المؤلفون: Bouman, Walter Pierre

المساهمون: University/Department: Universitat de Barcelona. Facultat de Medicina

مرشدي الرسالة: Fernández Aranda, Fernando, Arcelus, Jon

المصدر: TDX (Tesis Doctorals en Xarxa)

مصطلحات موضوعية: Identitat sexual, Identidad sexual, Gender identity, Psiquiatria, Psiquiatría, Psychiatry, Trastorns de la conducta alimentària, Trastornos de la conducta alimentaria, Eating disorders, Ciències de la Salut

الوقت: 616.89

الوصف: There is an increasing awareness and visibility of transgender people, particularly in Europe and North America. Compared to the non-trans general population transgender people remain a vulnerable group with higher levels of mental health problems due to existing discrimination and victimization as well as lack of adequate treatment options and legal protection in most countries. This thesis consists of 5 studies to examine risk factors and clinical correlates of the treatment pathway of transgender people. The studies looked specifically at prevalence of transsexualism and mental health correlates, including Non-Suicidal Self-Injury (NSSI), body dissatisfaction and anxiety in transgender people as a population, but also as separate groups (young and older transgender people). An overall meta-analytical prevalence for transsexualism of 4.6 in 100,000 individuals was found; 6.8 for trans women and 2.6 for trans men, which suggests a sex ratio of trans females to trans males of 2.62 to 1. More importantly, time analysis found a clear increase in reported prevalence over the last 50 years, which highlights the need to plan for expansion of transgender health services and training and education for a future workforce in this field. A lifetime presence of Non-Suicidal Self-Injury (NSSI) of nearly half of all young transgender patients was founds and more than a quarter reported current NSSI. Risk factors for current and lifetime Non-Suicidal Self-Injury (NSSI) in young transgender people are being a trans male and having greater psychopathology. General psychopathology could be predicted by transphobic experiences, low self-esteem, and interpersonal problems. Transgender individuals exhibit greater body dissatisfaction than cisgender controls and, importantly, transgender men have comparable body dissatisfaction scores to cisgender men with an eating disorder. In relation to the roots of their body dissatisfaction, both transgender men and transgender women experience greatest dissatisfaction not only with gender-identifying body parts, but also with body shape and weight. Transgender men may be at particular risk for the development of maladaptive eating behaviours and other body image-related behaviours. The vast majority of older people presenting at transgender health services over the age of 50 years old are transgender females, with a sex ratio of transgender females to transgender males of 23.7:1. The use of cross-sex hormones prior to seeking treatment is widespread among transgender females and appears to be associated with psychological benefits. There are high rates of possible (32.8%) and probable (36.0%) current anxiety disorder in untreated transgender people attending a transgender health service. Transgender people have an almost 3-fold increased risk of probable anxiety disorder compared with the cisgender general population. Trans males show higher rates of possible and probable anxiety disorder (71.1%) than trans females. Low self-esteem and interpersonal functioning are predictors of anxiety disorder in the transgender population, which highlights the importance of psychological intervention and support.

الوصف (مترجم): El número de individuos que se identifica como transgénero ha aumentado en los últimos años en Europa y Norteamérica. Esta tesis consiste en 5 estudios que examinan los factores de riesgo y las características psicológicas de las personas transgénero, que acceden a servicios de salud porque requieren una transición médica. El primer estudio describe una prevalencia de transexualismo de 4.6 por cada 100,000 personas, 6.8 para mujeres transgénero y 2.6 para hombres. Esto sugiere que existen 2.6 mujeres transgénero por cada hombre. Es importante destacar que al analizar la evolución a lo largo del tiempo se demuestra un incremento en la prevalencia, año tras año, durante los últimos 50 años, lo que sugiere la importancia de aumentar los servicios de salud para estas personas, así como mejorar la educación de los profesionales de la salud. El siguiente estudio demuestra que la presencia de auto lesiones durante la vida, en esta población, es de casi de un 50% entre la población joven, siendo un 25% la tasa de auto lesiones, en el momento actual. Los factores de riesgo de auto lesiones están relacionados con ser hombre transgénero y presentar una elevada psicopatología. Experiencias transfóbicas, baja estima personal, y problemas interpersonales predicen una alta psicopatología. El tercer estudio describe como las personas transgénero presentan una mayor insatisfacción corporal que las personas que no son transgénero (cis género). Los hombres transgénero experimentan una insatisfacción corporal muy similar a los hombres cis género, con trastornos de la alimentación. El cuarto estudio se centra en las personas transgénero mayores de 50 años, y demuestra que el ratio de mujeres a hombres (transgénero) es 23.7:1. Este estudio también demuestra que las hormonas tienen beneficios psicológicos. El último estudio demuestra que las personas transgénero tienen 3 veces más riesgo de padecer ansiedad que las personas no trans. Baja estima personal y problemas interpersonales predicen ansiedad en las personas transgénero, lo que señala la importancia de las intervenciones psicológica en estas personas.

