性别认同障碍患者的人格障碍
Personality disorders in persons with gender identity disorder.
作者信息
Duišin Dragana, Batinić Borjanka, Barišić Jasmina, Djordjevic Miroslav L, Vujović Svetlana, Bizic Marta
机构信息
Clinic of Psychiatry, Clinical Centre of Serbia, 11000 Belgrade, Serbia.
Clinic of Psychiatry, Clinical Centre of Serbia, 11000 Belgrade, Serbia ; Department of Psychology, Faculty of Philosophy, University of Belgrade, 11000 Belgrade, Serbia.
出版信息
ScientificWorldJournal. 2014;2014:809058. doi: 10.1155/2014/809058. Epub 2014 May 13.
BACKGROUND
Investigations in the field of gender identity disorder (GID) have been mostly related to psychiatric comorbidity and severe psychiatric disorders, but have focused less on personality and personality disorders (PDs).
AIMS
The aim of the study was to assess the presence of PDs in persons with GID as compared to cisgendered (a cisgender person is a person who is content to remain the gender they were assigned at birth) heterosexuals, as well as to biological sex.
METHODS
The study sample consisted of 30 persons with GID and 30 cisgendered heterosexuals from the general population. The assessment of PDs was conducted by application of the self-administered Structured Clinical Interview for DSM-IV Axis II PDs (SCID-II).
RESULTS
Persons with GID compared to cisgender heterosexuals have higher presence of PDs, particularly Paranoid PD, avoidant PDs, and comorbid PDs. In addition, MtF (transwomen are people assigned male at birth who identify as women) persons are characterized by a more severe psychopathological profile.
CONCLUSIONS
Assessment of PDs in persons with GID is of great importance as it comprises a key part of personalized treatment plan tailoring, as well as a prognostic factor for sex-reassignment surgery (SRS) outcome.
背景
性别认同障碍（GID）领域的研究大多与精神疾病共病和严重精神障碍相关，但较少关注人格和人格障碍（PDs）。
目的
本研究的目的是评估与顺性别（顺性别者是指对自己出生时被指定的性别感到满意的人）异性恋者相比，GID患者中PDs的存在情况，以及与生物性别之间的关系。
方法
研究样本包括30名GID患者和30名来自普通人群的顺性别异性恋者。通过应用自我施测的《精神疾病诊断与统计手册》第四版轴II人格障碍结构化临床访谈（SCID-II）对PDs进行评估。
结果
与顺性别异性恋者相比，GID患者中PDs的存在率更高，尤其是偏执型人格障碍、回避型人格障碍和共病型人格障碍。此外，男性变女性（跨性别女性是指出生时被指定为男性但自我认同为女性的人）患者具有更严重的精神病理特征。
结论
评估GID患者中的PDs非常重要，因为它是个性化治疗计划制定的关键部分，也是性别重置手术（SRS）结果的一个预后因素。
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