Abstract
Aim
To assess the effect of social function, motivation, support, and traumatic childhood experiences on follow-up behavior of patients with gender dysphoria (GD). Method: All the patients with GD who came to our clinic for endocrinological visit between September 2020 and July 2021 were asked to participate in this cross-sectional study. People with GD that provided consent were included in trans group. We also assigned age-matched cis-gender healthy controls. Data regarding gender transition process were collected retrospectively from medical charts. All the participants were administered Social Adaptation Self-evaluation Scale (SASS), Childhood Trauma Questionnaire (CTQ), and Multidimensional Scale of Perceived Social Support (MSPSS). The results were compared between groups.
Results
The study included 50 male-to-female with GD (MtF), 50 female-to-male with GD (FtM), 48 cis-females, 28 cis-males. The ratio of regular follow-up was higher in FtMs (n=48, 77.1%) than MtFs (n=39, 56.4%) (p<0. 05). Among lost to follow-up patients with GD, MtFs (n=17, %64.7) had a higher suicide rate than FtMs (n=11, %9.1) (p<0. 05). MtFs had lower CTQ and emotional abuse scores and higher sexual abuse scores than FtMs (p<0. 05).
Conclusion
Childhood traumas, emotional and sexual abuse may serve the reason for the loss to follow-up of MtFs.
Presentation: No date and time listed