PMID- 31130679
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 8
IP  - 5
DP  - 2019 May 26
TI  - How Gender Identity and Treatment Progress Impact Decision-Making, Psychotherapy 
      and Aftercare Desires of Trans Persons.
LID - 10.3390/jcm8050749 [doi]
LID - 749
AB  - The gender identity of trans individuals influences their treatment preferences, 
      and this in turn seems to affect their individual treatment progress. However, 
      there has been no research which-next to the impact of gender identity on 
      treatment desires-has also investigated the influence of treatment progress using 
      a measure which assumes various possible transition pathways of trans 
      persons.Therefore, an online community survey of trans people was conducted in 
      Germany in 2015. Data were collected via an online survey from a non-clinical 
      sample of n = 415 trans individuals (over half assigned female at birth), aged 
      16-76 (Mean (M) = 38.12). Almost one fifth of participants embraced non-binary or 
      genderqueer (NBGQ) identities. Participants progressed 60.77% (standard deviation 
      (SD) = 35.21) through treatment at point of data collection, as measured by the 
      individual treatment progress score (ITPS). All participants, especially 
      participants assigned male at birth, differed significantly in desire to 
      participate in decision-making processes based on transition progress; 
      individuals without treatment experience had less desire to decide treatment 
      plans. NBGQ participants assigned male at birth in early stages of transition had 
      significantly more desire for psychotherapy during transition than participants 
      of the same identity in later transition stages. All participants, especially 
      binary participants, significantly differed in desire for aftercare based on 
      transition progress; individuals without treatment experience indicated more 
      desire for aftercare. Results indicate health professionals should expect 
      changing treatment desires in trans individuals at various stages of transition, 
      particularly at treatment start, and based on gender identity.
FAU - Mayer, Toby K
AU  - Mayer TK
AD  - Interdisciplinary Transgender Health Care Center Hamburg, Institute for Sex 
      Research and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, 
      20246 Hamburg, Germany. toby.mayer.90@gmail.com.
FAU - Koehler, Andreas
AU  - Koehler A
AD  - Interdisciplinary Transgender Health Care Center Hamburg, Institute for Sex 
      Research and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, 
      20246 Hamburg, Germany. an.koehler@uke.de.
FAU - Eyssel, Jana
AU  - Eyssel J
AD  - Interdisciplinary Transgender Health Care Center Hamburg, Institute for Sex 
      Research and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, 
      20246 Hamburg, Germany. janaeyssel@web.de.
FAU - Nieder, Timo O
AU  - Nieder TO
AUID- ORCID: 0000-0003-3052-5169
AD  - Interdisciplinary Transgender Health Care Center Hamburg, Institute for Sex 
      Research and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, 
      20246 Hamburg, Germany. tnieder@uke.de.
LA  - eng
GR  - NWF-15-08/Forschungsforderungsfonds der Medizinischen Fakultat, Universitat 
      Hamburg/
PT  - Journal Article
DEP - 20190526
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC6572165
OTO - NOTNLM
OT  - healthcare
OT  - individual treatment progress score
OT  - non-binary
OT  - patient satisfaction
OT  - transgender
OT  - transition
COIS- Timo O. Nieder is the head of the Outpatient Unit for Sexual Health and 
      Transgender Care at the Institutefor Sex Research and Forensic Psychiatry and is 
      the deputy spokesperson of the Interdisciplinary Transgender Healthcare Center 
      Hamburg. This does not represent a competing financial interest nor alter 
      adherence to policies on data collection and sharing. No competing financial 
      interests exist for the authors Toby K. Mayer, Andreas Koehler or Jana Eyssel. 
      The funders had no role in study design, data collection and analysis, decision 
      to publish, or preparation of the manuscript.
EDAT- 2019/05/28 06:00
MHDA- 2019/05/28 06:01
PMCR- 2019/05/26
CRDT- 2019/05/28 06:00
PHST- 2019/04/14 00:00 [received]
PHST- 2019/05/21 00:00 [revised]
PHST- 2019/05/23 00:00 [accepted]
PHST- 2019/05/28 06:00 [entrez]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2019/05/28 06:01 [medline]
PHST- 2019/05/26 00:00 [pmc-release]
AID - jcm8050749 [pii]
AID - jcm-08-00749 [pii]
AID - 10.3390/jcm8050749 [doi]
PST - epublish
SO  - J Clin Med. 2019 May 26;8(5):749. doi: 10.3390/jcm8050749.