Guzmán-Parra José, Sánchez-Álvarez Nicolás, de Diego-Otero Yolanda, Pérez-Costillas Lucía, Esteva de Antonio Isabel, Navais-Barranco Miriam, Castro-Zamudio Serafina, Bergero-Miguel Trinidad
Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain.
Department of Personality, Assessment and Psychological Treatment, University of Malaga, Málaga, Spain.
Arch Sex Behav. 2016 Apr;45(3):587-96. doi: 10.1007/s10508-015-0557-6. Epub 2015 May 21.
This study examined the sociodemographic characteristics and the psychological adjustment of transsexuals in Andalusia (Spain), and also analyzed the differences between female-to-male (FtM) and male-to-female (MtF) transsexuals. The sample included 197 transsexuals (101 MtF and 96 FtM) selected from those who visited the Transsexual and Gender Identity Unit at the Carlos Haya Hospital in Malaga between 2011 and 2012. Our analyses indicated that MtF transsexuals were more likely to have lower educational levels, live alone, have worked less frequently throughout their lifetime, and have engaged in prostitution. For FtM transsexuals, there were more frequent references to the mother's psychiatric history and more social avoidance and distress. Multivariate analysis showed that the number of personality dysfunctional traits and unemployment status were associated with depression in the entire sample. The following three conclusions can be made: there are significant differences between MtF and FtM transsexuals (mainly related to sociodemographic variables), depression was high in both groups, and a remarkable percentage of transsexuals have attempted suicide (22.8 %) or have had suicidal thoughts (52.3 %).
本研究调查了西班牙安达卢西亚地区变性者的社会人口学特征和心理调适情况，并分析了女变男（FtM）和男变女（MtF）变性者之间的差异。样本包括197名变性者（101名MtF和96名FtM），他们是从2011年至2012年期间前往马拉加市卡洛斯·哈亚医院变性与性别认同科室就诊的患者中选取的。我们的分析表明，MtF变性者更有可能受教育程度较低、独居、一生工作次数较少且曾从事过卖淫活动。对于FtM变性者，更多地提及了母亲的精神病史以及更多的社交回避和痛苦。多变量分析显示，人格功能障碍特征的数量和失业状况与整个样本中的抑郁相关。可以得出以下三个结论：MtF和FtM变性者之间存在显著差异（主要与社会人口学变量有关），两组的抑郁程度都很高，并且相当比例的变性者曾尝试自杀（22.8%）或有过自杀念头（52.3%）。
