Chaovanalikit Thiti, Wirairat Kantapon, Sriswadpong Papat
Plastic and Reconstructive Surgery Unit, Lerdsin Hospital, Ministry of Public Health, Bangkok, Thailand.
Plastic and Reconstructive Surgery Unit, Lerdsin Hospital, Ministry of Public Health, Bangkok, Thailand.
Sex Med. 2022 Aug;10(4):100533. doi: 10.1016/j.esxm.2022.100533. Epub 2022 May 31.
Previous studies have reported low quality of life scores and a high prevalence of depression among transgender women in Thailand; however, there is still little research on the effects of gender confirmation surgery among this population.
This study aims to prospectively evaluate the overall quality of life, self-esteem, and depression status among male-to-female transgender individuals in Thailand.
This prospective observational cohort study was conducted between January 2018 and December 2020 and included 41 participants who underwent gender confirmation surgery. All participants underwent a psychiatric evaluation and received 3 sets of questionnaires preoperatively and 6 months postoperatively to evaluate quality of life, self-esteem, and depression: the Thai abbreviated version of the World Health Organization quality of life questionnaire, the Rosenberg Self-Esteem Scale, and the Patient Health Questionnaire-9, respectively. We examined scores from each questionnaire and depression status before and after gender confirmation surgery, with P < .05 considered significant.
This study's primary outcomes measured quality of life, depression, and self-esteem before and after gender confirmation surgery.
Thirty-seven participants completed all sets of questionnaires (response rate 90.2%). The mean age of the participants was 26.2 ± 4.7 years at the time of surgery. Five (13.5%) participants met the criteria for mild depression preoperatively, but none did postoperatively. There were no signs of major depressive disorder, suicidal ideation, or suicidal attempts in any of the participants. There was a significant improvement in quality of life (P < .001) and self-esteem (P < .001), as well as lower depression (P < .001) after gender confirmation surgery. The greatest quality of life improvement was related to participants' sexual relationships.
Male-to-female gender confirmation surgery significantly contributes to improving quality of life, self-esteem, and depression in Thai transgender women. Persons diagnosed with gender dysphoria who intend to undergo gender confirmation surgery should be supported by healthcare providers in accessing the medical facilities and treatment needed to improve their quality of life. Chaovanalikit T, Wirairat K, Sriswadpong P. Quality of Life, Self-Esteem, and Depression Among Thai Transgender Women Before and After Male-to-Female Gender Confirmation Surgery: A Prospective Cohort Observational Study. Sex Med 2022;10:100533.
此前的研究报告称，泰国变性女性的生活质量得分较低且抑郁症患病率较高；然而，关于性别确认手术对这一人群的影响的研究仍然很少。
本研究旨在前瞻性评估泰国男变女变性者的总体生活质量、自尊和抑郁状况。
这项前瞻性观察性队列研究于2018年1月至2020年12月进行，纳入了41名接受性别确认手术的参与者。所有参与者均接受了精神科评估，并在术前和术后6个月分别接受了3套问卷，以评估生活质量、自尊和抑郁：分别为世界卫生组织生活质量问卷泰国简版、罗森伯格自尊量表和患者健康问卷-9。我们检查了性别确认手术前后各问卷的得分及抑郁状况，P <.05被认为具有统计学意义。
本研究的主要结局指标为性别确认手术前后的生活质量、抑郁和自尊。
37名参与者完成了所有问卷（应答率90.2%）。手术时参与者的平均年龄为26.2±4.7岁。5名（13.5%）参与者术前符合轻度抑郁标准，但术后均不符合。所有参与者均无重度抑郁症、自杀意念或自杀未遂迹象。性别确认手术后，生活质量（P <.001）、自尊（P <.001）有显著改善，抑郁程度降低（P <.001）。生活质量改善最大的方面与参与者的性关系有关。
男变女性别确认手术对改善泰国变性女性的生活质量、自尊和抑郁有显著作用。被诊断为性别焦虑症且打算接受性别确认手术的人，医疗服务提供者应支持他们获得改善生活质量所需的医疗设施和治疗。Chaovanalikit T, Wirairat K, Sriswadpong P. 泰国男变女变性女性性别确认手术前后的生活质量、自尊和抑郁：一项前瞻性队列观察研究。性医学2022；10：100533 。