وصف الملف: application/pdf

الوصول الحر: http://hdl.handle.net/10803/586374Test

المؤلفون: Griffiths, Mark D., Arcelus, Jon, Bouman, Walter Pierre

المصدر: Aloma: revista de psicologia, ciències de l'educació i de l'esport Blanquerna; Vol. 34, Núm. 2 (2016); p. 59-66

الوصف: Durant les últimes dues dècades, els videojocs han anat ocupant un camp establert de la investigació psicològica. En els últims anys hi ha hagut un augment de la investigació sobre el canvi de gènere online, mostrant que per a molts grups o individus això pot tenir beneficis psicològics (per exemple, com una manera d’explorar lesfuncions i els límits de gènere en un entorn segur). Fins a la data, cap investigació ha examinat el canvi de gènere online en els individus amb disfòria de gènere - persones amb problemes d’identitat de gènere. Utilitzant quatre estudis de cas, aquest estudi exploratori va examinar el paper del joc en la vida dels individus que busquen tractament per disfòria de gènere. Els objectius principals eren d’usar estudis de casos exemplar per mostrar que jugar jocs online pot ser - en algunes circumstàncies - una manera funcional de tractar amb problemes d’identitat degènere, i que el canvi de gènere en els jocs poden ajudar aquests individus a millorar la disfòria de gènere. Es discuteixen les limitacions de les dades recollides i es suggereixen recomanacions per a futures investigacions.

وصف الملف: application/pdf

العلاقة: https://www.raco.cat/index.php/Aloma/article/view/315262/405386Test

الوصول الحر: https://www.raco.cat/index.php/Aloma/article/view/315262Test

المؤلفون: Roijer, Philippine J., Vallinga, Marleen S., Pidgeon, Thomas E., Ceulemans, Aline, Bakker, Alex, Carriere, Brenda, Rashid, Tina, Bellringer, James, Belinky, Javier, Buncamper, Marlon, Morrison, Shane D., Bouman, Walter P., Bouman, Mark-Bram, Mullender, Margriet G.

المصدر: INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH ; ISSN: 2689-5269 ; ISSN: 2689-5277

مصطلحات موضوعية: Medicine and Health Sciences, genital gender affirming surgery, core outcome set, transgender, gender diverse, gender affirming treatment, Delphi, the project is prospectively registered in the Core Outcome Measures in Effectiveness Trials (COMET) database (nos. 2064 and 2067). The protocol was approved by the Ethical Review Board of the Amsterdam UMC, location VUmc (no. 2022.0102), DELPHI SURVEYS, RECONSTRUCTION, VAGINOPLASTY, FEEDBACK, PATIENT

