Hypersexuality, Paraphilic Behaviors, and Gender Dysphoria in Individuals with Klinefelter’s Syndrome
| Autor: | Alessandro Oppo, Giancarlo Balercia, Egidia Fanni, Alessandro Pizzocaro, Beatrice Campone, Alessandra D. Fisher, Elisa Maseroli, Naika Ferruccio, Valdo Ricca, Elisa Bandini, Mario Maggi, Valentina Boddi, Giovanni Castellini, Davide Dèttore, Helen Casale |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Autism-spectrum quotient Sexual addiction medicine.medical_specialty Adolescent Sexual Behavior Urology Endocrinology Diabetes and Metabolism Population Klinefelter Syndrome Endocrinology Surveys and Questionnaires medicine Humans Autistic Disorder Gender Dysphoria Psychiatry education education.field_of_study Intelligence quotient Paraphilic Disorders Gender Identity Wechsler Adult Intelligence Scale medicine.disease Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Phenotype Reproductive Medicine Autism spectrum disorder Female Paraphilia Hypersexuality medicine.symptom Psychology Sexuality |
| Zdroj: | The Journal of Sexual Medicine. 12:2413-2424 |
| ISSN: | 1743-6109 1743-6095 |
| DOI: | 10.1111/jsm.13048 |
| Popis: | Introduction An increased risk of autistic traits in Klinefelter syndrome (KS) has been reported. In addition, some studies have shown an increased incidence of gender dysphoria (GD) and paraphilia in autism spectrum disorder. Aim The aim of this study was to evaluate the presence of (i) paraphilic fantasies and behaviors; and (ii) GD symptomatology in KS. Methods and Main Outcomes Measures A sample of 46 KS individuals and 43 healthy male controls (HC) were evaluated. Subjects were studied by means of several psychometric tests, such as Autism Spectrum Quotient (AQ) and Reading the Mind in the Eyes Revised (RME) to measure autistic traits, Gender Identity/GD questionnaire (GIDYQ-AA), and Sexual Addiction Screening Test (SAST). In addition, body uneasiness psychopathological symptoms were assessed using Symptom Checklist 90 Revised (SCL-90-R). The presence and frequency of any paraphilic fantasy and behavior was assessed by means of a clinical interview based on Diagnostic and Statistical Manual of Mental Disorders, 5th Edition criteria. Finally, all individuals included were assessed by Wechsler Adult Intelligence Scale-Revised to evaluate intelligence quotient (IQ). Data from a subsample of a previous published series of male to female GD individuals, with the battery of psychological measures useful to provide a psychopathological explanation of GD in KS population available, was also considered. Results When compared with HC, KS reported significantly lower total, verbal and performance IQ scores and higher SCL-90 obsession-compulsive symptoms (all P Conclusions KS is associated with hypersexuality, paraphilic behaviors, and GD, which were mediated by obsessive-compulsive and autistic traits. |
| Databáze: | OpenAIRE |
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