Andrology Unit, Department of Clinical Physiopathology, University of Florence, Florence, Italy.
J Sex Med. 2013 Feb;10(2):408-19. doi: 10.1111/j.1743-6109.2012.03006.x. Epub 2012 Nov 21.
Male to female (MtFs) and female to male (FtMs) subjects with gender identity disorder (GID) seem to differ with regard to some sociodemographic and clinical features. Currently, no descriptive studies focusing on MtFs and FtMs attending an Italian clinic are available.
To describe the sociodemographic characteristics of a GID population seeking assistance for gender transition and to assess possible differences in those features between MtFs and FtMs.
A consecutive series of 198 patients was evaluated for gender dysphoria from July 2008 to May 2011 in four dedicated centers. A total of 140 subjects (mean age 32.6 ± 9.0 years old) meeting the criteria for GID, with their informed consent and without genital reassignment surgery having already been performed, were considered (92 MtFs and 48 FtMs). Diagnosis was based on formal psychiatric classification criteria.
Medical history and sociodemographic characteristics were investigated. Subjects were asked to complete the Body Uneasiness Test (a self-rating scale exploring different areas of body-related psychopathology), Symptom Checklist-90 Revised (a self-rating scale to measure psychological state), and the Bem Sex Role Inventory (a self-rating scale to evaluate gender role). The presence of psychiatric comorbidities was evaluated using the Structured Clinical Interviews for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) (SCID I and SCID II).
Several significant differences were found between MtFs and FtMs regarding lifestyle and sociodemographic factors and in psychometric test scores. No differences were found in terms of psychiatric comorbidity.
This is the first large study reporting the sociodemographic characteristics of a GID sample referring to Italian clinics, and it provides different profiles for MtFs and FtMs. In particular, FtMs display significantly better social functioning.
患有性别认同障碍（GID）的男性变女性（MtFs）和女性变男性（FtMs）个体在一些社会人口学和临床特征上似乎存在差异。目前，尚无针对在意大利诊所就诊的 MtFs 和 FtMs 患者的描述性研究。
描述寻求性别转换帮助的 GID 人群的社会人口学特征，并评估 MtFs 和 FtMs 个体在这些特征上的差异。
2008 年 7 月至 2011 年 5 月，四个专门中心对 198 名患有性别焦虑症的患者进行了评估。共有 140 名符合 GID 标准的患者（平均年龄 32.6 ± 9.0 岁）同意并已经完成知情同意书，且未进行生殖器重新分配手术，被纳入研究（92 名 MtFs 和 48 名 FtMs）。诊断基于正式的精神病学分类标准。
调查了患者的病史和社会人口学特征。患者被要求完成身体不适测试（一种自我评估量表，用于探索与身体相关的精神病理学的不同领域）、症状清单 90 修订版（一种自我评估量表，用于衡量心理状态）和贝姆性别角色量表（一种自我评估量表，用于评估性别角色）。使用《精神障碍诊断与统计手册》第 4 版修订版（DSM-IV-TR）的结构临床访谈 I 和 II（SCID I 和 SCID II）评估精神病合并症的存在。
在生活方式和社会人口学因素以及心理测试评分方面，MtFs 和 FtMs 之间存在一些显著差异。在精神病合并症方面未发现差异。
这是第一项报告意大利诊所 GID 样本社会人口学特征的大型研究，为 MtFs 和 FtMs 提供了不同的特征。特别是，FtMs 的社会功能显著更好。