الوصف: Background: Worldwide an increasing number of transgender and gender diverse individuals are requesting genital Gender Affirming Surgery (gGAS). For both masculinizing and feminizing gGAS various procedures and techniques are employed. Current literature on gGAS reports heterogeneous, non-standardized and often ill-defined outcomes. Presently, no consensus exists on what outcomes should be evaluated in order to assess the clinical results and the effectiveness of these procedures, which precludes development of evidence-based treatment guidelines.Aims: This international consensus study aims to develop Core Outcome Sets (COS) for both masculinizing and feminizing gGAS. These represent the minimum sets of outcomes recommended to be measured and reported in all clinical trials pertaining to gGAS.Methods: Two Core Outcome Sets for masculinizing and feminizing gGAS will be developed in parallel by following the Core Outcome Measures in Effectiveness Trials (COMET) guidelines. The stages of development for each set are: i) Identify outcomes measured and reported in previous research through a systematic review of the literature; ii) Identify outcomes suggested by transgender and gender diverse individuals during focus groups and interviews; iii) Combine and structure the outcomes into a preliminary outcome list; iv) Conduct e-Delphi surveys among stakeholders (i.e. professionals in transgender healthcare and transgender individuals) in which all potential outcomes will be rated on level of importance; and v) Decide on the final COS during an online consensus meeting.Discussion: This study will produce minimum, core sets of relevant outcomes for gGAS, through reaching international consensus with key stakeholders, including transgender individuals. Development of these COS will enable the measurement and reporting of relevant and standardized outcomes, facilitating continued scientific advancement of this field.

وصف الملف: application/pdf

العلاقة: https://biblio.ugent.be/publication/01HR9WN6A4FWFAW3V8KQ4ZVC9ATest; http://hdl.handle.net/1854/LU-01HR9WN6A4FWFAW3V8KQ4ZVC9ATest; http://doi.org/10.1080/26895269.2023.2288881Test; https://biblio.ugent.be/publication/01HR9WN6A4FWFAW3V8KQ4ZVC9A/file/01HR9Z823SA0N5N5FZ4DBTF8QQTest

الإتاحة: https://doi.org/10.1080/26895269.2023.2288881Test
https://biblio.ugent.be/publication/01HR9WN6A4FWFAW3V8KQ4ZVC9ATest
http://hdl.handle.net/1854/LU-01HR9WN6A4FWFAW3V8KQ4ZVC9ATest
https://biblio.ugent.be/publication/01HR9WN6A4FWFAW3V8KQ4ZVC9A/file/01HR9Z823SA0N5N5FZ4DBTF8QQTest

المؤلفون: Roijer, Philippine J., Vallinga, Marleen S., Pidgeon, Thomas E., Ceulemans, Aline, Bakker, Alex, Carrière, Brenda, Rashid, Tina, Bellringer, James, Belinky, Javier, Buncamper, Marlon, Morrison, Shane D., Bouman, Walter P., Bouman, Mark Bram, Mullender, Margriet G.

المصدر: Roijer , P J , Vallinga , M S , Pidgeon , T E , Ceulemans , A , Bakker , A , Carrière , B , Rashid , T , Bellringer , J , Belinky , J , Buncamper , M , Morrison , S D , Bouman , W P , Bouman , M B & Mullender , M G 2023 , ' The GenderCOS project : study protocol for the development of two international Core Outcome Sets for genital gender affirming surgery ' , International Journal of Transgender Health . https://doi.org/10.1080/26895269.2023.2288881Test

الوصف: Background: Worldwide an increasing number of transgender and gender diverse individuals are requesting genital Gender Affirming Surgery (gGAS). For both masculinizing and feminizing gGAS various procedures and techniques are employed. Current literature on gGAS reports heterogeneous, non-standardized and often ill-defined outcomes. Presently, no consensus exists on what outcomes should be evaluated in order to assess the clinical results and the effectiveness of these procedures, which precludes development of evidence-based treatment guidelines. Aims: This international consensus study aims to develop Core Outcome Sets (COS) for both masculinizing and feminizing gGAS. These represent the minimum sets of outcomes recommended to be measured and reported in all clinical trials pertaining to gGAS. Methods: Two Core Outcome Sets for masculinizing and feminizing gGAS will be developed in parallel by following the Core Outcome Measures in Effectiveness Trials (COMET) guidelines. The stages of development for each set are: i) Identify outcomes measured and reported in previous research through a systematic review of the literature; ii) Identify outcomes suggested by transgender and gender diverse individuals during focus groups and interviews; iii) Combine and structure the outcomes into a preliminary outcome list; iv) Conduct e-Delphi surveys among stakeholders (i.e. professionals in transgender healthcare and transgender individuals) in which all potential outcomes will be rated on level of importance; and v) Decide on the final COS during an online consensus meeting. Discussion: This study will produce minimum, core sets of relevant outcomes for gGAS, through reaching international consensus with key stakeholders, including transgender individuals. Development of these COS will enable the measurement and reporting of relevant and standardized outcomes, facilitating continued scientific advancement of this field.

