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[变性患者的治疗随访。一项回顾性研究]

[Treatment follow-up of transsexual patients. A catamnestic study].

作者信息

Hepp U, Klaghofer R, Burkhard-Kübler R, Buddeberg C

机构信息

Psychiatrische Poliklinik, UniversitätsSpital Zürich, Culmannstrasse 8, CH-8091 Zürich.

出版信息

Nervenarzt. 2002 Mar;73(3):283-8. doi: 10.1007/s00115-001-1225-8.

DOI:10.1007/s00115-001-1225-8
PMID:11963265
Abstract

In a retrospective study, 33 transsexual patients, 22 male-to-female transsexual (MF-TS), and 11 female-to-male transsexuals (FM-TS), were interviewed 53-121 months after their first referral to the psychiatric department of a university hospital. Social integration proved to be satisfactory and relatively stable. Twenty-five patients had gone through surgical sex reassignment, while 29 were currently undergoing hormonal treatment. Regarding the course of treatment, the FM-TS were a more homogeneous group than the MF-TS group. Overall, physical and psychosocial well-being was satisfactory. Psychometric measures yielded remarkably normal values, with some pathological findings regarding personality traits. In the majority of patients, self- and observer-rating appraisals of gender-specific physical appearance were equally positive. The results suggest a three-step procedure for the treatment of transsexual patients, as is practiced in other centers within German speaking continental Europe.

摘要

在一项回顾性研究中,对33例变性患者进行了访谈,其中22例男变女变性者(MF-TS)和11例女变男变性者(FM-TS),他们首次被转诊至某大学医院精神科后53至121个月接受了访谈。结果表明社会融合情况令人满意且相对稳定。25例患者已经接受了性别重置手术,29例目前正在接受激素治疗。在治疗过程方面,FM-TS组比MF-TS组更为同质。总体而言,身体和心理社会幸福感令人满意。心理测量结果显示出非常正常的值,但在人格特质方面存在一些病理发现。在大多数患者中,对特定性别的外貌的自我评估和观察者评估同样积极。研究结果表明,正如德语区欧洲大陆其他中心所采用的那样,变性患者的治疗可采用三步程序。

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