Gender congruence and psychiatric morbidity after gender-confirming health care: Relation to childhood adversities and adult stressful life events

Background

Studies have reported a high risk of psychiatric morbidity after gender-confirming health care, but there is a dearth of studies evaluating gender congruence after these interventions. [ view full abstract ]

Aim(s)

The aims were to study gender congruence after gender-confirming health care and to evaluate whether childhood adversities or adult stressful life events predict psychiatric morbidity post transition. [ view full abstract ]

Methods

In a cross sectional setting, sixty-five individuals (16 men assigned female at birth, and 49 women assigned male at birth) were evaluated after gender-confirming health care. The mean (SD) follow-up time was 7.2 (7.3) years... [ view full abstract ]

Main Outcome Measures

Gender congruence was assessed with the question: “Do you, after your gender reassignment, feel that your body matches your identity?” (Yes/No). Requests for retransition were measured by the question: “Would you like... [ view full abstract ]

Results

All 16 men felt gender congruent post transition as compared with 41 out of 46 (89.1%) women. The median GCI-I score was 6 (equals “much improved”), with no significant gender difference. No subject wished to retransition.... [ view full abstract ]

Conclusion

The findings support the view that gender-confirming health care improve gender dysphoria, and gender incongruence. Childhood adversities and adult stressful life events were common. Born abroad, childhood maltreatment or... [ view full abstract ]

Authors

  1. Cecilia Dhejne (ANOVA, Karolinska University Hospital and Karolinska Institutet)
  2. Katarina Görts Öberg (ANOVA, Karolinska University Hospital and Karolinska Institutet)
  3. Stefan Arver (ANOVA, Karolinska University Hospital and Karolinska Institutet)
  4. Mathias Kardell (Institute of Neuroscience and Physiology, Sahlgrenska University Hospital, Gothenburg)
  5. Sigbritt Werner (Department of Medicine/Huddinge, Karolinska Institutet)
  6. Mikael Landén (Institute of Neuroscience and Physiology, Sahlgrenska University Hospital, Gothenburg)

Topic Area

Oral & Poster Topics: Mental health

Session

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

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