Psychiatric characteristics in transsexual individuals: Multicentre study in four European countries

British Journal of Psychiatry

Volumn 204, Issue 2, 2014, Pages 151-156

  Heylens, Gunter ^a   Elaut, Els ^a   Kreukels, Baudewijntje P C ^b   Paap, Muirne C S ^c   Cerwenka, Susanne ^c   Richter Appelt, Hertha ^c   Cohen Kettenis, Peggy T ^b   Haraldsen, Ira R ^d   De Cuypere, Griet ^a  

^a GHENT UNIVERSITY HOSPITAL   (Belgium)

^b VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^c UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

^d OSLO UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANXIETY DISORDER; BELGIUM; DSM-IV-TR; FEMALE; FEMALE TO MALE TRANSSEXUAL; GERMANY; HUMAN; LIFESPAN; MAJOR CLINICAL STUDY; MALE; MALE TO FEMALE TRANSSEXUAL; MENTAL PATIENT; MINI INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW; MULTICENTER STUDY; NETHERLANDS; NORWAY; REVIEW; SCORING SYSTEM; SEX REASSIGNMENT; STRUCTURED CLINICAL INTERVIEW FOR DSM DISORDERS; TRANSSEXUALISM; YOUNG ADULT;

ADULT; AGE OF ONSET; CHI-SQUARE DISTRIBUTION; CLUSTER ANALYSIS; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; EUROPE; FEMALE; HUMANS; INTERNATIONAL COOPERATION; INTERVIEW, PSYCHOLOGICAL; MALE; MENTAL DISORDERS; PATIENT ACCEPTANCE OF HEALTH CARE; PREVALENCE; SEVERITY OF ILLNESS INDEX; SEX REASSIGNMENT PROCEDURES; TRANSGENDERED PERSONS; TRANSSEXUALISM; YOUNG ADULT;

EID: 84892670627     PISSN: 00071250     EISSN: 14721465     Source Type: Journal    
DOI: 10.1192/bjp.bp.112.121954     Document Type: Review

References (39)

