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https://www.readbyqxmd.com/read/29783857/psychiatry-s-ethical-involvement-in-gender-affirming-care
#1
Roberto D'Angelo
OBJECTIVE: To reflect on the role of psychiatry in authorising physical treatments for Gender Dysphoria and to examine the quality of evidence for gender-reassignment. METHOD: A Medline search was performed with the subject term "transsexualism" or "gender dysphoria" and "outcome" or "follow-up" in the title. Studies published from 2005 onwards reporting psychosocial outcomes were selected for review. RESULTS: Most available evidence indicating positive outcomes for gender reassignment is of poor quality...
May 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29771846/educational-exposure-to-transgender-patient-care-in-otolaryngology-training
#2
Benjamin B Massenburg, Shane D Morrison, Vania Rashidi, Craig Miller, David W Grant, Christopher S Crowe, Nathalia Velasquez, Justin R Shinn, Jacob E Kuperstock, Deepa J Galaiya, Scott R Chaiet, Amit D Bhrany
OBJECTIVE: Gender dysphoria is estimated to occur in over 1 million people in the United States. With decreasing stigma regarding the transgender population, it is likely more patients will seek medical and surgical gender transition as parts of their treatment. However, otolaryngologists may lack training in gender-confirming surgery. This study aims to determine the current state of transgender-related education in the United States otolaryngology training programs and to evaluate trainee perceptions regarding the importance of such training...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29769803/gender-dysphoria-assessment-and-action-for-youth-review-of-health-care-services-and-experiences-of-trans-youth-in-manitoba
#3
Jack Heard, Amanda Morris, Nicole Kirouac, Jennifer Ducharme, Simon Trepel, Brandy Wicklow
Objectives: To describe the paediatric transgender population accessing health care through the Manitoba Gender Dysphoria Assessment and Action for Youth (GDAAY) program, and report youth's experiences accessing health care in Manitoba. Methods: Demographic, medical, surgical and mental health information was extracted from the medical records of youth referred to the GDAAY program (n=174). A 77-item online survey was conducted with a subset of those youth (n=25) to identify common health care experiences and perceptions of trans youth in Manitoba...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29756044/gender-dysphoria-in-adults-an-overview-and-primer-for-psychiatrists
#4
William Byne, Dan H Karasic, Eli Coleman, A Evan Eyler, Jeremy D Kidd, Heino F L Meyer-Bahlburg, Richard R Pleak, Jack Pula
Regardless of their area of specialization, adult psychiatrists are likely to encounter gender-variant patients; however, medical school curricula and psychiatric residency training programs devote little attention to their care. This article aims to assist adult psychiatrists who are not gender specialists in the delivery of respectful, clinically competent, and culturally attuned care to gender-variant patients, including those who identify as transgender or transsexual or meet criteria for the diagnosis of Gender Dysphoria (GD) as defined by The Diagnostic and Statistical Manual of Mental Disorders (5th edition)...
2018: Transgender Health
https://www.readbyqxmd.com/read/29752630/potentially-reversible-social-deficits-among-transgender-youth
#5
Jack L Turban
Recently, there has been increased attention to a putative relationship between Autism Spectrum Disorder (ASD) and gender dysphoria, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) diagnosis for those whose gender assigned at birth does not match their gender identity. Studies have shown an over-representation of ASD symptoms among transgender youth. These studies, however, have used scales that are non-specific for ASD. These ASD symptoms may represent social deficits that are secondary to social stress and deprivation, as transgender youth suffer high rates of peer and family rejection...
May 12, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29741976/self-reported-autism-spectrum-disorder-symptoms-among-adults-referred-to-a-gender-identity-clinic
#6
Lieke E W Vermaat, Anna I R van der Miesen, Annelou L C de Vries, Thomas D Steensma, Arne Popma, Peggy T Cohen-Kettenis, Baudewijntje P C Kreukels
PURPOSE: The purpose of this study was to (1) investigate autism spectrum disorder (ASD) symptoms in a sample of adults referred for gender dysphoria (GD) compared to typically developing (TD) populations, (2) see whether males assigned at birth with GD (MaBGD s) and females assigned at birth with GD (FaBGD s) differ in ASD symptom levels, (3) study the role of sexual orientation, and (4) investigate ASD symptoms' correlation with GD symptoms. METHODS: The Autism-Spectrum Quotient (AQ) was used to measure ASD symptoms, and the Utrecht Gender Dysphoria Scale (UGDS) was used to measure the intensity of GD...
May 9, 2018: LGBT Health
https://www.readbyqxmd.com/read/29741123/gender-dysphoria-in-adolescence-when-scientific-ambiguity-in-conceptualization-becomes-a-political-issue
#7
Helen Lazaratou, Dimitrios Dikeos, Elena Dieti, Marina Economou
No abstract text is available yet for this article.
