Dissociative symptoms in individuals with gender dysphoria: Is the elevated prevalence real?

Psychiatry Research

Volumn 226, Issue 1, 2015, Pages 173-180

  Colizzi, Marco ^a   Costa, Rosalia ^a   Todarello, Orlando ^a  

^a UNIVERSITY OF BARI   (Italy)

Author keywords

Body uneasiness; Childhood trauma; Dissociative symptoms; Gender dysphoria; Gender reaffirming treatment; Transsexualism

Indexed keywords

ADULT; ARTICLE; CHILDHOOD INJURY; CONTROLLED STUDY; DISSOCIATIVE DISORDER; DISSOCIATIVE DISORDERS INTERVIEW SCHEDULE; FEMALE; FOLLOW UP; GENDER DYSPHORIA; HUMAN; INTERVIEW; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; MENTAL HEALTH; PREVALENCE; PRIORITY JOURNAL; SEX REASSIGNMENT; SUICIDE ATTEMPT; COMORBIDITY; DISSOCIATIVE DISORDERS; TRANSSEXUALISM;

ADULT; COMORBIDITY; DISSOCIATIVE DISORDERS; FEMALE; HUMANS; LONGITUDINAL STUDIES; MALE; PREVALENCE; TRANSSEXUALISM;

EID: 84925040956     PISSN: 01651781     EISSN: 18727123     Source Type: Journal    
DOI: 10.1016/j.psychres.2014.12.045     Document Type: Article

References (58)

