Gender dysphoria in children and adolescents: an overview

被引:0
作者
Nicos Skordis
Andreas Kyriakou
Shai Dror
Avital Mushailov
Nicolas C. Nicolaides
机构
[1] Paedi Center for Specialized Pediatrics,Division of Pediatric Endocrinology
[2] St George’s,Developmental Endocrinology Research Group
[3] University London Medical Program at the University of Nicosia Medical School,Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics
[4] School of Medicine,Division of Endocrinology and Metabolism, Center of Clinical
[5] University of Glasgow,undefined
[6] National and Kapodistrian University of Athens Medical School,undefined
[7] “Aghia Sophia” Children’s Hospital,undefined
[8] Experimental Surgery and Translational Research,undefined
[9] Biomedical Research Foundation of the Academy of Athens,undefined
来源
Hormones | 2020年 / 19卷
关键词
Gender dysphoria; Adolescents; Genetics; Cross-hormone treatment;
D O I
暂无
中图分类号
学科分类号
摘要
Over the last decade, we have witnessed considerable progress in gender dysphoria (GD) terminology in an attempt to better describe the condition based on certain criteria. The ever-increasing social acceptance and destigmatization of children and adolescents with GD have resulted in an increased number of transgender individuals seeking endocrine care. In addition to terminology and diagnostic criteria, the tremendous progress of genetics and neuroimaging has enabled us to have a deeper understanding of the complex pathogenesis of GD. Although helpful guidelines for treatment with GnRH analogs and gender-affirming hormones have been proposed, several challenges and controversies still exist. In this article, the current knowledge about GD in adolescents is reviewed, with particular emphasis on terminology, clinical manifestations, and epidemiologic data. The neurobiological basis of the condition is presented, and both hormonal treatment and mental issues of transgender individuals are discussed. Undoubtedly, further research will optimize the diagnostic and therapeutic approach of children and adolescents with GD.
引用
收藏
页码:267 / 276
页数:9
相关论文
共 355 条
  • [71] McMorris BJ(2014)Satisfaction with male-to-female gender reassignment surgery Dtsch Arztebl Int 111 795-336
  • [72] Rider G(2006)Attempted suicide among transgender persons: the influence of gender-based discrimination and victimization J Homosex 51 53-98
  • [73] Shea G(2009)Emotional distress among LGBT youth: the influence of perceived discrimination based on sexual orientation J Youth Adolesc 38 1001-180
  • [74] Coleman E(2011)Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations J Homosex 58 10-290
  • [75] Zucker KJ(2014)Transsexual patients’ psychiatric comorbidity and positive effect of cross-sex hormonal treatment on mental health: results from a longitudinal study Psychoneuroendocrinology. 39 65-undefined
  • [76] de Graaf NM(2016)The mental health of transgender youth: advances in understanding J Adolesc Health 59 489-undefined
  • [77] Giovanardi G(2012)Psychological evaluation and medical treatment of transgender youth in an interdisciplinary “gender management service” (GeMS) in a major pediatric center J Homosex 59 321-undefined
  • [78] Zitz C(2016)(2016). Approach to children and adolescents with gender dysphoria Pediatr Rev 37 89-undefined
  • [79] Carmichael P(2015)(2015). Dissociative symptoms in individuals with gender dysphoria: is the elevated prevalence real? Psychiatry Res 226 173-undefined
  • [80] Skordis N(2013)The gender affirmative model: what we know and what we aim to learn Hum Dev. 56 285-undefined