Department of Psychology, Centre for Applied Autism Research, University of Bath, Bath, BA2 5LS, UK.
Centre for Academic Mental Health, Avon and Wiltshire Partnership NHS Mental Health Trust, Bristol Medical School, University of Bristol, Bristol, UK.
Arch Sex Behav. 2024 Aug;53(8):2863-2882. doi: 10.1007/s10508-024-02896-4. Epub 2024 Jun 3.
This systematic review investigated how studies have measured gender dysphoria (GD) in autistic samples and the impact of using different measures on study results. The literature search identified 339 relevant papers, with 12 of them meeting the inclusion criteria. Results showed that seven different measures of GD characteristics have been used with autistic samples and that the studies consistently reported a greater number of GD characteristics and a greater severity of GD in autistic compared to non-autistic samples. Methodological common practices were found in recruiting participants from clinical settings rather than the general population, having more autistic males than females in the samples, for studies being conducted in Europe, North America, and Oceania, and using single-item measures of GD for samples of autistic children. Issues were identified with study designs and measures of GD, suggesting a need for a more standardized multi-item self-report measure of GD for use in clinical and non-clinical samples across different ages and cultures.
本系统评价调查了研究如何在自闭症样本中测量性别焦虑（GD），以及使用不同测量方法对研究结果的影响。文献检索确定了 339 篇相关论文，其中 12 篇符合纳入标准。结果表明，七种不同的 GD 特征测量方法已被用于自闭症样本，研究一致报告在自闭症样本中比非自闭症样本中具有更多的 GD 特征和更严重的 GD。研究方法学上的常见做法是从临床环境而不是一般人群中招募参与者，在样本中自闭症男性多于女性，研究在欧洲、北美和大洋洲进行，以及对自闭症儿童样本使用 GD 的单项测量。研究设计和 GD 测量方面存在问题，表明需要为不同年龄和文化的临床和非临床样本制定更标准化的多项目 GD 自我报告测量方法。
