Soll Bianca Machado Borba, Fontanari Anna Martha, Brandelli Costa Angelo, Chinazzo Ítala, Silva Dhiordan Cardoso, Guadagnin Fernanda, Tramontina Silzá, Lobato Maria Inês Rodrigues
Programa de Identidade de Gênero, Departamento de Psiquiatria e Medicina Legal, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Programa de Pós Graduação em Psicologia, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.
Front Psychiatry. 2021 Mar 4;12:627661. doi: 10.3389/fpsyt.2021.627661. eCollection 2021.
Since 2014, the Gender Identity Program (PROTIG) of Hospital de Clínicas de Porto Alegre (HCPA) has been assisting transgender youth seeking gender-affirmative treatment offered at a public health-care service specializing in gender in southern Brazil. This article aims to analyze sociodemographic and clinical data regarding the diagnoses of gender dysphoria and gender incongruence, psychiatric comorbidities, and clinical aspects of a sample of transgender youths seeking health care in the gender identity program. The research protocol consisted of a survey of the data collected in the global psychological evaluation performed at the health-care service for youths diagnosed with gender incongruence and their caretakers. Participating in this research were 24 transgender youths between 8 and 16 years old with diagnostic overlap of gender dysphoria [, Fifth Edition (DSM-5)] and gender incongruence [ (ICD-11)] and 34 of their caregivers. Of the young people, 45.8% were positive for some psychiatric comorbidity throughout their lives, with almost half (45.4%) having two or more psychiatric comorbidities in addition to gender dysphoria. The mental health professionals comprising affirmation care teams face the challenge of adapting the care protocols to the uniqueness of each demand by developing individualized forms to promote healthy development. This can be done by focusing not only on medical and physical interventions for gender affirmation but also on the promotion of mental health and general emotional well-being. Thus, the gender affirmation model, which advocates for global assessment and personalized guidance, proved to be adequate. Nevertheless, access to multidisciplinary health services specializing in gender is essential for promoting the general well-being of the population of transgender youth.
自2014年以来，阿雷格里港临床医院（HCPA）的性别认同项目（PROTIG）一直在为寻求性别肯定治疗的跨性别青少年提供帮助，这种治疗在巴西南部一家专门从事性别问题的公共医疗服务机构提供。本文旨在分析有关性别焦虑症和性别不一致诊断的社会人口统计学和临床数据、精神疾病共病情况，以及在性别认同项目中寻求医疗保健的跨性别青少年样本的临床情况。研究方案包括对在医疗服务机构为被诊断为性别不一致的青少年及其照顾者进行的全面心理评估中收集的数据进行调查。参与这项研究的有24名年龄在8至16岁之间的跨性别青少年，他们的性别焦虑症[《精神疾病诊断与统计手册》第五版（DSM-5）]和性别不一致[《国际疾病分类》第11版（ICD-11）]诊断存在重叠，以及他们的34名照顾者。在这些青少年中，45.8%一生中有某种精神疾病共病，几乎一半（45.4%）除性别焦虑症外还有两种或更多种精神疾病共病。组成肯定性护理团队的心理健康专业人员面临着通过制定个性化形式来促进健康发展，使护理方案适应每个需求的独特性的挑战。这不仅可以通过关注性别肯定的医疗和身体干预来实现，还可以通过促进心理健康和总体情绪幸福感来实现。因此，倡导全面评估和个性化指导的性别肯定模式被证明是合适的。然而，获得专门针对性别的多学科健康服务对于促进跨性别青少年群体的总体幸福感至关重要。
