性别失调青少年的开始年龄和内化问题:是否存在关联?
Saskia Fahrenkrug1, Inga Becker-Hebly2, Lena Herrmann2
1Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W35, 20251, Hamburg, Germany. s.fahrenkrug@uke.de.
Archives of sexual behavior
|March 24, 2025
概括
青少年晚期发生的性别障碍症 (GD) 与早期发生的GD相比,与更多的内化心理问题有关. 这凸显了对脆弱年轻人的个性化评估和治疗方法的需要.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 青少年健康 青少年健康
背景情况:
- 青少年的性别障碍症 (GD) 呈现出不同的临床特征和心理问题,表明不同的发展途径.
- 了解GD发病的年龄对于识别不同的临床轨迹和相关挑战至关重要.
研究的目的:
- 在青少年的临床样本中调查早期发病 (EO) 与晚发病 (LO) 性别障碍症的患病率.
- 检查GD发病年龄与内化问题的存在之间的关联.
主要方法:
- 分析了462名在德国性别认同服务中心被诊断患有GD的青少年 (11-18岁) 的样本.
- 使用DSM-5标准追溯确定发病年龄,将病例分类为EO或LO.
- 用青年自我报告 (YSR) 问卷来评估内化问题.
主要成果:
- 51%的青少年呈现EO GD,而49%的青少年有LO GD.
- 超过一半的样本 (58%) 报告了临床上显著的内化问题.
- 晚期发病的GD与较早发病的GD相比,与内化问题的更高患病率显著相关.
结论:
- 患有晚发性性别障碍症的青少年代表了一个特别脆弱的子组,需要量身定制的诊断和治疗考虑.
- 目前基于物理干预的基于协议的方法可能需要用个性化,发育相关的策略来补充.
- 认识到GD呈现的异质性对于有效的青少年护理至关重要.
相关概念视频
Cognitive Development During Adolescence
36
During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the...
36
Socioemotional Experience and Gender Development
19
Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
19
Conduct Disorder
23
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
23
Ethnic Identity within a Larger Culture
24
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
24
Oppositional Defiant Disorder
22
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
22
Psychosexual Stages of Personality: Latency
336
Following the phallic stage in Freud's theory of psychosexual development, children enter a phase called the latency period, which lasts from approximately six to twelve years of age. Unlike earlier stages, where sexual impulses played a central role, Freud believed these impulses are repressed during the latency period, becoming part of the unconscious. This stage is often described as a time of psychological calm after the turbulence of the phallic stage.
The latency period is not...
The latency period is not...
336


