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https://www.readbyqxmd.com/read/29145209/methodological-issues-for-psychological-evaluation-across-the-lifespan-of-individuals-with-a-difference-disorder-of-sex-development
#1
Franco D'Alberton, Sofia Vissani, Chiara Ferracuti, Vickie Pasterski
The aim of the current report is to provide guidance relevant to psychological evaluation for healthcare providers and researchers working in the field of disorders of sexual development (DSD). In doing so, we give careful consideration to methodological issues and limitations that may influence the utility of investigations. For example, rarity and heterogeneity of DSD conditions restrict sample sizes when conducting evaluations aimed at establishing condition-specific psychological outcomes. At the same time, the potential for stigmatization by virtue of conducting psychological evaluations is particularly high given the fundamental contribution of sex and gender to one's sense of self and integrity...
November 17, 2017: Sexual Development: Genetics, Molecular Biology, Evolution, Endocrinology, Embryology, and Pathology of Sex Determination and Differentiation
https://www.readbyqxmd.com/read/29125908/transgender-medicare-beneficiaries-and-chronic-conditions-exploring-fee-for-service-claims-data
#2
Christina N Dragon, Paul Guerino, Erin Ewald, Alison M Laffan
PURPOSE: Data on the health and well-being of the transgender population are limited. However, using claims data we can identify transgender Medicare beneficiaries (TMBs) with high confidence. We seek to describe the TMB population and provide comparisons of chronic disease burden between TMBs and cisgender Medicare beneficiaries (CMBs), thus laying a foundation for national level TMB health disparity research. METHODS: Using a previously validated claims algorithm based on ICD-9-CM codes relating to transsexualism and gender identity disorder, we identified a cohort of TMBs using Medicare Fee-for-Service (FFS) claims data...
November 10, 2017: LGBT Health
https://www.readbyqxmd.com/read/29120922/gender-dysphoria-in-youth-a-review-of-recent-literature
#3
Julia Cartaya, Ximena Lopez
PURPOSE OF REVIEW: Transgender individuals including pubertal young people require hormonal therapy, in conjunction with mental health support. These youths are a unique population, with specific and individual desires and needs as they move through the physical and mental transition to the gender with which they identify. RECENT FINDINGS: The number of transgender youth presenting for treatment is increasing rapidly. They continue to have a high prevalence of mental health disorders, though not when supported in their sex identities by family in younger age...
November 7, 2017: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/29099546/the-diagnostic-challenge-of-the-late-onset-frontal-lobe-syndrome-clinical-predictors-for-primary-psychiatric-disorders-versus-behavioral-variant-frontotemporal-dementia
#4
Everard G B Vijverberg, Flora Gossink, Welmoed Krudop, Sietske Sikkes, Cora Kerssens, Niels Prins, Max Stek, Philip Scheltens, Yolande Pijnenburg, Annemiek Dols
OBJECTIVE: Primary psychiatric disorders (PsD) can present with symptomatology identical to that of behavioral variant frontotemporal dementia (bvFTD). To date, clinical guidelines do not provide a solution for this diagnostic challenge. The aim of our study was to prospectively determine which demographic, clinical, neuropsychological, neuroimaging, and cerebrospinal fluid biomarkers are important in distinguishing PsD from bvFTD. METHODS: Patients with late-onset behavioral disturbances (aged 45-75 years, 73% male) were included based on their scores on the Frontal Behavioral Inventory and the Stereotypy Rating Inventory and followed for 2 years from April 2011 to June 2015...
