Heterogeneity in gender dysphoria in a Brazilian sample awaiting gender-affirming surgery: a data-driven analysis

BMC Psychiatry

Francisco Diego Rabelo-da-Ponte¹  Leonardo Romeira Salati²  Maria Inês Rodrigues Lobato³  Dhiordan Cardoso Silva³ 

[1] Graduate Program in Psychiatry and Behavioral Sciences, Medical School of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2350, 90035-903, Porto Alegre, RS, Brazil;Molecular Psychiatry Laboratory, Department of Psychiatry of Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil;Transdisciplinary Gender Identity Program, Department of Psychiatry of Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil;Transdisciplinary Gender Identity Program, Department of Psychiatry of Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil;Graduate Program in Psychiatry and Behavioral Sciences, Medical School of the Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2350, 90035-903, Porto Alegre, RS, Brazil;

关键词: Transgender Persons;    Gender Dysphoria;    Gender-affirming Surgery;    Cluster Analysis;    Unsupervised Machine learning;   

DOI  :  10.1186/s12888-022-03727-3

来源: Springer

【 摘 要 】

BackgroundPopulation heterogeneity and the lack of clinical and sociodemographic information in transgender individuals with gender dysphoria (GD) remains a challenge for specialized services in mental health and surgical procedures. It aimed to identify and describe profiles in a sample waiting for gender-affirming surgery.MethodsA sample of 100 outpatients with GD was assessed through a structured interview, Emotion Regulation Difficulty Scale (DERS), Ruminative Response Scale (RRS), Depression, Anxiety and Stress Scale (DASS-21) and Life Satisfaction scale (SWLS). Cluster analysis was used to identify different profile categories.ResultsTwo subgroups with different profiles were identified: with less clinical severity (LCS) and with high clinical severity (HCS) on emotional dysregulation, acute symptoms of depression, anxiety, stress and association with mental rumination. The HCS cluster had greater vulnerability in terms of psychiatric history, use of psychotropic drugs, HIV positive, child abuse and suicidal behavior.ConclusionDifferent profiles were found regarding the vulnerability to mental health in a sample of transgender people with GD who seek a public hospital service for the same clinical-surgical objective. Longitudinal studies are essential to monitor the impact of these contrasts and to target personalized therapeutic approaches in the prevention of psychiatric disorders.

【 授权许可】

CC BY