Gender dysphoria in adolescence: current perspectives.

IF 1.7 Q2 PEDIATRICS
Adolescent Health Medicine and Therapeutics Pub Date : 2018-03-02 eCollection Date: 2018-01-01 DOI:10.2147/AHMT.S135432
Riittakerttu Kaltiala-Heino, Hannah Bergman, Marja Työläjärvi, Louise Frisén
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引用次数: 0

Abstract

Increasing numbers of adolescents are seeking treatment at gender identity services in Western countries. An increasingly accepted treatment model that includes puberty suppression with gonadotropin-releasing hormone analogs starting during the early stages of puberty, cross-sex hormonal treatment starting at ~16 years of age and possibly surgical treatments in legal adulthood, is often indicated for adolescents with childhood gender dysphoria (GD) that intensifies during puberty. However, virtually nothing is known regarding adolescent-onset GD, its progression and factors that influence the completion of the developmental tasks of adolescence among young people with GD and/or transgender identity. Consolidation of identity development is a central developmental goal of adolescence, but we still do not know enough about how gender identity and gender variance actually evolve. Treatment-seeking adolescents with GD present with considerable psychiatric comorbidity. There is little research on how GD and/or transgender identity are associated with completion of developmental tasks of adolescence.

青春期性别焦虑症:当前视角。
在西方国家,越来越多的青少年到性别认同服务机构寻求治疗。一种日益被接受的治疗模式通常适用于患有儿童性别认同障碍(GD)并在青春期加剧的青少年,该模式包括从青春期早期开始使用促性腺激素释放激素类似物抑制青春期、从约 16 岁开始进行跨性别激素治疗以及可能在成年后进行手术治疗。然而,对于青春期发病的 GD、其发展过程以及影响有 GD 和/或变性身份的青少年完成青春期发育任务的因素,人们几乎一无所知。巩固身份发展是青春期的一个核心发展目标,但我们对性别认同和性别差异究竟是如何演变的仍然缺乏足够的了解。寻求治疗的 GD 青少年有相当多的精神疾病合并症。关于性别认同和/或跨性别认同如何与完成青春期发展任务相关联的研究还很少。
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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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