Gender dysphoria in children and adolescents: a review of recent research

@article{Fuss2015GenderDI,
  title={Gender dysphoria in children and adolescents: a review of recent research},
  author={Johannes Fuss and Matthias K. Auer and Peer Briken},
  journal={Current Opinion in Psychiatry},
  year={2015},
  volume={28},
  pages={430–434}
}
Purpose of review With the advent of medical treatments such as puberty suppression and cross-sex hormones in gender dysphoric minors, there has been a debate around questions of gender identity and brain development. This review aimed to identify recent empirical studies that addressed this controversial topic. Recent findings Epidemiological data from several countries indicate that gender dysphoria in children and adolescents is far more common than initially anticipated. This is in line… 
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References

SHOWING 1-10 OF 30 REFERENCES
Evidence for an altered sex ratio in clinic-referred adolescents with gender dysphoria.
TLDR
Sociological and sociocultural explanations are offered to account for this recent inversion in the sex ratio of adolescents with gender dysphoria.
Young people with features of gender dysphoria: Demographics and associated difficulties
TLDR
In conclusion, young people with gender dysphoria often present with a wide range of associated difficulties which clinicians need to take into account, and the article highlights the often complex presentations of these young people.
Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment
TLDR
A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, followed by cross-sex hormones and gender reassignment surgery, provides gender dysphoric youth who seekgender reassignment from early puberty on, the opportunity to develop into well-functioning young adults.
Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study
TLDR
Both persisters and desisters stated that the changes in their social environment, the anticipated and actual feminization or masculinization of their bodies, and the first experiences of falling in love and sexual attraction had influenced their gender related interests and behaviour, feelings of gender discomfort and gender identification.
Clinical management of gender identity disorder in adolescents: a protocol on psychological and paediatric endocrinology aspects
TLDR
Preliminary findings suggest that a decrease in height velocity and bone maturation occurs, and GnRHa treatment appears to be an important contribution to the clinical management of gender identity disorder in transsexual adolescents.
Psychiatric comorbidity in gender dysphoric adolescents.
TLDR
Despite the suffering resulting from the incongruence between experienced and assigned gender at the start of puberty, the majority of gender dysphoric adolescents do not have co-occurring psychiatric problems and delayed eligibility for medical interventions is associated with psychiatric comorbidity.
Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development
TLDR
The findings do not fit the commonly accepted image of a gender dysphoric minor and treatment guidelines need to consider gender dysphoria in minors in the context of severe psychopathology and developmental difficulties.
Body Image in Young Gender Dysphoric Adults: A European Multi-Center Study
TLDR
The aim of the study was to develop new scales and examine the psychometric properties of the Hamburg Body Drawing Scale and find psychosocial guidance with regard to body image might be helpful for GD individuals before transitioning.
The treatment of adolescent transsexuals: changing insights.
TLDR
The pros and cons of the various approaches to youngsters with GID are presented, hopefully inciting a sound scientific discussion of the issue.
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