العلاقة: https://research.vumc.nl/en/publications/8ae8801f-071d-462e-9314-635211a40abaTest

الإتاحة: https://doi.org/10.1080/26895269.2023.2288881Test
https://research.vumc.nl/en/publications/8ae8801f-071d-462e-9314-635211a40abaTest
http://www.scopus.com/inward/record.url?scp=85179739205&partnerID=8YFLogxKTest

المؤلفون: Nobili, Anna (ORCID 0000-0002-4336-0749), Glazebrook, Cris, Bouman, Walter Pierre, Glidden, Derek, Baron-Cohen, Simon, Allison, Carrie, Smith, Paula, Arcelus, Jon

المصدر: Journal of Autism and Developmental Disorders. Dec 2018 48(12):3984-3994.

تمت مراجعته من قبل الزملاء: Y

Page Count: 11

الواصفات: Autism, Pervasive Developmental Disorders, Sexual Identity, Symptoms (Individual Disorders), Anxiety, Antisocial Behavior, Social Behavior, Adults

مستخلص: The present study aimed to compare prevalence of autistic traits measured by the self-reported autism spectrum quotient-short (AQ-short) in a transgender clinical population (n = 656) matched by age and sex assigned at birth to a cisgender community sample. Results showed that transgender and cisgender people reported similar levels of possible autistic caseness. Transgender people assigned female were more likely to have clinically significant autistic traits compared to any other group. No difference was found between those assigned male. High AQ scores may not be indicative of the presence of an autism spectrum condition as the difference between groups mainly related to social behaviours; such scores may be a reflection of transgender people's high social anxiety levels due to negative past experiences. [This research was presented as oral presentation at the EPATH (European Professional Association for Transgender Health) in April 2017, Belgrade, Serbia.]

Abstractor: As Provided

المؤلفون: Thorne, Nat, Aldridge, Zoe, Bouman, Walter P., Marshall, Ellen, Arcelus, Jon

مصطلحات موضوعية: Gender identity, Gender dysphoria

الوصف: Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). ; INTRODUCTION: Identities that lie outside of exclusively male and female, such as non-binary and genderqueer, have become increasingly more prevalent and visible within recent years. However, to date, the role of terminology in the development of such gender identities has been under-researched. This study aims to: (1) Examine what role terminology plays in coming to identify as non-binary. (2) Explore the continuing importance of terminology once a non-binary identity is established. METHODS: This study uses thematic analysis on data produced from interviews with 16 participants who self-selected for the study and were recruited from several transgender and LGBTQ+ organisations on the basis that they identified outside the gender binary of male and female. RESULTS: The analysis uncovered several key themes and sub-themes relating to terminology choice, encountering new terms and the process of identifying with new terminology, as well as becoming visible and understood by others. CONCLUSIONS: This study found that terminology is not only central in coming to identify as something other than exclusively male and female, it also remains an important factor when it comes to making a non-binary identity visible to others. ; https://www.mdpi.com/2227-9032/11/7/960Test

وصف الملف: Full text uploaded

العلاقة: Thorne, N., Aldridge, Z., Yip, A. K., Bouman, W. P., Marshall, E. & Arcelus, J. (2023). 'I didn't have the language then'-a qualitative examination of terminology in the development of non-binary identities. Healthcare, 11 (7), pp.960.; http://hdl.handle.net/20.500.12904/17478Test

الإتاحة: https://doi.org/20.500.12904/17478Test
https://doi.org/10.3390/healthcare11070960Test
https://hdl.handle.net/20.500.12904/17478Test

المؤلفون: Aldridge, Zoe, Thorne, Nat, Bouman, Walter P., Arcelus, Jon

مصطلحات موضوعية: Mental health, Gender dysphoria, Transgender persons, Social support