May 1, 2018: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29741111/corrigendum
#8
(no author information available yet)
Hilário, Ana Patrícia (2017) Contestation, instrumental resistance and strategic conformation within the diagnostic process of Gender Dysphoria in Portugal. Health 21(5): 555-572. DOI: 10.1177/1363459317708826 In the Acknowledgements section of this article, the author would like to replace the word "practitioners" by "trans people". The final version should be read as: Acknowledgements The reflection developed drew on data collected in the frame of the European Research Council funded project TRANSRIGHTS: Gender citizenship and sexual rights in Europe: Transgender lives in transnational perspective...
May 1, 2018: Health (London)
https://www.readbyqxmd.com/read/29740834/multidisciplinary-care-considerations-for-gender-nonconforming-adolescents-with-eating-disorders-a-case-series
#9
Abigail A Donaldson, Allison Hall, Jodie Neukirch, Vania Kasper, Shannon Simones, Sherry Gagnon, Steven Reich, Michelle Forcier
Gender nonconforming youth are at risk for body dissatisfaction and disordered eating. Currently, only a small body of literature addresses this high-risk group. The five cases in this series highlight important themes for this patient population from an interdisciplinary perspective. Identified themes include increased risk for self-harm/suicide, complex psychiatric, and medical implications of delay to treatment for either gender dysphoria or disordered eating, and the importance of collaborative management to maximize care and facilitate healthy development to adulthood...
May 8, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29739126/transsexualism-a-different-viewpoint-to-brain-changes
#10
REVIEW
Mohammad Reza Mohammadi, Ali Khaleghi
Transsexualism refers to a condition or belief which results in gender dysphoria in individuals and makes them insist that their biological gender is different from their psychological and experienced gender. Although the etiology of gender dysphoria (or transsexualism) is still unknown, different neuroimaging studies show that structural and functional changes of the brain result from this sexual incongruence. The question here is whether these reported changes form part of the etiology of transsexualism or themselves result from transsexualism culture, behaviors and lifestyle...
May 31, 2018: Clinical Psychopharmacology and Neuroscience: the Official Scientific Journal of the Korean College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/29736809/prevalence-of-the-wish-to-be-of-the-opposite-gender-in-adolescents-and-adults-with-autism-spectrum-disorder
#11
Anna I R van der Miesen, Hannah Hurley, Anneloes M Bal, Annelou L C de Vries
Several studies have suggested an overrepresentation of (symptoms of) autism spectrum disorder (ASD) among individuals with gender dysphoria. Three studies have taken the inverse approach in children with ASD and showed increased parent report of the wish to be of the opposite gender in this group. This study compared the self-reported wish to be of the opposite gender (one item of the Youth Self-Report [YSR] and the Adult Self-Report [ASR]) of 573 adolescents (469 assigned boys and 104 assigned girls) and 807 adults (616 assigned males and 191 assigned females) with ASD to 1016 adolescents and 846 adults from the general population...
May 7, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29732618/the-evolution-of-transgender-surgery
#12
REVIEW
Anna Zurada, Sonja Salandy, Wallisa Roberts, Jerzy Gielecki, Justine Schober, Marios Loukas
An estimated 1.4% of the population worldwide has been diagnosed with Gender Dysphoria, as defined by the Diagnostic and Statistical Manual of Mental Disorders. Gender reassignment, which holistically encompasses psychotherapy, hormonal therapy and genital and nongenital surgeries, is considered the most effective treatment for transgender non-conforming patients afflicted with gender dysphoria. Little research is currently available identifying the psychosocial needs of the transgender population and their access to preventative and primary care during this transitioning process...
May 7, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29730870/effects-of-gender-reassignment-on-quality-of-life-and-mental-health-in-people-with-gender-dysphoria
#13
Berna Özata Yıldızhan, Şahika Yüksel, Mirella Avayu, Handan Noyan, Eren Yıldızhan
OBJECTIVE: Our purpose was to compare the life style, family and social relationships (social adaptation) and the quality of life in people with gender dysphoria with and without history of sex reassignment surgery. METHOD: Twenty  individuals (SR group) who were earlier followed   in Istanbul University Psychiatry Department Psychoneurosis and Psychotherapy Unit with gender dysphoria diagnosis in  order  to  have confirmative reports for the sex reassignment (SR) surgery were interviewed at least one year after the surgery...
2018: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/29706561/sexual-health-during-postgraduate-training-european-survey-across-medical-specialties
#14
Alexandra Kristufkova, Mariana Pinto Da Costa, Gesthimani Mintziori, Juan Luis Vásquez, Anna J M Aabakke, Mikkel Fode
BACKGROUND: Sexual health problems are common. Therefore, training in sexual health is relevant for the clinical practice of trainees and early-career specialists in several specialties who deal with patients with sexual health problems. However, little is known about how sexual health training is provided across countries and specialties. AIM: To assess (i) sexual health training during postgraduate training programs in psychiatry, obstetrics and gynecology, urology, and endocrinology across Europe; (ii) the confidence of trainees and early-career specialists in dealing with patients with sexual health problems; and (iii) their need for further training in sexual health during postgraduate training programs...
