Table 4.
An overview of the studies focusing on the presence of PDs and psychiatric comorbidity in persons with GID (e.g., transsexualism).
Author |
Levine, 1980 [22] |
Bodlund et al., 1993 [14] |
Bodlund and Armelius, 1994 [15] |
Cole et al., 1997 [11] |
Haraldsen and Dahl, 2000 [16] |
Hepp et al., 2005 [12] | Madeddu et al., 2009 [13] |
Hoshiai et al., 2010 [9] |
This paper |
---|---|---|---|---|---|---|---|---|---|
Diagnostic criteria |
DSM- III |
DSM-III-R | DSM-III-R | DSM-IV | DSM-III-R/IV | DSM-IV | DSM-III-R | DSM-IV | DSM-IV |
| |||||||||
Assessment method |
Clinical interview | SCID | SCID screen |
Clinical interview |
SCID-II | SCID-II | SCID-II | — | SCID-II |
| |||||||||
Sex | MtF-10 FtM-9 |
— | MtF-318 FtM-117 |
MtF + FtM-86 | MtF-20 FtM-11 |
MtF-34 FtM-16 |
MtF-230 FtM-349 |
MtF-21, FtM-9 |
|
| |||||||||
Total sample |
N = 51 | N = 19 | N = 18 | N = 435 | N = 86 | N = 31 | N = 50 | N = 579 | N = 30 |
| |||||||||
Prevalence of PD |
66% | 3 (30%) 6 (67%) |
33,3% | 18 (6%) 5 (4%) 4% MtF, 3% FtM |
8 (40%) 4 (36%) prevalence of PD 19,8% |
42% | 20 (77%) 23 (23%) |
41 (19%) 38 (12%) |
20 (66,6%) comorbid PDs 13 (46,6%) |
| |||||||||
Main results |
Mainly cluster B or C PDs |
Clusters B (22,2%), C (11,1%), and A (0%) |
Clusters A (schizoid PD) and B (borderline PD) most frequent diagnosis |
Clusters A 5,8%, B 8,1%, and C 5,8%, NOS 0% |
Clusters A 16,1%, B 22,6%, and C 19,4%, NOS 6,5% |
Clusters A 2%, B 22%, and C 12%. NOS 16% No differences in psychopathological profile and severity between MtF and FtM TS |
Adjustment disorder (6,7%), anxiety disorder (3,6%), and mood disorder (1,4%, 8/579): all were associated with histories of suicidal ideation (in FtM, but not in MtF group) |
Clusters A and C (paranoid PD—43,3% and avoidant PD—26,7%). Differences in relation to biological sex in GID group versus heterosexuals (MtF: paranoid, schizoid, borderline, and avoidant PD; FtM: paranoid PD) |
|
| |||||||||
Sample characteristics |
Patients requesting SRS |
Transsexuals, for example, GID (DSM-III-R) |
Transsexuals, for example, GID (DSM-III-R) | Patients requesting SRS |
Mixed sample, pre- and post-SRS |
GID (DSM-IV) |
GID (DSM-III-R) |
GID (DSM-IV) | GID patients (DSM-IV) |