October 31, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29074508/sexual-orientation-identity-and-tobacco-and-hazardous-alcohol-use-findings-from-a-cross-sectional-english-population-survey
#5
Lion Shahab, Jamie Brown, Gareth Hagger-Johnson, Susan Michie, Joanna Semlyen, Robert West, Catherine Meads
OBJECTIVES: To assess the association between tobacco and hazardous alcohol use and sexual orientation and whether such an association could be explained by other sociodemographic characteristics. DESIGN: Cross-sectional household survey conducted in 2014-2016. SETTING: England, UK. PARTICIPANTS: Representative English population sample (pooled n=43 866). MAIN OUTCOMES: Sexual orientation identity (lesbian/gay, bisexual, heterosexual, prefer-not-to-say); current tobacco and hazardous alcohol use (defined as Alcohol Use Disorders Identification Test Score ≥8)...
October 25, 2017: BMJ Open
https://www.readbyqxmd.com/read/29022055/illness-perceptions-are-associated-with-quality-of-life-in-patients-with-fibrous-dysplasia
#6
B C J Majoor, C D Andela, C R Quispel, M Rotman, P D S Dijkstra, N A T Hamdy, A A Kaptein, N M Appelman-Dijkstra
Fibrous dysplasia (FD) is a rare bone disorder in which normal bone is replaced by fibrous tissue resulting in pain, deformities, pathological fractures or asymptomatic disease. Illness perceptions are patients' cognitions and emotions about their illness and its treatment, which may impact on Quality of Life (QoL). Here, we explore illness perceptions in patients with FD compared to other disorders, identify factors associated with illness perceptions and evaluate their relationship with QoL. Ninety-seven out of 138 eligible patients from the LUMC FD cohort completed the Illness Perception Questionnaire-Revised (IPQ-R) and the Short Form-36 (SF-36)...
October 11, 2017: Calcified Tissue International
https://www.readbyqxmd.com/read/28977069/gender-incongruence-a-comparative-study-using-icd-10-and-dsm-5-diagnostic-criteria
#7
Bianca M Soll, Rebeca Robles-García, Angelo Brandelli-Costa, Daniel Mori, Andressa Mueller, Anna M Vaitses-Fontanari, Dhiordan Cardoso-da-Silva, Karine Schwarz, Maiko Abel-Schneider, Alexandre Saadeh, Maria-Inês-Rodrigues Lobato
OBJECTIVE: To compare the presence of criteria listed in the DSM-5 and ICD-10 diagnostic manuals in a Brazilian sample of transgender persons seeking health services specifically for physical transition. METHODS: This multicenter cross-sectional study included a sample of 103 subjects who sought services for gender identity disorder in two main reference centers in Brazil. The method involved a structured interview encompassing the diagnostic criteria in the two manuals...
October 2, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28964001/-is-sexual-identity-optional-a-study-of-the-genetics-of-transsexuality
#8
Rosa M Fernández García, Eduardo Pásaro Méndez
Transsexualism in the ICD-10 (International Classification of Diseases, Tenth Revision), Gender Dysphoria in adolescents and adults in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), is characterized by a marked incongruence between one's experienced gender and biological sex. The etiology is complex, but some hypotheses suggest that Gender Dysphoria (GD) arises from discrepant cerebral and biological sexual differentiation. Increasing evidence supports the idea of genetic vulnerability...
September 2017: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/28953800/perception-of-body-image-in-early-adolescence-an-investigation-in-secondary-schools
#9
Maria Rosaria Juli
INTRODUCTION: The clinical evidence shows that the onset of eating disorders is increasing in the prepubescent phase or even in childhood. Already starting from the prepubescence the certainties related to the body start to unwind and the individual is encouraged to build new ones, based both on the anatomic transformation of his/her own body and on the social expectation according to the identity. The onset of a Eating Disorders is normally between 13 and 25 years, but in the last years we recorded a lowering in the onset threshold to an age between 11 and 13 years, with some earlier cases at 7 years (Franzoni et al...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28946588/changing-the-culture-of-neurodisability-through-language-and-sensitivity-of-providers-creating-a-safe-place-for-lgbtqia-people
#10
Alexander Moreno, Ari Laoch, Nathan D Zasler
BACKGROUND: There is an increasing interest in sexual and gender diversity in neurorehabilitation. Healthcare professionals wanting to improve their practice know the importance of understanding the needs and expectations of specific communities. OBJECTIVE: To critically review the literature about neurological disorders in people who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and people with other sexual orientations and forms of gender expression (LGBTQIA+)...
