Sumia Maria, Lindberg Nina, Työläjärvi Marja, Kaltiala-Heino Riittakerttu
a Department of Adolescent Psychiatry , Tampere University Hospital , Tampere , Finland.
b Faculty of Medicine , University of Helsinki , Helsinki , Finland.
Eur J Contracept Reprod Health Care. 2016 Dec;21(6):483-485. doi: 10.1080/13625187.2016.1238893. Epub 2016 Oct 3.
The aim of our study was to explore whether gender dysphoria in adolescent girls is associated with early pubertal timing.
We compared menarcheal timing among 52 adolescent girl-to-boy sex reassignment (SR) applicants with that of 644 adolescent girls who participated in an adolescent population mental health survey.
Of the population girls, 21% presented with early (≤11 years), 61% with normative (12-13 years) and 19% with late (≥14 years) menarcheal timing; among the SR applicants, 42% presented with early, 46% with normative and 12% with late menarcheal timing (p = 0.003). The odds ratio for SR applicant girls to have early menarcheal timing was 2.7 (95% confidence interval (CI) 1.3, 5.7), controlling for age and family structure.
Like emotional and behavioural disorders, gender dysphoria in adolescence is associated in girls with early pubertal timing. The finding is discussed in the light of literature related to pubertal maturation and mental health.
我们研究的目的是探讨青春期女孩的性别焦虑症是否与青春期早发有关。
我们比较了52名申请从女孩转变为男孩的青春期变性者与644名参与青少年群体心理健康调查的青春期女孩的月经初潮时间。
在参与调查的女孩群体中，21%月经初潮早（≤11岁），61%月经初潮正常（12 - 13岁），19%月经初潮晚（≥14岁）；在变性申请者中，42%月经初潮早，46%月经初潮正常，12%月经初潮晚（p = 0.003）。在控制年龄和家庭结构的情况下，变性申请女孩月经初潮早的优势比为2.7（95%置信区间（CI）1.3，5.7）。
与情绪和行为障碍一样，青春期女孩的性别焦虑症与青春期早发有关。根据与青春期成熟和心理健康相关的文献对这一发现进行了讨论。