1. Verschoor AM, Poortinga J. Psychosocial differences between Dutch male and female transsexuals. Arch Sex Behav 1988; 17: 173-8.
2. De Cuypere G, Jannes C, Rubens R. Psychosocial functioning of transsexuals in Belgium. Acta Psychiatr Scand 1995; 91: 180-4.
3. A Campo JM, Nijman H, Merckelbach H, Evers C. Psychiatric comorbidity of gender identity disorders: a survey among Dutch psychiatrists. Am J Psychiatry 2003; 160: 1332-6.
4. Hepp U, Kraemer B, Schnyder U, Miller N, Delsignore A. Psychiatric comorbidity in gender identity disorder. J Psychosom Res 2005; 58: 259-61.
5. Cole CM, O'Boyle M, Emory LE, Meyer WJ. Comorbidity of gender dysphoria and other major psychiatric diagnoses. Arch Sex Behav 1997; 26: 13-26.
6. Haraldsen IR, Dahl AA. Symptom profiles of gender dysphoric patients of transsexual type compared to patients with personality disorders and healthy adults. Acta Psychiatr Scand 2000; 102: 276-81.
7. Gomez-Gil E, Trilla A, Salamero M, Godas T, Valdes M. Sociodemographic, clinical, and psychiatric characteristics of transsexuals from Spain. Arch Sex Behav 2009; 38: 378-92.
8. Hoshiai M, Matsumoto Y, Sato T, Ohnishi M, Okabe N, Kishimoto Y, et al. Psychosomatic comorbidity among patients with gender identity disorder. Psychiatry Clin Neurosci 2010; 64: 514-9.
9. Landen M, Walinder J, Lundstrom B. Clinical characteristics of a total cohort of female and male applicants for sex reassignment: a descriptive study. Acta Psychiatr Scand 1998; 97: 198-4.
10. Bodlund O, Kullgren G, Sundbom E, Hojerback T. Personality traits and disorders among transsexuals. Acta Psychiatr Scand 1993; 88: 322-7.
11. Meyer-Bahlburg HFL. From mental disorder to iatrogenic hypogonadism: dilemmas in conceptualising gender identity variants as psychiatric conditions. Arch Sex Behav 2010; 39: 461-76.
12. De Cuypere G, Vercruysse H. Eligibility and readiness criteria for sex reassignment surgery: recommendations for revision of the WPATH standards of care. Int J Transgender 2011; 11: 194-205.
13. Dhejne C, Lichtenstein P, Boman M, Johansson ALV, Langstrom N, Landen M. Long-term follow-up of transsexual persons undergoing sex reassignment surgery: cohort study in Sweden. PloS ONE 2011; 6: 1-8.
14. Nieder TO, Herff M, Cerwenka S, Preuss WF, Cohen-Kettenis PT, De Cuypere G, et al. Age of onset and sexual orientation in transsexual males and females. J Sex Med 2011; 8: 783-91.
15. Smith YLS, van Goozen SHM, Kuiper AJ, Cohen-Kettenis PT. Transsexual subtypes: clinical and theoretical significance. Psychiatry Res 2005; 137: 151-60.
16. Lothstein LM. Psychological testing with transsexuals: a 30-year review. J Pers Assess 1984; 48: 500-7.
17. Kreukels BP, Haraldsen IR, De Cuypere G, Richter-Appelt H, Gijs L, Cohen-Kettenis PT. A European network for the investigation of gender incongruence: the ENIGI initiative. Eur Psychiatry 2012; 27: 445-50.
18. Paap MCS, Kreukels BPC, Cohen-Kettenis PT, Richter-Appelt H, De Cuypere G, Haraldsen IR. Assessing the utility of diagnostic criteria: a multisite study on gender identity disorder. J Sex Med 2011; 8: 180-90.
19. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn, Text Revision) (DSM-IV-TR). APA, 2000.
20. Cohen-Kettenis P, Van Goozen SH. Sex reassignment of adolescent transsexuals: a follow-up study. J Am Acad Child Adolesc Psychiatry 1997; 36: 263-71.
21. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998; 59 (suppl 20): 22-33.
22. First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin L. Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). American Psychiatric Press, 1997.
23. Bruffaerts R, Bonnewyn A, Van Oyen H, Demarest S, Demyttenaere K. Prevalence of pure and comorbid mental disorders in Belgium. Rev Med Liege 2003; 58: 741-50.
24. Jacobi F, Wittchen HU, Holting C, Hofler M, Pfister H, Muller N, et al. Prevalence, comorbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med 2004; 34: 597-611.
25. De Graaf R, Ten Have C, van Gool S, van Dorsselaer S. Prevalence of mental disorders, and trends from 1996 to 2009; results from NEMESIS-2. Tijdschr Psychiatr 2012; 54: 27-38.
26. Kringlen E, Torgersen S, Cramer V. A Norwegian psychiatric epidemiological study. Am J Psychiatry 2001; 158: 1091-8.
27. Mate-Kole C, Freschi M, Robin A. Aspects of psychiatric symptoms at different stages in the treatment of transsexualism. Br J Psychiatry 1988; 152: 550-3.
28. Mate-Kole C, Freschi M, Robin A. A controlled study of psychological and social change after surgical gender reassignment in selected male transsexuals. Br J Psychiatry 1990; 157: 261-4.
29. Gomez-Gil E, Vidal-Hagemeijer A, Salamero M. MMPI-2 characteristics of transsexuals requesting sex reassignment: comparison of patients in prehormonal and presurgical phases. J Pers Assess 2008; 90: 368-74.
30. Newfield E, Hart S, Dibble S, Kohler L. Female-to-male transsgender quality of life. Qual Life Res 2006; 15: 1447-57.
31. Terada S, Matsumoto Y, Sato T, Okabe N, Kishimoto Y, Uchitomi Y. Suicidal ideation among patients with gender identity disorder. Psychiatry Res 2011; 190: 159-62.
32. Haas AP, Eliason M, Mays VM, Mathy RM, Cochran SD, D'Augelli AR, et al. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. J Homosex 2011; 58: 10-51.
33. Liu RT, Mustanski B. Suicidal ideation and self-harm in lesbian, gay, bisexual and transgender youth. Am J Prev Med 2012; 42: 221-8.
34. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, et al. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD). Acta Psychiatr Scand Suppl 2004; 420: 21-7.
35. Miach PP, Berah EF, Butcher JN, Rouse S. Utility of the MMPI-2 in assessing gender dysphoric patients. J Pers Assess 2000; 75: 268-79.
36. Madeddu F, Prunas A, Hartmann D. Prevalence of Axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery. Psychiatr Q 2009; 80: 261-7.
37. Maier W, Lichtermann D, Klinger T, Heun R, Hallmayer J. Prevalences of personality disorder (DSM-III-R) in the community. J Pers Disord 1992; 6: 187-96.
38. Torgersen S, Kringlen E, Cramer V. The prevalence of personality disorders in a community sample. Arch Gen Psychiatry 2001; 58: 590-6.
39. Landelijke Stuurgroep Multidisciplinaire Richtlijnontwikkeling in de GGZ. Multidisciplinaire Richtlijn Persoonlijkheidsstoornissen 2008. Trimbos Institute, 2008.