; Center of Expertise on Gender Dysphoria, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands., van der Miesen AIR; Department of Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands.; Center of Expertise on Gender Dysphoria, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands., Steensma TD; Center of Expertise on Gender Dysphoria, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.; Department of Medical Psychology, Amsterdam UMC, Amsterdam, The Netherlands., Kreukels BPC; Center of Expertise on Gender Dysphoria, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.; Department of Medical Psychology, Amsterdam UMC, Amsterdam, The Netherlands., Popma A; Department of Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands., de Vries ALC; Department of Child and Adolescent Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands.; Center of Expertise on Gender Dysphoria, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Archives of sexual behavior [Arch Sex Behav] 2024 Aug; Vol. 53 (8), pp. 2883-2896. Date of Electronic Publication: 2024 Jul 09.
DOI: 10.1007/s10508-024-02940-3
Abstrakt: The present study aimed to investigate whether differences exist between younger and older presenting adolescents at the Center of Expertise on Gender Dysphoria regarding psychological functioning and autistic traits. A total of 1487 consecutively assessed adolescents between 2000 and 2018 were divided in younger presenters (age ≤ 13.9 years) and older presenters (age ≥ 14 years). Of younger presenters, 227 (41.1%) were assigned male at birth and 325 (58.9%) assigned female at birth. In older presenters, 279 (29.8%) were assigned male at birth and 656 (70.2%) assigned female at birth. Behavioral and emotional problems were assessed with the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). For autism traits, the Social Responsiveness Scale (SRS) was used. Compared to younger presenters, on both the CBCL and YSR older presenters had higher Total Problem (β = 1.75, p = .005, CI 0.53-2.97, R 2  = .04 and β = 4.20, p < .001, CI 2.99-5.40, R 2  = .07, respectively) and Internalizing Problem (β = 4.43, p < .001, CI 3.13-5.74, R 2  = .06 and β = 6.69, p < .001, CI 5.31-8.07, R 2  = .12, respectively) scores. Regarding autistic traits, a higher mean SRS total score was found in older presenting assigned males at birth (β = 4.55, p = .036, CI 0.30-8.81, R 2  = .34). In assigned females at birth, no statistically significant difference between older and younger presenters was found in mean SRS total score (β = 1.19, p = .063, CI - 0.07 to 2.45, R 2  = .39). Differences in mental health exist between younger and older presenting adolescents and call for an individualized approach in the clinical care of transgender adolescents.
(© 2024. The Author(s).)
Databáze: MEDLINE
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