de Vries Annelou L C, Noens Ilse L J, Cohen-Kettenis Peggy T, van Berckelaer-Onnes Ina A, Doreleijers Theo A
Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.
J Autism Dev Disord. 2010 Aug;40(8):930-6. doi: 10.1007/s10803-010-0935-9.
Only case reports have described the co-occurrence of gender identity disorder (GID) and autism spectrum disorders (ASD). This study examined this co-occurrence using a systematic approach. Children and adolescents (115 boys and 89 girls, mean age 10.8, SD = 3.58) referred to a gender identity clinic received a standardized assessment during which a GID diagnosis was made and ASD suspected cases were identified. The Dutch version of the Diagnostic Interview for Social and Communication Disorders (10th rev., DISCO-10) was administered to ascertain ASD classifications. The incidence of ASD in this sample of children and adolescents was 7.8% (n = 16). Clinicians should be aware of co-occurring ASD and GID and the challenges it generates in clinical management.
仅有病例报告描述了性别认同障碍(GID)与自闭症谱系障碍(ASD)的共现情况。本研究采用系统方法对这种共现情况进行了调查。转诊至一家性别认同诊所的儿童和青少年(115名男孩和89名女孩,平均年龄10.8岁,标准差=3.58)接受了标准化评估,在此期间做出了GID诊断并识别出ASD疑似病例。采用《社会与沟通障碍诊断访谈》(第10版,DISCO - 10)的荷兰语版本来确定ASD分类。该儿童和青少年样本中ASD的发病率为7.8%(n = 16)。临床医生应意识到ASD和GID的共现情况及其在临床管理中带来的挑战。