2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28914080/gender-identity-and-sexual-orientation-in-autism-spectrum-disorder
#11
Rita George, Mark A Stokes
Clinical impressions indicate that there is an overrepresentation of gender-dysphoria within the autism spectrum disorder. However, little is presently known about the demographics of gender-identity issues in autism spectrum disorder. Based upon what little is known, we hypothesized that there would be an increased prevalence of gender-dysphoria among those with autism spectrum disorder compared to a typically developing population. We surveyed gender-dysphoria with the Gender-Identity/Gender-Dysphoria Questionnaire among 90 males and 219 females with autism spectrum disorder and compared these rates to those of 103 males and 158 females without autism spectrum disorder...
September 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28866722/changes-in-intensity-of-neurotic-symptoms-associated-with-reduction-of-suicidal-ideation-in-patients-who-underwent-psychotherapy-in-the-day-hospital-for-the-treatment-of-neurotic-and-behavioral-disorders
#12
Paweł Rodziński, Krzysztof Rutkowski, Agnieszka Murzyn, Jerzy A Sobański, Katarzyna Cyranka, Edyta Dembińska, Karolina Grządziel, Katarzyna Klasa, Michał Mielimąka, Łukasz Müldner-Nieckowski, Bogna Smiatek-Mazgaj
OBJECTIVES: Analysis of associations between changes in the intensity of neurotic symptoms and reduction of suicidal ideation (SI) or lack of SI reduction, in patients who underwent a course of intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach in a day hospital. METHODS: Symptom Checklist KO"O" and Life Inventory completed by 461 women and 219 men treated in the psychotherapeutic day hospital due to neurotic, behavioral or personality disorders between 2005-2013...
June 18, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28838353/epidemiology-of-gender-dysphoria-and-transgender-identity
#13
Kenneth J Zucker
This review provides an update on the epidemiology of gender dysphoria and transgender identity in children, adolescents and adults. Although the prevalence of gender dysphoria, as it is operationalised in the fifth edtion of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), remains a relatively 'rare' or 'uncommon' diagnosis, there is evidence that it has increased in the past couple of decades, perhaps reflected in the large increase in referral rates to specialised gender identity clinics...
August 25, 2017: Sexual Health
https://www.readbyqxmd.com/read/28835299/paid-employment-and-common-mental-disorders-in-50-64-year-olds-analysis-of-three-cross-sectional-nationally-representative-survey-samples-in-1993-2000-and-2007
#14
G Perera, G Di Gessa, L M Corna, K Glaser, R Stewart
AIMS: Associations between employment status and mental health are well recognised, but evidence is sparse on the relationship between paid employment and mental health in the years running up to statutory retirement ages using robust mental health measures. In addition, there has been no investigation into the stability over time in this relationship: an important consideration if survey findings are used to inform future policy. The aim of this study is to investigate the association between employment status and common mental disorder (CMD) in 50-64-year old residents in England and its stability over time, taking advantage of three national mental health surveys carried out over a 14-year period...
August 24, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28831684/distinct-and-untamed-articulating-bulimic-identities
#15
Karin Eli
Bulimia nervosa and anorexia nervosa are inextricably linked, with substantial clinical and epidemiological overlaps. Yet, while anorexia has been analyzed extensively in medical anthropology, bulimia remains under-theorized. This is, perhaps, because, compared to self-starvation, binge eating presents a logic of practice that is difficult to reconcile with culturally reified notions of self-control, transcendence, and hard work. Thus, although anthropologists have analyzed anorexic subjectivities as imbued with a sense of cleanliness and purity, moral superiority, and heroics, similar analyses have not been extended to bulimic subjectivities; instead, bulimia has been subsumed, as a tangential disorder, into analyses of anorexia...