الوصف: Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). ; While positive changes in mental health have been found following gender-affirming hormone treatment (GAHT), it is unclear how pre-GAHT mental health and social support can influence treatment outcomes. To address this, a retrospective longitudinal design was used in which 137 participants completed measures of social support, anxiety, and depression prior to GAHT (T0) and a measure of life satisfaction 18 months after GAHT (T1). The data showed no significant differences in life satisfaction at T1 based on T0 caseness of anxiety or depression. It was also found that T1 life satisfaction was not predicted by levels of anxiety, depression, or social support at T0. The lack of significant differences in life satisfaction at 18 months post-GAHT based on pre-GAHT mental health, coupled with no evidence for the predictive role social support suggest that these factors are not central to long-term life satisfaction. For many, lower mental wellbeing may be part of the experience of awaiting GAHT and should not be regarded as indicative of longer-term issues. Instead, facilitation of social support connections and mental health support should be offered both concurrently with, and for those awaiting, GAHT. ; https://www.mdpi.com/2227-9032/11/3/379Test

وصف الملف: Full text uploaded

العلاقة: Aldridge, Z., Thorne, N., Bouman, W. P., Witcomb, G. L. & Arcelus, J. (2023). A Longitudinal study exploring the role of mental health symptoms and social support regarding life satisfaction 18 months after initiation of gender-affirming hormone treatment. Healthcare, 11 (3), pp.379.; http://hdl.handle.net/20.500.12904/17123Test

الإتاحة: https://doi.org/20.500.12904/17123Test
https://doi.org/10.3390/healthcare11030379Test
https://hdl.handle.net/20.500.12904/17123Test

المؤلفون: Beek, Titia F., Cohen-Kettenis, Peggy T., Bouman, Walter P., de Vries, Annelou L. C., Steensma, Thomas D., Witcomb, Gemma L., Arcelus, Jon, Richards, Christina, De Cuypere, Griet, Kreukels, Baudewijntje P. C.

المساهمون: Braitstein, Paula

مصطلحات موضوعية: General Biochemistry, Genetics and Molecular Biology, General Agricultural and Biological Sciences, General Medicine

العلاقة: https://nottingham-repository.worktribe.com/output/1291145Test; PLoS ONE; Volume 12; Issue 1; https://nottingham-repository.worktribe.com/file/1291145/1/journal.pone.0168522Test

الإتاحة: https://doi.org/10.1371/journal.pone.0168522Test
https://nottingham-repository.worktribe.com/file/1291145/1/journal.pone.0168522Test
https://nottingham-repository.worktribe.com/output/1291145Test

المؤلفون: Braitstein, Paula, Beek, Titia F., Cohen-Kettenis, Peggy T., Bouman, Walter P., de Vries, Annelou L.C., Steensma, Thomas D., Witcomb, Gemma L., Arcelus, Jon, Richards, Christina, Elaut, Els, Kreukels, Baudewijntje P.C.

الوصف: The World Health Organization (WHO) is currently updating the tenth version of their diagnostic tool, the International Classification of Diseases (ICD, WHO, 1992). Changes have been proposed for the diagnosis of Transsexualism (ICD-10) with regard to terminology, placement and content. The aim of this study was to gather the opinions of transgender individuals (and their relatives/partners) and clinicians in the Netherlands, Flanders (Belgium) and the United Kingdom regarding the proposed changes and the clinical applicability and utility of the ICD-11 criteria of ‘Gender Incongruence of Adolescence and Adulthood’ (GIAA). A total of 628 participants were included in the study: 284 from the Netherlands (45.2%), 8 from Flanders (Belgium) (1.3%), and 336 (53.5%) from the UK. Most participants were transgender people (or their partners/relatives) (n = 522), 89 participants were healthcare providers (HCPs) and 17 were both healthcare providers and (partners/relatives of) transgender people. Participants completed an online survey developed for this study. Most participants were in favor of the proposed diagnostic term of ‘Gender Incongruence’ and thought that this was an improvement on the ICD-10 diagnostic term of ‘Transsexualism’. Placement in a separate chapter dealing with Sexual- and Gender-related Health or as a Z-code was preferred by many and only a small number of participants stated that this diagnosis should be excluded from the ICD-11. In the UK, most transgender participants thought there should be a diagnosis related to being trans. However, if it were to be removed from the chapter on “psychiatric disorders”, many transgender respondents indicated that they would prefer it to be removed from the ICD in its entirety. There were no large differences between the responses of the transgender participants (or their partners and relatives) and HCPs. HCPs were generally positive about the GIAA diagnosis; most thought the diagnosis was clearly defined and easy to use in their practice or work. The duration of ...

