PMID- 33642235
OWN - NLM
STAT- MEDLINE
DCOM- 20210420
LR  - 20210420
IS  - 1743-6109 (Electronic)
IS  - 1743-6095 (Linking)
VI  - 18
IP  - 3
DP  - 2021 Mar
TI  - Individual Treatment Progress Predicts Satisfaction With Transition-Related Care 
      for Youth With Gender Dysphoria: A Prospective Clinical Cohort Study.
PG  - 632-645
LID - S1743-6095(20)31130-9 [pii]
LID - 10.1016/j.jsxm.2020.12.010 [doi]
AB  - BACKGROUND: The number of adolescents presenting with gender dysphoria (GD) in 
      healthcare services has increased significantly, yet specialized services 
      offering transition-related care (TRC) for trans youth is lacking. AIM: To 
      investigate satisfaction with TRC, regret, and reasons for (dis)satisfaction with 
      transition-related medical interventions (TRMIs) in trans adolescents who had 
      presented to the Hamburg Gender Identity Service for children and adolescents 
      (Hamburg GIS). METHODS: Data were collected from a clinical cohort sample of 75 
      adolescents and young adults diagnosed with GD (81% assigned female at birth) 
      aged 11 to 21 years (M = 17.4) at baseline and follow-up (on a spectrum of 
      ongoing care, on average 2 years after initial consultation). To determine 
      progress of the youth's medical transitions, an individual treatment progress 
      score (ITPS) was calculated based on number of desired vs received TRMIs. 
      OUTCOMES: Main outcome measures were satisfaction with TRC at the time of 
      follow-up, ITPS, social support, reasons for regret and termination of TRC, and 
      (dis)satisfaction with TRMIs. RESULTS: Participants underwent different stages of 
      TRMIs, such as gender-affirming hormone treatment or surgeries, and showed 
      overall high satisfaction with TRC received at the Hamburg GIS. Regression 
      analysis indicated that a higher ITPS (an advanced transition treatment stage) 
      was predictive of higher satisfaction with TRC. Sex assigned at birth, age, and 
      time since initial consultation at the clinic showed no significant effects for 
      satisfaction with TRC, while degree of social support showed a trend. No 
      adolescents regretted undergoing treatment at follow-up. Additional analysis of 
      free-text answers highlighted satisfaction mostly with the physical results of 
      TRMI. CLINICAL IMPLICATIONS: Because youth were more satisfied with TRC when 
      their individual transition (ITPS) was more progressed, treatment should start in 
      a timely manner to avoid distress from puberty or long waiting lists. STRENGTHS 
      AND LIMITATIONS: This study is one of the first to report on treatment 
      satisfaction among youth with GD from Europe. The ITPS allowed for a more 
      detailed evaluation of TRMI wishes and experiences in relation to satisfaction 
      with TRC and may close a gap in research on these treatments in adolescent 
      populations. However, all participants were from the same clinic, and strict 
      treatment eligibility criteria may have excluded certain trans adolescents from 
      the study. Low identification rates with non-binary identities prevented 
      comparisons between non-binary and binary genders. CONCLUSION: The study 
      highlights the role of TRMI and individual treatment or transition progress for 
      youth's overall high satisfaction with TRC received at the Hamburg GIS. Nieder 
      TO, Mayer TK, Hinz S, et al. Individual Treatment Progress Predicts Satisfaction 
      With Transition-Related Care for Youth With Gender Dysphoria: A Prospective 
      Clinical Cohort Study. J Sex Med 2021;18:632-645.
CI  - Copyright (c) 2021 International Society for Sexual Medicine. Published by Elsevier 
      Inc. All rights reserved.
FAU - Nieder, T O
AU  - Nieder TO
AD  - Institute For Sex Research, Sexual Medicine, and Forensic Psychiatry, University 
      Medical Center Hamburg-Eppendorf, Hamburg, Germany.
FAU - Mayer, T K
AU  - Mayer TK
AD  - Institute For Sex Research, Sexual Medicine, and Forensic Psychiatry, University 
      Medical Center Hamburg-Eppendorf, Hamburg, Germany.
FAU - Hinz, S
AU  - Hinz S
AD  - Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, 
      University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
FAU - Fahrenkrug, S
AU  - Fahrenkrug S
AD  - Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, 
      University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
FAU - Herrmann, L
AU  - Herrmann L
AD  - Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, 
      University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
FAU - Becker-Hebly, Inga
AU  - Becker-Hebly I
AD  - Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, 
      University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic 
      address: i.becker@uke.de.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210226
PL  - Netherlands
TA  - J Sex Med
JT  - The journal of sexual medicine
JID - 101230693
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Cohort Studies
MH  - Europe
MH  - Female
MH  - *Gender Dysphoria/therapy
MH  - Gender Identity
MH  - Humans
MH  - Male
MH  - Personal Satisfaction
MH  - Prospective Studies
MH  - *Transgender Persons
MH  - Young Adult
OTO - NOTNLM
OT  - Gender Dysphoria
OT  - Gender-Affirming Treatment
OT  - Health Care
OT  - Individual Treatment Progress
OT  - Transgender
OT  - Treatment Satisfaction
EDAT- 2021/03/02 06:00
MHDA- 2021/04/21 06:00
CRDT- 2021/03/01 05:32
PHST- 2020/07/24 00:00 [received]
PHST- 2020/11/26 00:00 [revised]
PHST- 2020/12/22 00:00 [accepted]
PHST- 2021/03/02 06:00 [pubmed]
PHST- 2021/04/21 06:00 [medline]
PHST- 2021/03/01 05:32 [entrez]
AID - S1743-6095(20)31130-9 [pii]
AID - 10.1016/j.jsxm.2020.12.010 [doi]
PST - ppublish
SO  - J Sex Med. 2021 Mar;18(3):632-645. doi: 10.1016/j.jsxm.2020.12.010. Epub 2021 Feb 
      26.