Department of Psychiatry, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Clinical Epidemiology, Sub-Direction of Clinical Research, National Institute of Psychiatry 'Ramón de la Fuente Muñíz', Ministry of Health, Mexico City, Mexico.
Cult Health Sex. 2021 Jan;23(1):131-142. doi: 10.1080/13691058.2019.1692907. Epub 2020 Feb 7.
The aim of this study was to evaluate the adequacy of the then proposed International Classification of Diseases version 11 (ICD-11) diagnostic guidelines for Gender Incongruence of Adolescence and Adulthood in a sample of transgender people accessing multi-disciplinary health care services at specialised organisations in Lebanon. The cross-sectional study reported here was part of the ICD-11 field test studies that took place in several countries. Twenty-eight Arab transgender adults residing in Lebanon were recruited after giving consent to participate in a structured interview with a mental health professional. The questions asked of them consisted of the following: socio-demographic data; medical history related to gender identity; experiences of gender incongruence; psychological distress; rejection; violence; and functional impairment. Results showed that Arab transgender individuals living in Lebanon report being the victims of violence, abuse, discrimination and rejection from family, peers and society in general. As a result, they develop psychological distress that is better explained by the social context in which they live, rather than by their transgender identity. Reformulating ICD-10 Transsexualism as Gender Incongruence of Adolescence and Adulthood in ICD-11 and moving this diagnosis out of the chapter on mental disorders chapter would be favourable to the Lebanese sample.
本研究旨在评估当时提出的《国际疾病分类第 11 版》（ICD-11）中关于青少年和成年性别不一致的诊断标准在黎巴嫩专门机构接受多学科医疗保健服务的跨性别者样本中的适用性。本报告的横断面研究是在多个国家进行的 ICD-11 现场测试研究的一部分。在同意参与与心理健康专业人员进行的结构化访谈后，招募了居住在黎巴嫩的 28 名阿拉伯跨性别成年人。向他们提出的问题包括以下内容：社会人口统计学数据；与性别认同相关的病史；性别不一致的经历；心理困扰；拒绝；暴力；和功能障碍。结果表明，居住在黎巴嫩的阿拉伯跨性别者报告说自己是暴力、虐待、歧视和被家人、同龄人以及整个社会拒绝的受害者。因此，他们会产生心理困扰，而这种困扰更多地是由他们所处的社会环境而不是他们的跨性别身份所解释。将 ICD-10 易性症重新表述为 ICD-11 中的青少年和成年性别不一致，并将该诊断从精神障碍章节中移出，对黎巴嫩样本更为有利。