April 26, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29699765/gay-and-gray-session-an-interdisciplinary-approach-to-transgender-aging
#15
Kevin Johnson, Brandon C Yarns, Janet M Abrams, Lilith A Calbridge, Daniel D Sewell
With the overarching goals of improving the healthcare of older transgender individuals and of inspiring pertinent clinical research, a session at the 2017 American Association for Geriatric Psychiatry Annual Meeting focused on an interdisciplinary approach to transgender aging. The older the transgender adult, the more likely the individual grew up in a historical context when there was greater social stigma towards their gender identity, even among mental health professionals. In order to provide optimal healthcare to transgender adults, mental health care providers should become familiar with the basic terminology presented in this article...
February 7, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29674763/descriptive-study-of-gender-dysphoria-in-japanese-individuals-with-male-to-female-gender-identity-disorder
#16
Yoshie Shinohara, Mikiya Nakatsuka
We focus on Japanese individuals with gender identity disorder (GID), especially male-to-female (MTF) GID, who have experienced difficulty in adapting to social life. We clarify what gender dysphoria is, and we examine methods of intervention. Semi-structured interviews were conducted with 11 individuals with MTF-GID from August 2015 to April 2017. We categorized the subjects'experiences regarding dysphoria into the 'Onset of gender dysphoria,' 'Experience of feeling gender dysphoria,' and 'Changes due to receiving medical care...
April 2018: Acta Medica Okayama
https://www.readbyqxmd.com/read/29671736/exclusion-of-medically-necessary-gender-affirming-surgery-for-america-s-armed-services-veterans
#17
William M Kuzon, Emily Sluiter, Katherine M Gast
Gender dysphoria , the term used in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) to describe distress at the incongruence between one's gender and anatomy, affects approximately 0.6 percent of the population. It is estimated that there are 134,000 Armed Forces veterans in the United States with gender dysphoria. Although gender-affirming surgery is widely accepted as a medically necessary intervention for appropriately selected patients with gender dysphoria, the Veterans Health Administration (VHA) Health Benefits package and VHA Directive 2013-033 specifically prohibit gender-affirming surgery within Veterans Affairs (VA) facilities or using VA funding...
April 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29668062/long-term-outcomes-and-molecular-analysis-of-a-large-cohort-of-patients-with-46-xy-disorder-of-sex-development-due-to-partial-gonadal-dysgenesis
#18
Nathalia Lisboa Gomes, Antônio Marcondes Lerário, Aline Machado Zamboni, Daniela Rodrigues de Moraes, Thatiana Evilen da Silva, Ivo Jorge Prado Arnhold, Rafael Loch Batista, José Antônio Diniz Faria Júnior, Elaine F Costa, Mirian Y Nishi, Marlene Inacio, Sorahia Domenice, Berenice B Mendonca
BACKGROUND: Follow-up data on patients with 46,XY partial gonadal dysgenesis (PGD) until adulthood are scarce, making information on prognosis difficult. OBJECTIVE: To analyse the long-term outcomes of patients with 46,XY PGD regarding testosterone production, germ cell tumour risk, genotype, and psychosexual adaptation. METHODS: A retrospective longitudinal study of 33 patients (20 assigned male and 13 patients assigned female at birth). Molecular diagnosis was performed by Sanger sequencing or by targeted massively parallel sequencing of 63 genes related to disorders of sex development (DSDs)...
April 18, 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29650510/assessment-and-support-of-children-and-adolescents-with-gender-dysphoria
#19
Gary Butler, Nastasja De Graaf, Bernadette Wren, Polly Carmichael
No abstract text is available yet for this article.
April 12, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29606626/gender-dysphoria-and-gender-change-in-disorders-of-sex-development-intersex-conditions-results-from-the-dsd-life-study
#20
Baudewijntje P C Kreukels, Birgit Köhler, Anna Nordenström, Robert Roehle, Ute Thyen, Claire Bouvattier, Annelou L C de Vries, Peggy T Cohen-Kettenis
BACKGROUND: Information on the psychosexual outcome of individuals with disorders of sex development (DSDs) and intersex conditions is of great importance for sex assignment at birth of newborns with DSD. AIM: To assess gender change and gender dysphoria in a large sample of individuals with different DSDs. METHODS: A cross-sectional study was conducted in 14 European centers with 1,040 participants (717 female-identifying and 311 male-identifying persons and 12 persons identifying with another gender) with different forms of DSD...
May 2018: Journal of Sexual Medicine
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