Haraldsen I R, Dahl A A
University of Oslo, Aker Hospital, Department of Psychiatry, Norway.
Acta Psychiatr Scand. 2000 Oct;102(4):276-81. doi: 10.1034/j.1600-0447.2000.102004276.x.
Gender dysphoric patients of transsexual type (TS) have been considered to have severe psychopathology. However, these notions have a weak empirical documentation.
TS patients (n = 86), patients with personality disorder (PD, n = 98) and adult healthy controls (HC, n = 1068) were compared by means of the Symptom Checklist 90 (SCL-90). All patients were diagnosed by structured interviews (Axis I, II and V of DSM-III-R/IV). PD patients were further characterized according to the LEAD-standard.
TS patients scored significantly lower than PD patients on the Global Symptom Index and all SCL-90 subscales. Although the TS group generally scored slightly higher than the HC group, all scores were within the normal range.
TS patients selected for sex reassignment showed a relatively low level of self-rated psychopathology before and after treatment. This finding casts doubt on the view that transsexualism is a severe mental disorder.
变性型性别焦虑症患者（TS）被认为具有严重的精神病理学特征。然而，这些观点的实证依据薄弱。
通过症状自评量表90（SCL-90）对TS患者（n = 86）、人格障碍患者（PD，n = 98）和成年健康对照者（HC，n = 1068）进行比较。所有患者均通过结构化访谈（DSM-III-R/IV的轴I、II和V）进行诊断。PD患者根据LEAD标准进一步分类。
TS患者在总体症状指数和所有SCL-90分量表上的得分显著低于PD患者。虽然TS组的得分总体上略高于HC组，但所有得分均在正常范围内。
选择接受性别重置手术的TS患者在治疗前后的自评精神病理学水平相对较低。这一发现对变性症是一种严重精神障碍的观点提出了质疑。
