Adequate Training and Multidisciplinary Support May Assist Pediatricians in Properly Handling and Managing Gender Incongruence and Dysphoria

Ferrara, Pietro; Ruiz, R. García de Eulate; Corsello, Giovanni; Giardino, Ida; Carrasco-Sanz, Angel; Vural, Mehmet; Намазова-баранова, Л. С.; Indrio, Flavia; Pop, Tudor Lucian; Pettoello‐Mantovani, Massimo

doi:10.1016/j.jpeds.2022.07.009

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…In conclusion, pediatricians establish care with patients at birth manage individuals throughout childhood, adolescence, and young adulthood and are frequently the first formal contact for gender-nonconforming children and their families [ 108 , 109 ]. Thus, pediatricians play a crucial role in understanding gender identity issues and providing appropriate care to individuals and families affected by GD [ 110 , 111 ], while avoiding stigma and premature interventions. Receiving proper training is crucial for pediatricians to effectively address this challenge in collaboration with multidisciplinary teams of specialists [ 111 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, pediatricians play a crucial role in understanding gender identity issues and providing appropriate care to individuals and families affected by GD [ 110 , 111 ], while avoiding stigma and premature interventions. Receiving proper training is crucial for pediatricians to effectively address this challenge in collaboration with multidisciplinary teams of specialists [ 111 ].…”

Section: Discussionmentioning

confidence: 99%

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Adolescent gender dysphoria management: position paper from the Italian Academy of Pediatrics, the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, the Italian Society of Adolescent Medicine and the Italian Society of Child and Adolescent Neuropsychiatry

Calcaterra,

Tornese,

Zuccotti

et al. 2024

Ital J Pediatr

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Background In response to the imperative need for standardized support for adolescent Gender Dysphoria (GD), the Italian Academy of Pediatrics, in collaboration with the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, Italian Society of Adolescent Medicine and Italian Society of Child and Adolescent Neuropsychiatry is drafting a position paper. The purpose of this paper is to convey the author's opinion on the topic, offering foundational information on potential aspects of gender-affirming care and emphasizing the care and protection of children and adolescents with GD. Main body Recognizing that adolescents may choose interventions based on their unique needs and goals and understanding that every individual within this group has a distinct trajectory, it is crucial to ensure that each one is welcomed and supported. The approach to managing individuals with GD is a multi-stage process involving a multidisciplinary team throughout all phases. Decisions regarding treatment should be reached collaboratively by healthcare professionals and the family, while considering the unique needs and circumstances of the individual and be guided by scientific evidence rather than biases or ideologies. Politicians and high court judges should address discrimination based on gender identity in legislation and support service development that aligns with the needs of young people. It is essential to establish accredited multidisciplinary centers equipped with the requisite skills and experience to effectively manage adolescents with GD, thereby ensuring the delivery of high-quality care. Conclusion Maintaining an evidence-based approach is essential to safeguard the well-being of transgender and gender diverse adolescents.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adolescent gender dysphoria management: position paper from the Italian Academy of Pediatrics, the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, the Italian Society of Adolescent Medicine and the Italian Society of Child and Adolescent Neuropsychiatry

Calcaterra,

Tornese,

Zuccotti

et al. 2024

Ital J Pediatr

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“…Since pediatricians are the first contacts for GD youth and their families in the healthcare system, training programs helping them to correctly address the special needs of GD youth are urgently needed. Indeed, pediatricians play a key role in supporting GD youth to feel validated in their gender identity and expression [22].…”

Section: Discussionmentioning

confidence: 99%

“…Pediatric providers are often the first contacts of TGD youth in the healthcare system. The number of GD children and adolescents attending clinical settings is indeed progressively increasing, but pediatricians are still often not prepared in transgender-specific care, in particular during the prepubertal phase, because their training does not properly cover this area [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

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Unmet Needs of Pediatricians in Transgender-Specific Care: Results of a Short-Term Training

Santamaria,

Scandurra,

Mezzalira

et al. 2023

Horm Res Paediatr

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Introduction: The aim of this study was to evaluate (i) the knowledge about different dimensions of sexual identity in a group of family pediatricians and (ii) the efficacy of a training program to improve knowledge and reduce genderism and heteronormativity. Methods: A pre-post-follow-up study was conducted with 96 Italian pediatricians (48 men and 48 women) who participated in a 6-h training program and divided into 2 sections. The first section was theoretical and focused on the conceptual foundations of sexual identity, the depathologizing approach to gender diversity, and the role of pediatricians as the first contacts of children’s or adolescents’ family. The second part was experiential and included the presentation of a clinical case and the activation of a group reflection on the management of gender-diverse youth. Knowledge about sexual identity, genderism, and heteronormativity was measured. Results: Pre-training questionnaires revealed that the mean score of knowledge about sexual identity was 7.13 ± 3.21. One-way within-subject ANOVA revealed significant effects from pre- to post-training and from pre- to follow-up assessment but not from post-training to follow-up assessment, suggesting that significant changes in the knowledge about sexual identity (F = 39.75, p < 0.001), in personal biases related to genderism (F = 7.46, p < 0.01), and in heteronormative attitudes (F = 44.99, p < 0.001) and behaviors (F = 79.29, p < 0.001) were achieved through the training and maintained at follow-up. Conclusion: These findings indicate the importance of training pediatricians to work with gender-diverse youth and provide them with the best clinical interventions.

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Introduction to the special issue “Hot Topics in EuroPediatrics”: Enhancing pediatric practices through continuing education meetings in Europe

Pettoello-Mantovani,

Kostantinidis,

Buonocore

2024

Global Pediatrics

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Adequate Training and Multidisciplinary Support May Assist Pediatricians in Properly Handling and Managing Gender Incongruence and Dysphoria

Cited by 3 publications

References 21 publications

Adolescent gender dysphoria management: position paper from the Italian Academy of Pediatrics, the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, the Italian Society of Adolescent Medicine and the Italian Society of Child and Adolescent Neuropsychiatry

Adolescent gender dysphoria management: position paper from the Italian Academy of Pediatrics, the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, the Italian Society of Adolescent Medicine and the Italian Society of Child and Adolescent Neuropsychiatry

Unmet Needs of Pediatricians in Transgender-Specific Care: Results of a Short-Term Training

Introduction to the special issue “Hot Topics in EuroPediatrics”: Enhancing pediatric practices through continuing education meetings in Europe

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