العلاقة: https://nottingham-repository.worktribe.com/output/821962Test; PLoS ONE; Volume 11; Issue 10; https://nottingham-repository.worktribe.com/file/821962/1/Beek%20et%20al%20%202016%20PlosOne%20Gender%20Incongruence%20of%20Adolescence%20and%20Adulthood.pdfTest

الإتاحة: https://doi.org/10.1371/journal.pone.0160066Test
https://nottingham-repository.worktribe.com/file/821962/1/Beek%20et%20al%20%202016%20PlosOne%20Gender%20Incongruence%20of%20Adolescence%20and%20Adulthood.pdfTest
https://nottingham-repository.worktribe.com/output/821962Test

المؤلفون: Beek, Titia F, Cohen-Kettenis, Peggy T, Bouman, Walter P, de Vries, Annelou LC, Steensma, Thomas D, Witcomb, Gemma L, Arcelus, Jon, Richards, Christina, Elaut, Els, Kreukels, Baudewijntje PC

المصدر: PLOS ONE ; ISSN: 1932-6203

مصطلحات موضوعية: Medicine and Health Sciences, World Health Organization, Diagnostic Classification, Clinical Utility, Terminology, Transsexualism, Gender Identity Disorder, Gender Dysphoria, Gender Incongruence

الوصف: The World Health Organization (WHO) is currently updating the tenth version of their diagnostic tool, the International Classification of Diseases (ICD, WHO, 1992). Changes have been proposed for the diagnosis of Transsexualism (ICD-10) with regard to terminology, placement and content. The aim of this study was to gather the opinions of transgender individuals (and their relatives/partners) and clinicians in the Netherlands, Flanders (Belgium) and the United Kingdom regarding the proposed changes and the clinical applicability and utility of the ICD-11 criteria of `Gender Incongruence of Adolescence and Adulthood' (GIAA). A total of 628 participants were included in the study: 284 from the Netherlands (45.2%), 8 from Flanders (Belgium) (1.3%), and 336 (53.5%) from the UK. Most participants were transgender people (or their partners/relatives) (n = 522), 89 participants were healthcare providers (HCPs) and 17 were both healthcare providers and (partners/relatives of) transgender people. Participants completed an online survey developed for this study. Most participants were in favor of the proposed diagnostic term of `Gender Incongruence' and thought that this was an improvement on the ICD-10 diagnostic term of 'Transsexualism'. Placement in a separate chapter dealing with Sexual- and Gender-related Health or as a Z-code was preferred by many and only a small number of participants stated that this diagnosis should be excluded from the ICD-11. In the UK, most transgender participants thought there should be a diagnosis related to being trans. However, if it were to be removed from the chapter on ªpsychiatric disordersº, many transgender respondents indicated that they would prefer it to be removed from the ICD in its entirety. There were no large differences between the responses of the transgender participants (or their partners and relatives) and HCPs. HCPs were generally positive about the GIAA diagnosis; most thought the diagnosis was clearly defined and easy to use in their practice or work. The duration of ...

وصف الملف: application/pdf

العلاقة: https://biblio.ugent.be/publication/8037987Test; http://hdl.handle.net/1854/LU-8037987Test; http://dx.doi.org/10.1371/journal.pone.0160066Test; https://biblio.ugent.be/publication/8037987/file/8126208Test

الإتاحة: https://doi.org/10.1371/journal.pone.0160066Test
https://biblio.ugent.be/publication/8037987Test
http://hdl.handle.net/1854/LU-8037987Test
https://biblio.ugent.be/publication/8037987/file/8126208Test