Article
Psychology, Developmental
Jamie M. Julian, Bianca Salvetti, Jordan Held, Paula M. Murray, Lucas Lara-Rojas, Johanna Olson-Kennedy
Summary: The study found that most AYA learned to bind online and participants in the binding cohort were misgendered less. Additionally, there was a significant correlation between increased chest dysphoria and lower life satisfaction.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Psychology, Developmental
Kate Cooper, William Mandy, Catherine Butler, Ailsa Russell
Summary: Research suggests that autistic individuals are more likely to be transgender, and some experience distress due to incongruence between their gender identity and sex assigned at birth. This study explored the lived experiences of gender dysphoria among autistic adults, finding that participants faced significant distress and intersecting needs, and barriers in accessing healthcare for their gender needs. While some felt being autistic facilitated their understanding of their gender identity, others struggled with challenges like the tension between physical gender transition and routine.
Article
Psychology, Developmental
Kate Cooper, Catherine Butler, Ailsa Russell, William Mandy
Summary: This study aimed to investigate the lived experiences of autistic young people and their parents in relation to gender dysphoria. The findings suggest that young people and parents may have different perspectives and priorities when it comes to meeting the needs of autistic young people who experience gender dysphoria.
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY
(2023)
Article
Psychology, Developmental
Jack L. Turban, Brett Dolotina, Thomas M. Freitag, Dana King, Alex S. Keuroghlian
Summary: This study evaluated the rapid-onset gender dysphoria (ROGD) hypothesis by analyzing the 2015 US Transgender Survey. The findings suggest that a significant proportion of transgender adults realize their gender identity during adolescence or later and it takes several years to share their identity with others. The results do not support the ROGD hypothesis.
JOURNAL OF ADOLESCENT HEALTH
(2023)
Article
Endocrinology & Metabolism
Christina M. Roberts, David A. Klein, Terry A. Adirim, Natasha A. Schvey, Elizabeth Hisle-Gorman
Summary: Concerns about future regret and treatment discontinuation have led to restricted access to gender-affirming medical treatment for transgender and gender-diverse minors in some jurisdictions. However, few studies have examined gender-affirming hormone continuation rates among TGD individuals. This study analyzed medical and pharmacy records to find that over 70% of TGD individuals who start gender-affirming hormones continue use beyond 4 years, with higher continuation rates in transfeminine individuals and those who started hormones as minors.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Article
Psychology, Clinical
Ann C. Genovese, Saras Chen Singh, Imaima Casubhoy, Jessica A. Hellings
Summary: Gender diverse autistic young adults often face mental health challenges in obtaining gender-affirming care. This case series demonstrates that enlisting family and social support, obtaining effective mental health treatment, and accessing gender-affirming healthcare can lead to successful management of their mental health crises. Incorporating internationally recognized standards of care guidelines improves patient outcomes for these individuals.
ARCHIVES OF SEXUAL BEHAVIOR
(2023)
Article
Psychology, Multidisciplinary
Claudia C. Garcia, Karine Schwarz, Angelo B. Costa, Cesar A. Bridi Filho, Maria Ines R. Lobato
Summary: The study found that transgender women's perceptions of their mothers were significantly different from those concerning their fathers. Transgender men and women had a positive perception of their relationship with their mothers and a negative perception of their fathers. In terms of parenting practices, women felt that their mothers exhibited more positive practices than their fathers.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Psychology, Developmental
Inga Becker-Hebly, Saskia Fahrenkrug, Florentien Campion, Hertha Richter-Appelt, Michael Schulte-Markwort, Claus Barkmann
Summary: Empirical evidence on the psychosocial health outcomes of adolescents with GD after puberty suppression and gender-affirming medical interventions is limited. The study found that adolescents receiving gender-affirming interventions showed some improvement in psychosocial health outcomes, but there were still significant differences from the norm. This highlights the need for further longitudinal research on treatment decisions for transgender adolescents.
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY
(2021)
Article
Cardiac & Cardiovascular Systems
Maria A. Karalexi, Thomas Frisell, Sven Cnattingius, Dag Holmberg, Mats Holmberg, Natasa Kollia, Alkistis Skalkidou, Fotios C. Papadopoulos
Summary: This study compared the incidence of cardiovascular disease (CVD) in transgender individuals with gender dysphoria (GD) who received gender-affirming hormone therapy (GAHT) with those without GAHT and the general population. The results showed that the incidence of CVD was low among transgender individuals with GD/GAHT, although it was higher compared to those without GD and similar to those with GD but no GAHT. This suggests that there may not be a causal relationship between GAHT treatment and CVD outcomes. Larger studies with longer follow-up are needed to confirm these findings.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2022)
Article
Endocrinology & Metabolism
Michele A. O'Connell, Thomas P. Nguyen, Astrid Ahler, S. Rachel Skinner, Ken C. Pang
Summary: Internationally, more children and adolescents with gender dysphoria are seeking care and utilizing gender-affirming therapeutic interventions. However, there is a lack of long-term data, presenting clinical and ethical decision-making challenges.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Review
Neurosciences
Marc-Antoine Crocq
Summary: This article traces the historical evolution of medical and psychiatric diagnoses related to transgender individuals. From ancient Greek and Roman writings to the development of medical classifications in the nineteenth century, the understanding of transgender people has evolved over time. The distinction between sexual orientation and gender diagnosis started to emerge in the early 1900s and continued to evolve until the modern era.
