Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Psychiatry Clin Neurosci. 2009 Dec;63(6):715-20. doi: 10.1111/j.1440-1819.2009.02017.x. Epub 2009 Sep 23.
Previous research has not addressed gender differences in coping strategies among patients with gender identity disorder (GID). Nor has the relationship of coping strategies to other demographic characteristics ever been clarified in GID. In this study, we tried to clarify the relationship between stress-coping strategies and demographic characteristics among patients with GID.
The coping strategies of 344 patients with GID [227 female-to-male (FTM) and 117 male-to-female (MTF)] were assessed using the Japanese version of the Ways of Coping Questionnaires, Lazarus Stress-coping Inventory.
Comparison of the stress-coping inventory between MTF and FTM GID patients revealed that FTM GID patients were significantly more reliant on positive reappraisal strategies in stressful situations than MTF GID patients (P = 0.007).
The difference in the usage of positive reappraisal strategies between MTF and FTM type GID patients was not explained by other demographic characteristics, and we suppose that the gender difference in GID patients might influence the usage of positive reappraisal strategies. The ratio of FTM GID patients might be higher at our center because MTF GID patients can obtain vaginoplasty easily, whereas phalloplasty surgery for FTM GID patients is performed at only a few centers, including our clinic, in Japan. As a result, more FTM GID patients come to our clinic with a clear intention to undergo sexual rearrangement surgery, which might influence the gender difference in using positive reappraisal.
先前的研究尚未探讨性别认同障碍（GID）患者应对策略中的性别差异。也从未阐明 GID 患者的应对策略与其他人口统计学特征之间的关系。在这项研究中，我们试图阐明 GID 患者的压力应对策略与人口统计学特征之间的关系。
使用日本版应对方式问卷和 Lazarus 压力应对量表评估了 344 名 GID 患者（227 名女性到男性（FTM）和 117 名男性到女性（MTF））的应对策略。
MTF 和 FTM GID 患者的应激应对量表比较显示，FTM GID 患者在应激情况下比 MTF GID 患者更依赖积极的重新评价策略（P=0.007）。
MTF 和 FTM 型 GID 患者之间积极重新评价策略使用的差异不能用其他人口统计学特征来解释，我们推测 GID 患者的性别差异可能会影响积极重新评价策略的使用。我们中心 FTM GID 患者的比例可能较高，因为 MTF GID 患者可以很容易地获得阴道成形术，而 FTM GID 患者的阴茎成形术仅在少数几个中心进行，包括我们的诊所，在日本。因此，更多的 FTM GID 患者明确表示希望接受性重塑手术，这可能会影响使用积极重新评价的性别差异。
