Matthews Tom, Holt Victoria, Sahin Senem, Taylor Amelia, Griksaitis David
The Tavistock and Portman NHS Foundation Trust, UK.
Clin Child Psychol Psychiatry. 2019 Jan;24(1):112-128. doi: 10.1177/1359104518791657. Epub 2018 Aug 11.
This research investigated the prevalence of looked-after and adopted young people within a case file review of 185 young people referred to a UK gender identity development service over a 2-year period (1 April 2009 to 1 April 2011). Data were extracted from referral letters, clinical notes and clinician letters. Looked-after young people were found to represent 4.9% of referrals in this cohort, which is significantly higher than within the English general population (0.58%). Adopted young people represented 3.8% of referrals. In addition, the findings showed that looked-after young people were less likely to receive a diagnosis of gender dysphoria compared with young people living within their birth family. There were no statistically significant differences in the gender ratio or age of first gender dysphoric experience between groups. Looked-after and adopted young people were also not found to be experiencing greater impairment in overall functioning compared to other young people referred to the gender identity development service. In conclusion, there are a substantial proportion of referrals pertaining to looked-after or adopted young people, and it appears the referral route and process through the service may be distinct, particularly for looked-after young people. This may be understood by considering the possible complexities in the presentation of these groups, alongside the established higher levels of complexity generally for those experiencing feelings of gender dysphoria.
本研究通过对在2年期间（2009年4月1日至2011年4月1日）转介至英国性别认同发展服务机构的185名年轻人的病例档案进行审查，调查了受照料及被收养年轻人的比例。数据从转介信、临床记录和医生信件中提取。在该队列中，受照料年轻人占转介人数的4.9%，显著高于英国普通人群（0.58%）。被收养年轻人占转介人数的3.8%。此外，研究结果显示，与生活在原生家庭的年轻人相比，受照料年轻人被诊断为性别焦虑症的可能性较小。各组之间在性别比例或首次出现性别焦虑经历的年龄方面没有统计学上的显著差异。与转介至性别认同发展服务机构的其他年轻人相比，受照料及被收养年轻人在整体功能方面也未发现有更严重的损害。总之，有相当一部分转介涉及受照料或被收养的年轻人，而且通过该服务的转介途径和流程可能有所不同，尤其是对于受照料年轻人而言。考虑到这些群体情况可能的复杂性，以及一般而言那些有性别焦虑感的人本身就存在的更高程度的复杂性，或许可以理解这一点。
