Gender and Autism Program, Division of Pediatric Neuropsychology, Children's National Hospital, 15245 Shady Grove Suite 350, Rockville, MD 20850, USA; Center for Neuroscience, Children's National Research Institute, Children's National Hospital, Washington, DC, USA; Department of Pediatrics, George Washington University School of Medicine, Washington, DC, USA; Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine, Washington, DC, USA.
Department of Child and Adolescent Psychiatry, Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers, Location Vrije Universiteit, Amsterdam, the Netherlands; Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Child Adolesc Psychiatr Clin N Am. 2023 Oct;32(4):747-760. doi: 10.1016/j.chc.2023.06.001. Epub 2023 Jul 6.
Autism and gender diversity often intersect. Many transgender youth seeking gender-related medical interventions are autistic. Clinicians serving these youth lack an autism-specific evidence base to guide gender care decisions. At present, care decisions are based on extrapolation of care models from transgender youth samples, generally. At this point, there is no evidence to suggest that autistic youth are likely to experience shifts in gender or gender-related medical requests, although this has been insufficiently studied. In this article, cowritten by expert clinicians and autistic gender-diverse collaborators, an overview of clinical care considerations and the current evidence base is provided.
自闭症和性别多样性常常相交。许多寻求与性别相关的医疗干预的跨性别青年是自闭症患者。为这些青年提供服务的临床医生缺乏自闭症特定的证据基础来指导性别护理决策。目前,护理决策通常基于从跨性别青年样本中推断出的护理模式。在这一点上,没有证据表明自闭症青年可能会经历性别或与性别相关的医疗需求的转变,尽管这方面的研究还不够充分。在这篇由专家临床医生和自闭症性别多样化的合作者共同撰写的文章中,提供了临床护理注意事项和当前证据基础的概述。