DIALOGUES IN CLINICAL NEUROSCIENCE
(2021)
Article
Endocrinology & Metabolism
Kenneth C. Pang, Thomas P. Nguyen, Rita Upreti
Summary: This case study describes the successful use of topical minoxidil in inducing facial hair growth in a 17-year-old transgender male who desired facial hair but was initially unable to start testosterone therapy. The treatment resulted in noticeable pigmented facial hair without significant side effects, and also unexpectedly led to an increase in pigmented body hair. The findings suggest that minoxidil may be a useful alternative treatment option for transgender males seeking to enhance facial hair growth.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Review
Pediatrics
Elisa Marconi, Laura Monti, Angelica Marfoli, Georgios D. Kotzalidis, Delfina Janiri, Cecilia Cianfriglia, Federica Moriconi, Stefano Costa, Chiara Veredice, Gabriele Sani, Daniela Pia Rosaria Chieffo
Summary: Gender dysphoria (GD) adolescents have a higher risk of suicidal ideation, life-threatening behavior, self-injurious thoughts, or self-harm compared to cisgender peers. A standardized assessment method is needed to understand the mental health status of transgender youth, which can help develop effective clinical pathways and interventions.
CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH
(2023)
Article
Medicine, General & Internal
Diana Klinger, Stefan Riedl, Heidi Elisabeth Zesch, Sofia-Marie Oehlke, Sabine Voelkl-Kernstock, Paul L. L. Plener, Andreas Karwautz, Oswald D. D. Kothgassner
Summary: This study aimed to assess and compare the mental health of transgender youth by sex assigned at birth. The results showed that assigned male at birth (AMAB) adolescents were more likely to have internalizing problems, while assigned female at birth (AFAB) adolescents were more likely to have externalizing problems.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Psychology, Clinical
Suzanna Diaz, J. Michael Bailey
Summary: In the past decade, there has been a significant increase in adolescents and young adults complaining of gender dysphoria. This increase is believed to be due to a socially contagious syndrome known as Rapid Onset Gender Dysphoria (ROGD). This study surveyed parents who believed their AYA children had ROGD and found that the majority of affected youths were natal females. It was also observed that pre-existing mental health issues were common and that the social transition led to a deterioration of AYA children's mental health.
ARCHIVES OF SEXUAL BEHAVIOR
(2023)
Article
Psychology, Clinical
Jennifer Couturier, Danielle Pellegrini, Catherine Miller, Neera Bhatnagar, Ahmed Boachie, Kerry Bourret, Melissa Brouwers, Jennifer S. Coelho, Gina Dimitropoulos, Sheri Findlay, Catherine Ford, Josie Geller, Seena Grewal, Joanne Gusella, Leanna Isserlin, Monique Jericho, Natasha Johnson, Debra K. Katzman, Melissa Kimber, Adele Lafrance, Anick Leclerc, Rachel Loewen, Techiya Loewen, Gail McVey, Mark Norris, David Pilon, Wendy Preskow, Wendy Spettigue, Cathleen Steinegger, Elizabeth Waite, Cheryl Webb
Summary: This study developed clinical practice guidelines for virtual care for children, adolescents, and emerging adults with eating disorders, as well as their caregivers, during and after the COVID-19 pandemic. The guidelines emphasize the importance of in-person medical evaluation when necessary, equal access to treatment for equity-seeking groups and marginalized youth, and recommend various virtual interventions based on age groups.
JOURNAL OF EATING DISORDERS
(2021)
Article
Psychology, Clinical
Jennifer S. Coelho, Janet Suen, Sheila Marshall, Alex Burns, Pei-Yoong Lam, Josie Geller
Summary: Parents play a crucial role in the treatment of pediatric eating disorders, facing challenges such as delays in symptom identification, difficulties in accessing care, emotional impact, and the need for parental expertise and involvement. The study emphasizes the importance of early symptom identification, facilitating smooth transitions between levels of care, and improving clinical decision-making to ensure children and adolescents with eating disorders receive appropriate treatment.
JOURNAL OF EATING DISORDERS
(2021)
Article
Psychology, Clinical
Jennifer S. Coelho, Janet Suen, Sheila Marshall, Alex Burns, Josie Geller, Pei-Yoong Lam
Summary: Research on eating disorders has focused more on females, but this study explores gender differences in eating pathology and treatment outcomes, finding that trans youths reported higher levels of eating pathology and males showed greater improvements in eating disorder symptoms compared to females.
