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School refusal by patients with gender identity disorder
Seishi Terada1, Yosuke Matsumoto, Toshiki Sato
1Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan. terada@cc.okayama-u.ac.jp
General Hospital Psychiatry
|January 10, 2012
Summary
School refusal is prevalent in patients with gender identity disorder (GID), affecting nearly 30%. This behavior is linked to parental divorce and may lead to lower educational attainment, highlighting the need for early intervention.
Area of Science:
- Psychiatry
- Gender Studies
- Pediatrics
Background:
- School refusal behavior is linked to adverse outcomes.
- Limited research exists on school refusal in individuals with gender identity disorder (GID).
- Understanding this link is crucial for supporting affected youth.
Purpose of the Study:
- To determine the prevalence of school refusal among Japanese patients with GID.
- To investigate demographic factors associated with school refusal in this population.
Main Methods:
- Evaluation of 579 consecutive Japanese GID patients.
- Data collected at the outpatient GID Clinic of Okayama University Hospital (April 1997 - October 2005).
- Analysis included logistic regression to identify associated factors.
Main Results:
- The prevalence of school refusal was 29.2% in the study sample.
- School refusal was more common in GID patients from divorced families.
- Younger age at consultation and parental divorce were significant predictors for male-to-female GID patients.
Conclusions:
- A high rate of school refusal exists among GID patients.
- School refusal is associated with lower educational achievement and unemployment.
- Increased attention to school-aged GID patients is necessary to prevent school refusal and its consequences.
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