1. Àcampo J., Nijman H., Merckelbach H., Evers C. Psychiatric comorbidity of gender identity disorders: a survey among Dutch psychiatrists. American Journal of Psychiatry 2003, 160:1332-1336.
2. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR 2000, American Psychiatric Association, Washington, DC. 4th ed.
3. Asscheman H., Gooren L.J., Eklund P.L. Mortality and morbidity in transsexual patients with cross-gender hormone treatment. Metabolism 1989, 38(9):869-873.
4. Bernstein E.M., Putnam F.W. Development, reliability and validity of a dissociation scale. Journal of Nervous and Mental Diseases 1986, 174:727-735.
5. Blanchard R. Typology of male-to-female transsexualism. Archives of Sexual Behavior 1985, 14:247-261.
6. Cohen-Kettenis P.T., Arrindell W.A. Perceived parental rearing style, parental divorce and transsexualism: a controlled study. Psychological Medicine 1990, 20:613-620.
7. Cohen-Kettenis P.T., Gooren L.J. Transsexualism. A review of etiology, diagnosis and treatment. Journal of Psychosomatic Research 1999, 46:315-333.
8. Coleman E., Bockting W., Botzer M., Cohen-Kettenis P., DeCuypere G., Feldman J., Fraser L., Green J., Knudson G., Meyer W.J., Monstrey S., Adler R.K., Brown G.R., Devor A.H., Ehrbar R., Ettner R., Eyler E., Garofalo R., Karasic D.H., Lev A.I., Mayer G., Meyer-Bahlburg H., Hall B.P., Pfaefflin F., Rachlin K., Robinson B., Schechter L.S., Tangpricha W., van Trotsenburg M., Vitale A., Winter S., Whittle S., Wylie K.R., Zucker K. Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People, 7th version. International Journal of Transgenderism 2012, 13(4):165-232.
9. Colizzi M., Costa R., Pace V., Todarello O. Hormonal treatment reduces psychobiological distress in gender identity disorder, independently of the attachment style. Journal of Sexual Medicine 2013, 10(12):3049-3058.
10. Colizzi M., Costa R., Todarello O. Transsexual patients' psychiatric comorbidity and positive effect of cross-sex hormonal treatment on mental health: results from a longitudinal study. Psychoneuroendocrinology 2014, 39:65-73.
11. Coons P.M. The differential diagnosis of multiple personality. Psychiatric Clinics of North America 1984, 7:517-529.
12. Cuzzolaro M., Vetrone G., Marano G., Garfinkel P.E. The Body Uneasiness Test (BUT): development and validation of a new body image assessment scale. Eating and Weight Disorders. Studies on Anorexia, Bulimia, and Obesity 2006, 11(1):1-13.
13. Devor H. Transsexualism, dissociation, and child abuse: an initial discussion based on nonclinical data. Journal of Psychology and Human Sexuality 1994, 6:49-72.
14. Fisher A.D., Bandini E., Casale H., Ferruccio N., Meriggiola M.C., Gualerzi A., Manieri C., Jannini E., Mannucci E., Monami M., Stomaci N., Delle Rose A., Susini T., Ricca V., Maggi M. Sociodemographic and clinical features of gender identity disorder: an Italian multicentric evaluation. Journal of Sexual Medicine 2013, 10(2):408-419.
15. Fisher A.D., Castellini G., Bandini E., Casale H., Fanni E., Benni L., Ferruccio N., Meriggiola M.C., Gualerzi A., Jannini E., Oppo A., Ricca V., Maggi M., Rellini A.H. Cross-sex hormonal treatment and body uneasiness in individuals with gender dysphoria. Journal of Sexual Medicine 2014, 11(3):709-719.
16. Gehring D., Knudson G. Prevalence of childhood trauma in a clinical population of transsexual people. International Journal of Transgenderism 2005, 8:23-30.
17. Giesbrecht T., Merckelbach H., Geraerts E. The Dissociative Experiences Taxon Is Related to Fantasy Proneness. Journal of Nervous and Mental Diseases 2007, 195:769-772.
18. Gómez-Gil E., Trilla A., Salamero M., Godás T., Valdés M. Sociodemographic, clinical, and psychiatric characteristics of transsexuals from Spain. Archives of Sexual Behavior 2009, 38(3):378-392.
19. Gómez-Gil E., Zubiaurre-Elorza L., Esteva I., Guillamon A., Godás T., Cruz Almaraz M., Halperin I., Salamero M. Hormone-treated transsexuals report less social distress, anxiety and depression. Psychoneuroendocrinology 2012, 37(5):662-670.
20. Gorin-Lazard A., Baumstarck K., Boyer L., Maquigneau A., Gebleux S., Penochet J.C., Pringuey D., Albarel F., Morange I., Loundou A., Berbis J., Auquier P., Lançon C., Bonierbale M. Is hormonal therapy associated with better quality of life in transsexuals? A cross-sectional study. Journal of Sexual Medicine 2012, 9(2):531-541.
21. Hembree W.C., Cohen-Kettenis P., Delemarre-van de Waal H.A., Gooren L.J., Meyer W.J., Spack N.P., Tangpricha V., Montori V.M. Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism 2009, 94:3132-3154.
22. Hepp U., Kraemer B., Schnyder U., Miller N., Delsignore A. Psychiatric comorbidity in gender identity disorder. Journal of Psychosomatic Research 2005, 58:259-261.
23. Heylens G., Elaut E., Kreukels B.P.C., Paap M.C.S., Cerwenka S., Richter-Appelt H., Cohen-Kettenis P.T., Haraldsen I.R., De Cuypere G. Psychiatric characteristics in transsexual individuals: multicentre study in four European countries. British Journal of Psychiatry 2014, 204(2):151-156.
24. Hoshiai M., Matsumoto Y., Sato T., Ohnishi M., Okabe N., Kishimoto Y., Terada S., Kuroda S. Psychiatric comorbidity among patients with gender identity disorder. Psychiatry and Clinical Neurosciences 2010, 64:514-519.
25. Hudziak J.J., Boffeli T.J., Kriesman J.J., Battaglia M.M., Stanger C., Guze S.B. Clinical study of the relation of borderline personality disorder to Briquet's syndrome (hysteria), somatization disorder, antisocial personality disorder, and substance abuse disorders. American Journal of Psychiatry 1996, 153:1598-1606.
