Psychological functions in male-to-female transsexual people before and after surgery

Udeze, B.; Abdelmawla, Nasser; Khoosal, Deenesh; Terry, Tim

doi:10.1080/14681990701882077

Cited by 22 publications

(8 citation statements)

References 8 publications

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“…Furthermore, trans people undergoing SRS exhibit less depression following surgery, compared to those in the diagnostic, pre-operative phase (Michel, Ansseau, Legros, Pitchot, & Mormont, 2002). Adverse effects in terms of mental health have also been reported in MTFs undergoing a medical transition, including feelings of being tired and flat, tense and nervous, and gloomy and depressed (Megeri & Khoosal, 2007;Slabbekoorn, van Goozen, Gooren, & Cohen-Kettenis, 2001;Udeze, Abdelmawla, Khoosal, & Terry, 2008).…”

mentioning

confidence: 99%

Depression in Male-to-Female Transgender Ontarians: Results from the Trans PULSE Project

Khobzi

Bauer

TraversRobb

et al. 2011

Canadian Journal of Community Mental Health

109

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The authors thank Rupert Raj for providing valuable comments with regard to the mental health of trans people at the initial phases of this paper, Todd Coleman for translation of the abstract into French, and Michael Rotondi for his assistance in coding clustering variables. The authors also thank the Trans PULSE Community Engagement Team and the many trans people who shared their experiences for this study. Finally, N.K. Rotondi is currently affiliated with the Health Systems and Health Equity Research Group at the Centre for Addiction and Mental Health (Toronto, ON). Support to CAMH for salary of scientists and infrastructure has been provided by the Ontario Ministry of Health and Long-Term Care.

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mentioning

confidence: 99%

Depression in Male-to-Female Transgender Ontarians: Results from the Trans PULSE Project

Khobzi

Bauer

TraversRobb

et al. 2011

Canadian Journal of Community Mental Health

109

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“…However, the quality of studies was low, with many lost to follow-up and a lack of control subjects. Later longitudinal studies and retrospective studies post genderaffirming treatment of participants diagnosed with any of the gender dysphoria diagnoses have confirmed the results, finding subjective improvement, less gender dysphoria, no or few regrets, and less psychopathological symptoms (Colizzi, et al,, 2013;Colizzi, et al, 2014;De Cuypere et al, 2006;de Vries et al, 2014;Heylens et al, 2014b;Johansson, Sundbom, Höjerback, & Bodlund, 2010;Manieri et al, 2014;Pimenoff & Pfäfflin, 2011;Ruppin & Pfafflin, 2015;Udeze, Abdelmawla, Khoosal, & Terry, 2008). It should be noted that four of the studies had a short follow-up time ranging from 3 to 12 months (Colizzi et al, 2013(Colizzi et al, , 2014Heylens et al, 2014b;Udenze et al, 2008).…”

Section: Outcomementioning

confidence: 79%

Gender Dysphoria

2013

DSM-5® Clinical Cases

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Gender identity refers to an innate and deeply felt psychological identification as a female, male, or some other non-binary gender. Gender identity may be congruent or incongruent with the sex assigned at birth. Gender dysphoria refers to the discomfort or distress that gender incongruence may cause. If the distress is clinically significant, the individual may need gender-affirming treatment. The literature is sparse with respect to the etiology, prevalence, and long-term outcomes. The overall aim of this thesis is to further our understanding of gender dysphoria regarding neurobiological characteristics, epidemiology, and health following gender-affirming treatment. Study I explored the hypothesis that cerebral activation in hormone-naïve transgender women (assigned males at birth) on exposure to odorous steroids would be in line with their gender identity, and thus similar to cisgender women but different to cisgender men. Gender dysphoric transgender women demonstrated a cerebral activation pattern that corresponded predominately to that of cisgender females, but also some cisgender male characteristics. Study II described the prevalence and changes in incidence of applications for change of legal gender and applications to reverse the procedure during 1960-2010. The incidence of gender dysphoria increased three times for individuals assigned male at birth, and two and half time times for individuals assigned female at birth. The increase accelerated after 2001. The rate of reversal applications was 2.2% with a significant decline over the study period. Study III explored long-term mortality and psychiatric morbidity after sex reassignment in a nationwide cohort study (1973-2003). The overall mortality rate was higher in individuals who had undergone legal and medical transition compared with the general population for the whole period, but not for the period 1989-2003. Probands had more psychiatric inpatient care and suicide attempts compared with controls for the whole period as well as the period 1989-2003 (with the exception of suicide attempts). This study cannot determine the effectiveness of gender-affirming medical intervention, but the results highlight the need for better health care following gender transition. Study IV examined outcomes following legal and surgical gender transition, mean (SD) follow-up time 7.2 (7.3) years, by means of individual interviews with 16 men (assigned female at birth) and 49 women (assigned male at birth). The vast majority of the participants felt gender congruent and global clinically improved, but the prevalence of psychiatric morbidity and suicide attempts was high. Childhood adversities and adult stressful life events were common. Being born abroad, childhood adversities, and not being accepted by others in assigned gender predicted current psychiatric morbidity.

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“…Personal stability and stress resistance seem necessary to stand up to such demands. Few studies have shown significant evidence of positive changes in transsexual psychological functioning after the introduction of hormonal therapy [13]. Some authors like Mate-Kole et al have reported trends for improvement in this group of patients with the reduction of neurotic symptoms and increased social activity [14].…”

Section: Discussionmentioning

confidence: 99%

Parametry emocjonalne osób transseksualnych obserwowane po pierwszym etapie transformacji

Warmuz-Stangierska

Stangierski

Ziemnicka³

et al. 2015

Endokrynologia Polska

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Transsexuals have to face multiple medical, social and bureaucratic problems. These problems are not only encountered before the transformation, but also during and after medical procedures. In the search for improvement of transsexual individuals' quality of life during therapy, it seems desirable to supplement hormonal treatments with psychological explorations. This study was conducted with the aim of defining emotional conditions and included 28 transsexual female-to-male (F/M) patients and two gender-divided control groups (males and females) of similar age. The following psychometric scales were used: CECS (Courtauld Emotional Control Scale constructed by M. Watson and S. Greer in the Polish Adaptation by Z. Juczyński), ISCL (the Polish Adaptation of the State-Trait Anxiety Inventory for Adults by T. Sosnowski), and GSES (the Polish Adaptation of the R. Schwarzer, M. Jerusalem Generalized Self-Efficacy Scaleby Z. Juczyński and K. Wrześniewski). Transsexual F/M patients appeared very similar to males in the male control group in terms of their subjective selfefficacy and state-trait anxiety, while their subjective belief of anxiety and fear control was more comparable to that of the female controls. It was also found to be statistically significantly lower than in the male controls.

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Psychological functions in male-to-female transsexual people before and after surgery

Cited by 22 publications

References 8 publications

Depression in Male-to-Female Transgender Ontarians: Results from the Trans PULSE Project

Depression in Male-to-Female Transgender Ontarians: Results from the Trans PULSE Project

Gender Dysphoria

Parametry emocjonalne osób transseksualnych obserwowane po pierwszym etapie transformacji

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