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[为性别焦虑青少年提供的医疗保健]

[Health care for adolescents with gender dysphoria].

作者信息

Fernández María, Guerra Patricia, Martín Eloya, Martínez Noelia, Álvarez-Diz Jose Antonio

机构信息

Unidad de Tratamiento de Identidad de Género del Principado de Asturias (UTIGPA).

Centro de Salud Mental I "La Magdalena" Área sanitaria III. Hospital Universitario San Agustín de Avilés. Asturias.

出版信息

Rev Esp Salud Publica. 2018 Feb 28;92:e201802003.

Abstract

OBJECTIVE

Dysphoria gender treatment in adolescents is recent. Studies of adolescents treated with analogs are reduced. To ensure the quality of care and safety of the child, follow-up studies are necessary. The aim of the present research was to describe the characteristics of the process of medical and psychological attention in adolescents with the DG in the Gender Identity Treatment Unit of Asturias in the period 2007-2015.

METHODS

The sample included 20 minors attended in the Gender Identity Treatment Unit of Asturias in the period 2007-2015. The clinical history was made to collect the variables. It was made descriptive analysis.

RESULTS

10% of adolescents abandoned in the process of psychological counseling, 80% began to be valued by endocrinology and 10% continued exclusively in psychological consultations. Of the medical treated adolescents, 13.3% were treated with analogues and 86.7% received cross-hormonal treatment (THC) directly. The most prevalent secondary effects were dermatological problems (40%), followed by mastodynia without galactorrhea (26.7%) and hot flashes (20%). 20% performed gender confirmation surgeries.

CONCLUSIONS

The profile of the adolescent treated in the unit of Asturias is a subject that begins hormonal treatment after psychological accompaniment and endocrinological evaluation. The minor has adverse effects after treatment. Once the hormonal treatment has been established, they do not abandon the process.

摘要

目的

青少年性别烦躁症的治疗是最近才出现的。对接受类似物治疗的青少年的研究较少。为确保儿童护理质量和安全,随访研究很有必要。本研究的目的是描述2007年至2015年期间在阿斯图里亚斯性别认同治疗单元接受性别烦躁症治疗的青少年的医疗和心理护理过程特征。

方法

样本包括2007年至2015年期间在阿斯图里亚斯性别认同治疗单元就诊的20名未成年人。通过病历收集变量,并进行描述性分析。

结果

10%的青少年在心理咨询过程中放弃治疗,80%开始接受内分泌科评估,10%继续只进行心理咨询。在接受药物治疗的青少年中,13.3%接受类似物治疗,86.7%直接接受跨激素治疗(THC)。最常见的副作用是皮肤问题(40%),其次是无溢乳的乳房疼痛(26.7%)和潮热(20%)。20%的人进行了性别确认手术。

结论

在阿斯图里亚斯治疗单元接受治疗的青少年的概况是,在心理陪伴和内分泌评估后开始激素治疗。未成年人在治疗后有不良反应。一旦确立了激素治疗,他们不会放弃这个过程。

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本文引用的文献

1
Characteristics of Referrals for Gender Dysphoria Over a 13-Year Period.13年期间性别焦虑症转诊的特征。
J Adolesc Health. 2016 Mar;58(3):369-71. doi: 10.1016/j.jadohealth.2015.11.010.
6
Coordination of healthcare for transsexual persons: a multidisciplinary approach.变性者的医疗协调:一种多学科方法。
Curr Opin Endocrinol Diabetes Obes. 2013 Dec;20(6):585-91. doi: 10.1097/01.med.0000436182.42966.31.

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