Morandini James S, Kelly Aidan, de Graaf Nastasja M, Carmichael Polly, Dar-Nimrod Ilan
4334The University of Sydney, Sydney, NSW, Australia.
9705The Tavistock and Portman NHS Foundation Trust, London, UK.
Clin Child Psychol Psychiatry. 2022 Apr;27(2):480-491. doi: 10.1177/13591045211046813. Epub 2021 Oct 23.
Past research has identified shifts in the demographics and co-occurring mental health issues of youth referred to certain gender dysphoria services. The present study examined shifts in demographics (age, sex and social transition status), social adversity (bullying experiences and abuse) and psychological functioning (mood, anxiety, suicidality and autism spectrum disorder) at time of referral (of both children and adolescents) to the Gender Identity Development Service, London between the years of 2012 and 2015. Patients were 782 children and adolescents (M = 13.94, SD = 2.94, range 4-17; 63.8% assigned female at birth). Little change in sex ratio or age was observed between these two time points. However, we observed greater rates of depression and anxiety of birth-assigned females (but not birth-assigned males) in the more recent cohort, at the same time that reported social adversity (bullying and abuse) was falling. Also, of interest, the proportion of young people who had partially or fully socially transitioned prior to contact with the service had increased overtime. We discuss potential factors driving these shifts and their implications for supporting recent cohorts of gender diverse young people.
过去的研究已经确定，转介到某些性别焦虑症服务机构的青少年在人口统计学特征以及同时出现的心理健康问题方面存在变化。本研究调查了2012年至2015年间转诊至伦敦性别认同发展服务机构的儿童和青少年在转诊时的人口统计学特征变化（年龄、性别和社会过渡状态）、社会逆境（欺凌经历和虐待）以及心理功能（情绪、焦虑、自杀倾向和自闭症谱系障碍）。患者为782名儿童和青少年（M = 13.94，SD = 2.94，年龄范围4 - 17岁；63.8%出生时被指定为女性）。在这两个时间点之间，性别比例和年龄几乎没有变化。然而，我们观察到，在最近一批队列中，出生时被指定为女性的患者（而非出生时被指定为男性的患者）出现抑郁和焦虑的比例更高，与此同时，报告的社会逆境（欺凌和虐待）却在减少。此外，有趣的是，在与该服务机构接触之前已经部分或完全实现社会过渡的年轻人比例随时间有所增加。我们讨论了推动这些变化的潜在因素及其对支持近期不同性别的年轻人群体的影响。
