Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
J Psychiatr Res. 2021 Oct;142:33-39. doi: 10.1016/j.jpsychires.2021.07.035. Epub 2021 Jul 22.
Psychiatric morbidity among transgender and gender diverse people is thought to be to an important extent related to socio-cultural intolerance, but such morbidity has been understudied in non-western socio-political contexts. This study aims to report the psychiatric profiles of clients who are seeking gender-affirming treatment in a gender clinic in Iran. All transgender people who were consecutively referred to the Mashhad University of Medical Sciences in Mashhad, Iran, between February 2015 and December 2016 were investigated. Clients were evaluated during at least four sessions when sociodemographic and psychiatric characteristics were collected. Out of 209 clients, 205 were included (transmen (TM), N = 110; transwomen (TW) N = 95). A subset of these were assessed using Structured Clinical Interview based for DSM-5 (n = 154). The mean age of participants was 24.41 (SD = 6.316; range, 15-43). There was no significant difference between transmen and transwomen (p = 0.960); 48% (80 out of 154) of participants were found to have at least one current psychiatric condition currently, and 67% (138 out of 205) during their lifetime. Depressive and trauma- and stressor-related disorders were the most common conditions. Prevalence rates were similar in both genders. In both TM and TW groups, as many as 70% of the clients reported that they had experienced suicidal ideation. These findings are surprisingly similar to those of western studies despite the more extreme difficulties Iranian transgender people face in their lives in a non-western socio-political context.
跨性别和性别多样化人群的精神疾病发病率被认为在很大程度上与社会文化不容忍有关，但在非西方社会政治背景下，这种发病率尚未得到充分研究。本研究旨在报告在伊朗一家性别诊所寻求性别肯定治疗的患者的精神疾病特征。2015 年 2 月至 2016 年 12 月期间，连续向伊朗马什哈德医科大学转诊的所有跨性别者均接受了调查。在至少四个疗程中收集社会人口统计学和精神科特征时，对患者进行了评估。在 209 名患者中，有 205 名（跨男性 (TM)，n=110；跨女性 (TW)，n=95）被纳入研究。其中一部分患者使用基于 DSM-5 的结构化临床访谈进行了评估（n=154）。参与者的平均年龄为 24.41（SD=6.316；范围，15-43）。跨男性和跨女性之间没有显著差异（p=0.960）；48%（80 名中有 154 名）目前至少有一种当前的精神疾病，67%（205 名中有 138 名）在其一生中都有。抑郁和创伤及应激相关障碍是最常见的疾病。两种性别中的患病率相似。在 TM 和 TW 组中，多达 70%的患者报告称曾有过自杀念头。尽管伊朗跨性别者在非西方社会政治背景下生活中面临着更为极端的困难，但这些发现与西方研究惊人地相似。
