Emily Ewing, Gabriela Sendek, Miriam Becker, Edna Montes, RocNeil Nguyen, Rachel Jenkins, Clara Lee, Andrew Richardson, Bixby Marino-Kibbee, David Inwards-Breland, Amanda Gosman
{"title":"性别确认护理对青少年和青年跨性别和非二元患者群体的纵向影响评估。","authors":"Emily Ewing, Gabriela Sendek, Miriam Becker, Edna Montes, RocNeil Nguyen, Rachel Jenkins, Clara Lee, Andrew Richardson, Bixby Marino-Kibbee, David Inwards-Breland, Amanda Gosman","doi":"10.1097/GOX.0000000000006911","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Gender-affirming care (GAC) during adolescence is associated with decreased adverse gender dysphoria-related outcomes and steadily improved psychological functioning into young adulthood. This single-institution, longitudinal study examined the impact of GAC on various treatment outcomes for transgender and nonbinary adolescents and young adults. Participants included 110 transmasculine and nonbinary adolescents and young adults who were referred for gender-affirming top surgery through the Center for Gender-Affirming Care and Plastic Surgery multidisciplinary clinic at Rady Children's Hospital, San Diego.</p><p><strong>Methods: </strong>Outcomes were assessed via the Patient Health Questionnaire-2, chest and gender dysphoria scales, and surgical satisfaction scales, which were administered at various time points throughout treatment. Multilevel modeling was used to evaluate the impact of GAC on depressive symptoms, chest and gender dysphoria, and surgical satisfaction over time.</p><p><strong>Results: </strong>Significant reductions were observed in patient-reported depressive symptoms, gender dysphoria, and chest dysphoria before and after surgery. On average, survey results indicated that patients reported positive perceptions of their surgical experience, were satisfied with their surgical outcome, and had a positive recovery experience.</p><p><strong>Conclusions: </strong>Results suggest that GAC appears to have a measurable and beneficial impact on patients' mental health.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6911"},"PeriodicalIF":1.5000,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187315/pdf/","citationCount":"0","resultStr":"{\"title\":\"An Assessment of the Longitudinal Impact of Gender-affirming Care in an Adolescent and Young Adult Transmasculine and Nonbinary Patient Population.\",\"authors\":\"Emily Ewing, Gabriela Sendek, Miriam Becker, Edna Montes, RocNeil Nguyen, Rachel Jenkins, Clara Lee, Andrew Richardson, Bixby Marino-Kibbee, David Inwards-Breland, Amanda Gosman\",\"doi\":\"10.1097/GOX.0000000000006911\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Gender-affirming care (GAC) during adolescence is associated with decreased adverse gender dysphoria-related outcomes and steadily improved psychological functioning into young adulthood. This single-institution, longitudinal study examined the impact of GAC on various treatment outcomes for transgender and nonbinary adolescents and young adults. Participants included 110 transmasculine and nonbinary adolescents and young adults who were referred for gender-affirming top surgery through the Center for Gender-Affirming Care and Plastic Surgery multidisciplinary clinic at Rady Children's Hospital, San Diego.</p><p><strong>Methods: </strong>Outcomes were assessed via the Patient Health Questionnaire-2, chest and gender dysphoria scales, and surgical satisfaction scales, which were administered at various time points throughout treatment. Multilevel modeling was used to evaluate the impact of GAC on depressive symptoms, chest and gender dysphoria, and surgical satisfaction over time.</p><p><strong>Results: </strong>Significant reductions were observed in patient-reported depressive symptoms, gender dysphoria, and chest dysphoria before and after surgery. On average, survey results indicated that patients reported positive perceptions of their surgical experience, were satisfied with their surgical outcome, and had a positive recovery experience.</p><p><strong>Conclusions: </strong>Results suggest that GAC appears to have a measurable and beneficial impact on patients' mental health.</p>\",\"PeriodicalId\":20149,\"journal\":{\"name\":\"Plastic and Reconstructive Surgery Global Open\",\"volume\":\"13 6\",\"pages\":\"e6911\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-06-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187315/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Plastic and Reconstructive Surgery Global Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/GOX.0000000000006911\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006911","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
An Assessment of the Longitudinal Impact of Gender-affirming Care in an Adolescent and Young Adult Transmasculine and Nonbinary Patient Population.
Background: Gender-affirming care (GAC) during adolescence is associated with decreased adverse gender dysphoria-related outcomes and steadily improved psychological functioning into young adulthood. This single-institution, longitudinal study examined the impact of GAC on various treatment outcomes for transgender and nonbinary adolescents and young adults. Participants included 110 transmasculine and nonbinary adolescents and young adults who were referred for gender-affirming top surgery through the Center for Gender-Affirming Care and Plastic Surgery multidisciplinary clinic at Rady Children's Hospital, San Diego.
Methods: Outcomes were assessed via the Patient Health Questionnaire-2, chest and gender dysphoria scales, and surgical satisfaction scales, which were administered at various time points throughout treatment. Multilevel modeling was used to evaluate the impact of GAC on depressive symptoms, chest and gender dysphoria, and surgical satisfaction over time.
Results: Significant reductions were observed in patient-reported depressive symptoms, gender dysphoria, and chest dysphoria before and after surgery. On average, survey results indicated that patients reported positive perceptions of their surgical experience, were satisfied with their surgical outcome, and had a positive recovery experience.
Conclusions: Results suggest that GAC appears to have a measurable and beneficial impact on patients' mental health.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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