Journal Article

Heterogeneity in gender dysphoria in a Brazilian sample awaiting gender-affirming surgery: a data-driven analysis

Lobato, Maria Inês Rodrigues, Salati, Leonardo Romeira, Silva, Dhiordan Cardoso, Rabelo-da-Ponte, Francisco Diego

2022

Overview

Background Population heterogeneity and the lack of clinical and sociodemographic information in transgender individuals with gender dysphoria (GD) remains a challenge for specialized services in mental health and surgical procedures. It aimed to identify and describe profiles in a sample waiting for gender-affirming surgery. Methods A sample of 100 outpatients with GD was assessed through a structured interview, Emotion Regulation Difficulty Scale (DERS), Ruminative Response Scale (RRS), Depression, Anxiety and Stress Scale (DASS-21) and Life Satisfaction scale (SWLS). Cluster analysis was used to identify different profile categories. Results Two subgroups with different profiles were identified: with less clinical severity (LCS) and with high clinical severity (HCS) on emotional dysregulation, acute symptoms of depression, anxiety, stress and association with mental rumination. The HCS cluster had greater vulnerability in terms of psychiatric history, use of psychotropic drugs, HIV positive, child abuse and suicidal behavior. Conclusion Different profiles were found regarding the vulnerability to mental health in a sample of transgender people with GD who seek a public hospital service for the same clinical-surgical objective. Longitudinal studies are essential to monitor the impact of these contrasts and to target personalized therapeutic approaches in the prevention of psychiatric disorders.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Anxiety / Brazil / Child / Child & adolescent mental health / Child abuse & neglect / Cluster Analysis / Complications and side effects / Consent / Data analysis / Drug abuse / Emotional regulation / Emotions / Female / Gender / Gender Dysphoria / Gender Dysphoria - psychology / Gender Dysphoria - surgery / Gender identity / Gender identity disorders / Gender-affirming care / Gender-affirming Surgery / Health aspects / Health services / HIV / Hospitals / Human immunodeficiency virus / Humans / Life satisfaction / Male / Medicine / Medicine & Public Health / Mental depression / Mental disorders / Mental Health / Population / Psychiatry / Psychological aspects / Psychotherapy / Psychotropic drugs / Rumination / Sociodemographics / Suicidal behavior / Suicidal Ideation / Surgery / Surveys / Transgender people / Transgender Persons / Transgender Persons - psychology / Transsexuals / Unsupervised Machine learning