对性别焦虑症儿童的强烈/强迫性兴趣：一项使用教师报告表的交叉验证研究。
Intense/obsessional interests in children with gender dysphoria: a cross-validation study using the Teacher's Report Form.
作者信息
Zucker Kenneth J, Nabbijohn A Natisha, Santarossa Alanna, Wood Hayley, Bradley Susan J, Matthews Joanna, VanderLaan Doug P
机构信息
Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8 Canada.
Department of Psychology, University of Toronto Mississauga, Mississauga, ON Canada.
出版信息
Child Adolesc Psychiatry Ment Health. 2017 Sep 25;11:51. doi: 10.1186/s13034-017-0189-9. eCollection 2017.
OBJECTIVE
This study assessed whether children clinically referred for gender dysphoria (GD) show symptoms that overlap with Autism Spectrum Disorder (ASD). Circumscribed preoccupations/intense interests and repetitive behaviors were considered as overlapping symptoms expressed in both GD and ASD.
METHODS
To assess these constructs, we examined Items 9 and 66 on the Teacher's Report Form (TRF), which measure obsessions and compulsions, respectively.
RESULTS
For Item 9, gender-referred children (n = 386) were significantly elevated compared to the referred (n = 965) and non-referred children (n = 965) from the TRF standardization sample. For Item 66, gender-referred children were elevated in comparison to the non-referred children, but not the referred children.
CONCLUSIONS
These findings provided cross-validation of a previous study in which the same patterns were found using the Child Behavior Checklist (Vanderlaan et al. in J Sex Res 52:213-19, 2015). We discuss possible developmental pathways between GD and ASD, including a consideration of the principle of equifinality.
目的
本研究评估临床上被转诊的性别焦虑症（GD）儿童是否表现出与自闭症谱系障碍（ASD）重叠的症状。局限的先占观念/强烈兴趣和重复行为被视为GD和ASD中都存在的重叠症状。
方法
为评估这些结构，我们检查了教师报告表（TRF）上的第9项和第66项，这两项分别测量强迫观念和强迫行为。
结果
对于第9项，与TRF标准化样本中的转诊儿童（n = 965）和未转诊儿童（n = 965）相比，被转诊的性别焦虑症儿童（n = 386）显著升高。对于第66项，与未转诊儿童相比，被转诊的性别焦虑症儿童有所升高，但与转诊儿童相比则没有。
结论
这些发现为先前一项研究提供了交叉验证，在该研究中使用儿童行为清单也发现了相同的模式（Vanderlaan等人，《性研究杂志》52:213 - 19，2015）。我们讨论了GD和ASD之间可能的发展途径，包括对等终性原则的考虑。
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