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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(10): 545-551
DOI: 10.1055/s-0037-1604134
Original Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Clinical Characteristics in a Sample of Transsexual People

Características clínicas de uma amostra de pessoas transexuais
Maria Rita Lerri
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
,
Adriana Peterson Mariano Salata Romão
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
,
Manoel Antônio dos Santos
2   Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
,
Alain Giami
3   Center for Research in Epidemiology and Population Health (CESP), Institut National de la Santé et de la Recherche Médicale (Iserm) Unit 1018, Team Gender, Sexual and Reproductive Health, Paris, France
,
Rui Alberto Ferriani
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
,
Lúcia Alves da Silva Lara
1   Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

15. August 2016

05. Mai 2017

Publikationsdatum:
07. August 2017 (online)

   Lizenzen und Reprints

Abstract

Purpose To assess the clinical characteristics of subjects with gender dysphoria (GD).

Method A cross-sectional study of adults with GD. Symptoms of anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS). Sociodemographic data, clinical data and life habits were recorded.

Results Total of 44 subjects participated in the study: 36 (82%) trans women and 8 (18%) trans men. Forty-three (98%) of the GD patients had anxiety (36 [100%] trans women and 7 [87.5%] trans men), and 36 (82%) had depression (29 [80.5%] trans women and 7 [87.5%] trans men). Suicide had been attempted by 32 (73%) subjects. The rates of depression were lower among the subjects living with partners, parents, or other people than among those living alone (p = 0.03), and it was also lower among the subjects who were married compared to those who were dating or single (p = 0.03).

Conclusion Improving the relationship status may reduce the prevalence of depressive symptoms in GD patients. There was a high rate of attempted suicide in this sample.

Resumo

Objetivo Avaliar as características clínicas de indivíduos com disforia de gênero (DG).

Método Estudo transversal com pessoas transexuais. Os sintomas de ansiedade e depressão foram medidos usando a Escala Hospitalar de Ansiedade e Depressão. Os dados sociodemográficos, os dados clínicos, e os hábitos de vida foram registrados por meio de um questionário.

Resultados Um total de 44 indivíduos participou do estudo: 36 (82%) mulheres trans, e 8 (18%) homens trans. Quarenta e três (98%) destes apresentaram ansiedade, sendo 36 (100%) mulheres trans e 7 (87,5%) homens trans, e 36 (82%) apresentaram depressão, sendo 29 (80,5%) mulheres trans, e 7 (87,5%) homens trans. Um total de 32 (73%) indivíduos já haviam tentado suicídio. Os indivíduos que vivem com parceiros, pais ou outras pessoas tiveram uma menor taxa de depressão do que aqueles que vivem sozinhos (p = 0,03), e os indivíduos que eram casados tiveram uma menor taxa de depressão do que aqueles que estavam namorando ou solteiros (p = 0,03).

Conclusão A melhoria do status de relacionamento pode reduzir a prevalência de sintomas depressivos em pessoas transexuais. Encontrou-se uma alta taxa de tentativas de suicídio nessa amostra.

Keywords

transsexual - gender dysphoria - anxiety - depression - sex reassignment surgery

Palavras-chave

transexuais - disforia de gênero - ansiedade - depressão - cirurgia de redesignação sexual
 

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