青少年性别失调的青春期阻断剂:系统性审查和元分析
Anna Miroshnychenko1, Yetiani Roldan1, Sara Ibrahim1
1Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Archives of disease in childhood
|January 24, 2025
概括
这一系统性审查发现,关于青春期阻断剂对性别失调症 (GD) 的影响的证据确定性非常低. 需要更严格的研究来了解青春期阻断剂对患有GD的个体心理和身体结果的影响.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 青少年医学 青少年医学
背景情况:
- 性别失调症 (GD) 涉及到因性别和性别认同之间不一致而造成的心理痛苦.
- 青春期阻断剂是用来延迟性特征的发展,在个人的GD.
- 本综述评估了关于青春期阻断剂对GD的影响的证据.
研究的目的:
- 系统地审查和总结有关青春期阻断剂对性别失调患者影响的证据的确定性.
- 评估与青春期阻断剂使用相关的心理和身体结果.
主要方法:
- 在多个数据库中进行了搜索 (Medline,Embase,PsychINFO等). 在2023年9月之前.
- 包括观察性研究 (比较,前后,病例系列) 对26岁以下的患有GD的个体.
- 使用GRADE方法评估偏差风险和证据确定性.
主要成果:
- 包括10项研究:3项是比较性观察研究,7项是前后研究.
- 来自比较研究的全球功能和抑郁症的证据确定性非常低.
- 在前后研究中,关于GD,全球功能,抑郁症和骨矿物密度的证据确定性非常低.
结论:
- 关于青春期阻断剂对患有GD的个体的影响存在相当大的不确定性.
- 方法上严格的前性研究对于澄清这些影响至关重要.
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