Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Gen Hosp Psychiatry. 2012 May-Jun;34(3):299-303. doi: 10.1016/j.genhosppsych.2011.11.008. Epub 2012 Jan 9.
The accumulating evidence suggests that school refusal behavior is associated with severe negative outcomes. However, previous research has not addressed school refusal by patients with gender identity disorder (GID). In this study, we tried to clarify the prevalence of school refusal among GID patients and the relationship of school refusal to demographic characteristics.
A total of 579 consecutive Japanese GID patients at the outpatient GID Clinic of Okayama University Hospital between April 1997 and October 2005 were evaluated.
The prevalence of school refusal was 29.2% of the total sample. School refusal was more frequent among GID patients with divorced parents than those with intact families. Multiple logistic regression analysis showed that younger age at consultation and divorce of parents were significantly associated with school refusal among the male-to-female GID patients.
The rate of school refusal among GID patients is high, and school refusal is closely related with a low level of education and current unemployment. We should pay more attention to GID patients of school age to prevent their school refusal, which results in low educational achievement.
越来越多的证据表明，拒绝上学行为与严重的负面后果有关。然而，之前的研究并未涉及性别认同障碍（GID）患者的拒绝上学问题。在这项研究中，我们试图阐明 GID 患者中拒绝上学的发生率，以及拒绝上学与人口统计学特征的关系。
对 1997 年 4 月至 2005 年 10 月期间在冈山县立医院 GID 诊所就诊的 579 例连续日本 GID 患者进行评估。
总样本中拒绝上学的比例为 29.2%。与完整家庭的患者相比，父母离异的 GID 患者更常拒绝上学。多变量逻辑回归分析显示，咨询时年龄较小和父母离异与男性到女性的 GID 患者的拒绝上学显著相关。
GID 患者的拒绝上学率较高，拒绝上学与教育程度低和当前失业密切相关。我们应该更加关注学龄期的 GID 患者，以防止他们因拒绝上学而导致教育成就低下。