JOURNAL OF EATING DISORDERS
(2021)
Article
Psychology, Clinical
Katelynn E. Boerner, Jennifer S. Coelho, Fiza Syal, Deepika Bajaj, Natalie Finner, Amrit K. Dhariwal
Summary: This study compared characteristics of pediatric patients diagnosed with ARFID to those with gastrointestinal-related SSRD. There were overlaps in clinical presentation between the two disorders, but differences in anthropometric measurements and co-occurring medical conditions were observed.
CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY
(2022)
Article
Psychology, Clinical
Josie Geller, Avarna Fernandes, Suja Srikameswaran, Rachelle Pullmer, Sheila Marshall
Summary: This research used qualitative methods to capture the voices and perspectives of recovered patients and patients in later stages of tertiary care treatment on self-compassion. Three levels of readiness for self-compassion were identified, highlighting the importance of overcoming cognitive barriers, addressing life difficulties, and engaging in active change efforts.
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
(2022)
Correction
Psychology, Clinical
Jennifer S. Coelho, Janet Suen, Sheila Marshall, Alex Burns, Pei-Yoong Lam, Josie Geller
JOURNAL OF EATING DISORDERS
(2022)
Article
Psychology, Clinical
Josie Geller, Lindsay Samson, Nadia Maiolino, Megumi M. Iyar, Allison C. Kelly, Suja Srikameswaran
Summary: Self-compassion is associated with positive health indicators and recovery from eating disorders. This study found that barriers to self-compassion predict clinical outcomes in inpatient and residential treatment settings. Targeting self-compassion barriers early in treatment may facilitate eating disorder recovery.
JOURNAL OF EATING DISORDERS
(2022)
Article
Psychology, Clinical
Jennifer S. Coelho, Janet Suen, Sheila Marshall, Haya Zaid-Alkailani, Josie Geller, Pei-Yoong Lam
Summary: The current study aimed to understand the experiences of youths with an eating disorder in accessing services and receiving treatment, and to assess their perceptions of the role of gender in eating disorder treatment. The findings showed that youths encountered challenges such as disagreement with their parents/caregivers and health professionals about treatment plans, and interactions with peers and health professionals could be both supportive and challenging. Some youths expressed concerns about the female-centric nature of treatment. This study highlights the importance of collaborative care for pediatric eating disorders and the need for gender inclusivity in treatment.
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
(2022)
Article
Psychology, Clinical
Marya Aman, Jennifer S. Coelho, Boyee Lin, Cynthia Lu, Clara Westwell-Roper, John R. Best, S. Evelyn Stewart
Summary: The lifetime prevalence of symptoms meeting PANS diagnostic criteria in pediatric eating disorder patients is significantly higher compared to previous reports in patients with OCD or tic disorders. However, the overlap between starvation effects and ancillary PANS symptoms may challenge the practical utility of this syndrome within the eating disorder population.
JOURNAL OF EATING DISORDERS
(2022)
Article
Medicine, Research & Experimental
Geoff D. C. Ball, Marcus G. O'Neill, Rafat Noor, Angela Alberga, Rima Azar, Annick Buchholz, Michelle Enright, Josie Geller, Josephine Ho, Nicholas L. Holt, Tracy Lebel, Rhonda J. Rosychuk, Jean-Eric Tarride, Ian Zenlea
Summary: The study aims to explore the feasibility of family navigation in pediatric obesity management. It seeks to improve access to care, satisfaction, and treatment outcomes by using family navigation. The study will collect clinical, health services, and health economic data to evaluate the effectiveness of family navigation compared to usual care, as well as assess acceptability and study rigor.
PILOT AND FEASIBILITY STUDIES
(2023)
Article
Psychology, Clinical
Catherine R. Drury, Lisa Hail, Renee D. Rienecke, Erin C. Accurso, Jennifer S. Coelho, James Lock, Daniel Le Grange, Katharine L. Loeb
Summary: The study aimed to examine the psychometric properties of the Parent Eating Disorder Examination Questionnaire (PEDE-Q) in order to improve the assessment of eating disorders among youth by involving parents. Results showed that the PEDE-Q has good psychometric properties and provides incremental information for the assessment and diagnosis of adolescents with eating disorders, particularly those with anorexia nervosa.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2023)
Article
Psychology, Clinical
Josie Geller, Avarna Fernandes, Allison C. Kelly, Lindsay Samson, Suja Srikameswaran
Summary: Collaborative care involves showing curiosity and concern for patients' wellbeing regardless of their adherence to treatment, providing choices, and supporting the patient in deciding what is best for them. This study found that self-compassion and compassion for others were associated with greater use of collaborative care, with compassion for others being the stronger predictor. Fostering compassion in clinical environments could support the delivery of collaborative care.
JOURNAL OF EATING DISORDERS
(2023)
Letter
Primary Health Care
Marria Townsend, Beth A. Clark
Article
Psychology, Clinical
Allison Kelly, Aleece Katan, Linda Sosa Hernandez, Bethany Nightingale, Josie Geller
Summary: This study explored the perceived pros and cons of self-compassion development in individuals with anorexia nervosa (AN). Various advantages and disadvantages were identified, which can help clinicians better understand and work with patients who have AN.
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
(2021)