26. Kersting A., Reutemann M., Gast U., Ohrmann P., Suslow T., Michael N., Arolt V. Dissociative disorders and traumatic childhood experiences in transsexuals. Journal of Nervous and Mental Diseases 2003, 191(3):182-189.
27. King J.A., Rosal M.C., Ma Y., Reed G.W. Association of stress, hostility and plasma testosterone levels. Neuroendocrinology Letters 2005, 26(4):355-360.
28. Kuiper B., Cohen-Kettenis P. Sex reassignment surgery: a study of 141 Dutch transsexuals. Archives of Sexual Behavior 1988, 17:439-457.
29. Lawrence Sexual orientation versus age of onset as bases for typologies (subtypes) for gender identity disorder in adolescents and adults. Archives of Sexual Behavior 2010, 39:514-515.
30. Lief H.I., Dingman J.F., Bishop M.P. Psychoendocrinologic studies in a male with cyclic changes in sexuality. Psychosomatic Medicine 1962, 24:357-368.
31. Lothstein L.M. Female-to-male Transsexualism: Historical, Clinical, and Theoretical Issues 1983, Routledge and Kegan Paul, Boston.
32. Modestin J., Ebner G. Multiple personality disorder manifesting itself under the mask of transsexualism. Psychopathology 1995, 28:317-321.
33. Money J. Two names, two wardrobes, two personalities. Journal of Homosexuality 1974, 1:65-78.
34. Money J., Primrose C. Sexual dimorphism and dissociation in the psychology of male transsexuals. Journal of Nervous and Mental Diseases 1968, 147:472-486.
35. Motmans J., Meier P., Ponnet K., T'Sjoen G. Female and male transgender quality of life: socioeconomic and medical differences. Journal of Sexual Medicine 2012, 9(3):743-750.
36. Murad M.H., Elamin M.B., Garcia M.Z., Mullan R.J., Murad A., Erwin P.J., Montori V.M. Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes. Clinical Endocrinology 2011, 72:214-231.
37. Nieder T.O., Herff M., Cerwenka S., Preuss W.F., Cohen-Kettenis P.T., De Cuypere G., Haraldsen I.R., Richter-Appelt H. Age of onset and sexual orientation in transsexual males and females. Journal of Sexual Medicine 2011, 8:783-791.
38. Parker G., Barr R. Parental representations of transsexuals. Archives of Sexual Behavior 1982, 11:221-230.
39. Pauly I.B. Female transsexualism: Part I. Archives of Sexual Behavior 1974, 3:487-507.
40. Putnam F.W. Diagnosis and Treatment of Multiple Personality Disorder 1989, Guilford Press, New York.
41. Putnam F.W. Recent research on multiple personality disorder. Psychiatric Clinics of North America 1991, 14:489-502.
42. Ross C.A. Epidemiology of multiple personality disorder and dissociation. Psychiatric Clinics of North America 1991, 14(3):503-517.
43. Ross C.A. Dissociative Disorder. Diagnosis, Clinical Features and Treatment of Multiple Personality Disorder 1997, Wiley & Sons, New York.
44. Ross C.A., Anderson G., Fleisher W.P., Norton G.R. The frequency of multiple personality disorder among psychiatric inpatients. American Journal of Psychiatry 1991, 148:1717-1720.
45. Ross C.A., Heber S., Norton G.R., Anderson D., Anderson G., Barchet P. The Dissociative Disorders Interview Schedule: a structured interview. Dissociation 1989, 2:169-172.
46. Ross C.A., Joshi S., Currie R. Dissociative experiences in the general population. American Journal of Psychiatry 1990, 147(11):1547-1552.
47. Şar V., Akyüz G., Doğan O. Prevalence of dissociative disorders among women in the general population. Psychiatry Research 2007, 149:169-176.
48. Şar V., Tutkun H., Alyanak B., Bakim B., Baral I. Frequency of dissociative disorders among psychiatric outpatients in Turkey. Comprehensive Psychiatry 2000, 41:216-222.
49. Şar V., Akyuz G., Kundakci T., Kiziltan E., Dogan O. Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder. American Journal of Psychiatry 2004, 162:271-276.
50. Saxe G., Chinman G., Berkowitz R., Hall K.H., Lieberg G., Schwartz J., Van der Kolk B.A. Somatization in patients with dissociative disorders. American Journal of Psychiatry 1994, 151:1329-1334.
51. Saxe G.N., van der Kolk B.A., Berkowitz R., Chinman G., Hall K., Lieberg G., Schwartz J. Dissociative disorders in psychiatric inpatients. American Journal of Psychiatry 1993, 150:1037-1042.
52. Shiah I.S., Yang S.N., Shen L.J., Chang A.J., Gau Y.C., Chen Y.J., Chen C.K. Psychopathology and dissociative experiences of male Taiwanese patients with gender identity disorder. Journal of Medical Sciences 2004, 24(3):135-140.
53. Steinberg M. Handbook for the Assessment of Dissociation: A Clinical Guide 1995, American Psychiatric Press, Washington, DC.
54. Su T.P., Pagliaro M., Schmidt P.J., Pickar D., Wolkowitz O., Rubinow D.R. Neuropsychiatric effects of anabolic steroids in male normal volunteers. Journal of the American Medical Association 1993, 269:2760-2764.
55. Thompson J., Penner L., Altabe M. Procedures, problems and progress in the assessment of body images. Body Images Assessment Development and Change. Body Images Assessment Development and Change 1990, Guidford Press, New York, Guidford Press, New York. T. Cash, T. Pruzinsky (Eds.), T. Cash, T. Pruzinsky (Eds.).
56. Waller N.G., Putnam F.W., Carlson E.B. Types of dissociation and dissociative types: a taxometric analysis of dissociative experiences. Psychological Methods 1996, 1:300-321.
57. Waller N.G., Ross C.A. The prevalence and biometric structure of pathological dissociation in the general population: taxometric and behavior genetic findings. Journal of Abnormal Psychology 1997, 106:499-510.
58. Weitzmann E.L., Shamoain C.A., Golosow N. Identity diffusion and the transsexual resolution. Journal of Nervous and Mental Disorders 1970, 151:295-302.