August 22, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28828057/dysplasia-epiphysealis-hemimelica-a-histological-comparative-study-with-osteochondromas
#16
J Stevens, T J M Welting, A M Witlox, L W van Rhijn, H M Staal
PURPOSE: Dysplasia epiphysealis hemimelica (DEH) is a rare developmental disorder resulting in epiphyseal overgrowth. Based on histological appearance, it is often described as an osteochondroma or osteochondroma-like lesion, although clinical differences exist between DEH and osteochondromas. The aim of this study was to test whether DEH and osteochondromas are histologically identical diseases. METHODS: Tissue samples of two age- and gender-matched cases with DEH and hereditary multiple exostoses were histologically compared...
June 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28803247/potential-gender-related-aging-processes-occur-earlier-and-faster-in-the-vermis-of-patients-with-bipolar-disorder-an-mri-study
#17
Marta Serati, Giuseppe Delvecchio, Giulia Orsenigo, Cinzia Perlini, Marco Barillari, Mirella Ruggeri, Alfredo Carlo Altamura, Marcella Bellani, Paolo Brambilla
BACKGROUND: In the last decades, there has been increasing interest in investigating the role of the vermis in bipolar disorder (BD), especially because of its involvement in cognitive processes. The main aims of this study were to explore the integrity of the vermis and elucidate the role of demographic and clinical variables on vermis volumes in BD patients, stratified according to gender. METHODS: T1-weighted images were obtained for 38 BD patients and 38 healthy controls using a 1...
August 12, 2017: Neuropsychobiology
https://www.readbyqxmd.com/read/28762121/-in-patient-hospital-care-of-selected-sexual-disorders-an-analysis-of-data-from-the-german-federal-statistical-office-from-2000-to-2014
#18
Franziska Brunner, Thula Koops, Timo O Nieder, Geoffrey M Reed, Peer Briken
BACKGROUND: Patients with the ICD-10 sexual disorders F52, F64, F65, and F66 are treated by a variety of medical disciplines. Until now, there has been a paucity of data regarding which sexual disorders are treated by means of in-patient hospital care and whether changes have occurred over time. OBJECTIVES: The aim of this study is to examine how many patients with sexual disorders that are classified by ICD-10 chapter V (F) as "mental" are treated as in-patients...
July 31, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28760257/a-historical-review-of-gender-affirming-medicine-focus-on-genital-reconstruction-surgery
#19
REVIEW
Jordan D Frey, Grace Poudrier, Jennifer E Thomson, Alexes Hazen
Gender dysphoria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is characterized by a marked discrepancy between one's birth-assigned sex and one's gender identity and is sometimes addressed by gender-affirming surgery. As public visibility and institutional support for the transgender and gender non-conforming population continue to increase, the demand for competent multidisciplinary teams of medical professionals equipped to care for this population is expected to rise-including plastic surgeons, urologists, gynecologists, endocrinologists, and breast surgeons, among others...
August 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28713007/future-fertility-for-individuals-with-differences-of-sex-development-parent-attitudes-and-perspectives-about-decision-making
#20
Emilie K Johnson, Ilina Rosoklija, Angela Shurba, Anthony D'Oro, Elisa J Gordon, Diane Chen, Courtney Finlayson, Jane L Holl
BACKGROUND: Children, adolescents, and young adults (children/youth) with differences/disorders of sex development (DSD) face challenges related to future fertility; this may be due to variations in gonadal development, and, for some, gonadectomy performed to reduce the risk of malignancy. Childhood may be the only time for preservation of biological fertility potential for children/youth who undergo gonadectomy or have early gonadal failure. Fertility-related decision-making for these patients is particularly complicated, due to the need for parental proxy decision-making, potential discordance between gender identity and gonadal type, and uncertain future assisted reproductive technologies...
August 2017: Journal of Pediatric Urology
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