Children and Adolescents With Gender Identity Disorder Referred to a Pediatric Medical Center
| Autor: | Scott Leibowitz, Laura Edwards-Leeper, Norman P. Spack, David A. Diamond, Francie H. Mandel, Stanley R. Vance, Henry A. Feldman |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
education.field_of_study
Gender Identity Disorder Pediatrics medicine.medical_specialty business.industry medicine.medical_treatment Population Poison control Suicide prevention Mental health Psychiatric history Pediatrics Perinatology and Child Health Transgender medicine Hormone therapy education business |
| Zdroj: | Pediatrics. 129:418-425 |
| ISSN: | 1098-4275 0031-4005 |
| Popis: | OBJECTIVES: To describe the patients with gender identity disorder referred to a pediatric medical center. We identify changes in patients after creation of the multidisciplinary Gender Management Service by expanding the Disorders of Sex Development clinic to include transgender patients. METHODS: Data gathered on 97 consecutive patients RESULTS: Genotypic male:female ratio was 43:54 (0.8:1); there was a slight preponderance of female patients but not significant from 1:1. Age of presentation was 14.8 ± 3.4 years (mean ± SD) without sex difference (P = .11). Tanner stage at presentation was 4.1 ± 1.4 for genotypic female patients and 3.6 ± 1.5 for genotypic male patients (P = .02). Age at start of medical treatment was 15.6 ± 2.8 years. Forty-three patients (44.3%) presented with significant psychiatric history, including 20 reporting self-mutilation (20.6%) and suicide attempts (9.3%). CONCLUSIONS: After establishment of a multidisciplinary gender clinic, the gender identity disorder population increased fourfold. Complex clinical presentations required additional mental health support as the patient population grew. Mean age and Tanner Stage were too advanced for pubertal suppressive therapy to be an affordable option for most patients. Two-thirds of patients were started on cross-sex hormone therapy. Greater awareness of the benefit of early medical intervention is needed. Psychological and physical effects of pubertal suppression and/or cross-sex hormones in our patients require further investigation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|