The Gender Dissonance Severity Scale (GDSS): Development of a new questionnaire to evaluate treatment outcomes

Beth Jones

Nottingham Center for Gender Dysphoria

Beth is a final year PhD student at the Nottingham Centre for Transgender Health. Her research is broadly concerned with mental well-being within the transgender population.


Tailored treatment choices are vital for effective transgender healthcare. In order to improve transgender health services, gender confirming medical treatments need to be evaluated. Although tools that assess gender... [ view full abstract ]


To design, in collaboration with the transgender population, a health outcome questionnaire. This measure will assess the severity of gender dissonance as well as associated mental well-being and general quality of life, at... [ view full abstract ]


First, an in-depth literature review was conducted to determine the limitations of the outcome measures that are currently available. Second, a qualitative study was conducted at a national transgender health service in the... [ view full abstract ]

Main Outcome Measures

Gender dissonance severity, associated mental well-being and quality of life.  [ view full abstract ]


A questionnaire with 42 items was developed which aimed to assess the severity of gender dissonance, associated mental well-being and general quality of life, within the transgender population. Factor analysis revealed 7... [ view full abstract ]


The GDSS is a robust measure that can be used to assess treatment outcomes within the transgender population. It is hoped that the measures will help clinicians make informed and tailored treatment choices in close... [ view full abstract ]


  1. Beth Jones (Nottingham Center for Gender Dysphoria)
  2. Walter Pierre Bouman (Nottingham Center for Gender Dysphoria)
  3. Emma Haycraft (Loughborough University)
  4. Cecilia Dhejne (karolinska Institutet)
  5. Griet Decuypere (Ghent University)
  6. Helen Greener (Northern Region Gender Dysphoria Service)
  7. Jon Arcelus (Nottingham Center for Gender Dysphoria)

Topic Area

Oral & Poster Topics: Mental health


OS-1A » Mental Health I: Mental & Sexual Health and Outcomes in Transgender Health (14:00 - Thursday, 6th April, Baltic)