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Sociodemographic, Clinical, and Psychiatric Characteristics of Transsexuals from Spain

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Abstract

The aim of this study was to examine the characteristics of transsexuals from Spain. A total of 252 consecutive applicants for sex reassignment were evaluated using a standardized semistructured clinical interview and the Mini International Neuropsychiatric Interview (Spanish Version 5.0.0) to record demographic, clinical, and psychiatric data. Transsexualism was diagnosed in 230 patients, with a male to female (MF)/female to male (FM) ratio of 2.2:1. Transsexual patients frequently had low employment status, lived with their parents, and mainly had a sexual orientation toward same-sex partners. The most frequent psychiatric diagnoses were adjustment disorder and social phobia in both groups, and alcohol and substance-related disorders in the MF group. MF transsexuals were older than FM transexuals when requesting sex reassignment, but did not differ in age when starting hormonal therapy (often on their own); fewer MFs were in employment requiring high educational qualification, more were non-Spanish natives, and more had previous and current histories of alcohol and substance abuse or dependence. The basic characteristics of transsexuals from Spain were similar to those of other European countries, except for the higher proportion of patients living with their parents and the higher proportion of MFs who reported same-sex sexual orientation compared with previous studies.

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References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Bakker, A., van Kesteren, P. J. M., Gooren, L. J. G., & Bezemer, P. D. (1993). The prevalence of transsexualism in The Netherlands. Acta Psychiatrica Scandinavica, 87, 237–238.

    Article  PubMed  Google Scholar 

  • Becerra, A., de Luis, D. A., & Piédrola, G. (1999). Morbilidad en pacientes transexuales con autotratamiento hormonal para cambio de sexo [Morbidity in transsexuals with cross-gender hormone self-administration]. Medicina Clínica (Barc), 113, 484–487.

    Google Scholar 

  • Bergero Miguel, T., Cano Oncala, G., Esteva de Antonio, I., Giraldo, F., Gornemann Schaffer, I., & Alvarez Ortega, P. (2001). Evaluación diagnóstica y seguimiento psicológico en la Unidad de Trastornos de Identidad de Género en Andalucía, Málaga [Psychological evaluation and follow-up by the Andalusian gender identity disorder unit in Malaga, Spain]. Cirugía Plástica Ibero-latinoamericana, 27, 263–272.

    Google Scholar 

  • Blanchard, R. (1989). The concept of autogynephilia and the typology of male gender dysphoria. Journal of Nervous and Mental Disease, 177, 616–623.

    Article  PubMed  Google Scholar 

  • Blanchard, R., Clemmensen, L. H., & Steiner, B. W. (1987). Heterosexual and homosexual gender dysphoria. Archives of Sexual Behavior, 16, 139–152.

    Article  PubMed  Google Scholar 

  • Bobes, J., Gutierrez, M., Palao, D., Ferrando, L., Gibert-Rahola, J., Lecrubier, Y., et al. (1997). Validez del M.I.N.I. (Mini International Neuropsychiatric Interview) en tres centros de AP en España [The validity of the M.I.N.I. (Mini International Neuropsychiatric Interview) in three Spanish primary care centers]. Psiquiatría Biológica, 4(Suppl. 2), 79.

    Google Scholar 

  • Bodlund, O., Kullgren, G., Sundbom, E., & Höjerback, T. (1993). Personality traits and disorders among transsexuals. Acta Psychiatrica Scandinavica, 88, 322–327.

    Article  PubMed  Google Scholar 

  • Burns, A., Farrell, M., & Brown, J. C. (1990). Clinical features of patients attending a gender-identity clinic. British Journal of Psychiatry, 157, 265–268.

    Article  PubMed  Google Scholar 

  • Cohen-Kettenis, P. T., & van Goozen, S. H. M. (1997). Sex reassignment of adolescent transsexuals: A follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 263–271.

    Article  PubMed  Google Scholar 

  • Cole, C. M., O’Boyle, M., Emory, L. E., & Meyer, W. J. (1997). Comorbidity of gender dysphoria and other major psychiatric diagnoses. Archives of Sexual Behavior, 26, 13–26.

    Article  PubMed  Google Scholar 

  • De Cuypere, G., Janes, C., & Rubens, R. (1995). Psychosocial functioning of transsexuals in Belgium. Acta Psychiatrica Scandinavica, 91, 180–184.

    Article  PubMed  Google Scholar 

  • De Cuypere, G., Van Hemelrijck, M., Michel, A., Carael, B., Heylens, G., Rubens, R., et al. (2007). Prevalence and demography of transsexualism in Belgium. European Psychiatry, 22, 137–141.

    Article  PubMed  Google Scholar 

  • Dixen, J. M., Maddever, M., Van Maasdam, J., & Edwards, P. W. (1984). Psychosocial characteristics of applicants evaluated for surgical gender reassignment. Archives of Sexual Behavior, 13, 269–276.

    Article  PubMed  Google Scholar 

  • Esteva de Antonio, I., Bergero Miguel, T., Giraldo Ansio, F., Cano Oncala, G., Ruíz de Adana, S., Crespillo Gómez, C., et al. (2002). Unidad de trastornos de identidad de género en Andalucía. Experiencia del primer año de funcionamiento [Gender identity disorder unit in Ansalusia. The experience of the first year]. Endocrinolología y Nutrición, 49, 71–74.

    Google Scholar 

  • Esteva de Antonio, I., Giraldo, F., Bergero de Miguel, T., Cano Oncala, G., Crespillo Gómez, C., Ruíz de Adana, S., et al. (2001). Evaluación endocrinológica y tratamiento hormonal de la transexualidad en la Unidad de Trastornos de Identidad de Género en Andalucía (Málaga) [Endocrinological evaluation and hormone treatment of transsexuality by the Andalusian gender identity disorder unit in Malaga (Spain)]. Cirugía Plástica Ibero-latinoamericana, 27, 273–280.

    Google Scholar 

  • Garrels, L., Köckott, G., Michael, N., Preuss, W., Renter, K., Schmidt, G., et al. (2000). Sex ratio of transsexuals in Germany: The development over three decades. Acta Psychiatrica Scandinavica, 102, 445–448.

    Article  PubMed  Google Scholar 

  • Giraldo, F., Esteva, I., & Bergero, T. (2001). Experiencia quirúrgica del primer año en la única unidad de identidad de género en Andalucía (Málaga, España) [Surgical experience of the first years in the only unit of gender identity disorders in Andalusia (Malaga, Spain)]. Cirugía Plástica Ibero-latinoamericana, 27, 259–309.

    Google Scholar 

  • Godlewski, J. (1988). Transsexualism and anatomic sex ratio reversal in Poland. Archives of Sexual Behavior, 17, 547–548.

    Article  PubMed  Google Scholar 

  • Gómez-Gil, E., & Esteva de Antonio, I. (2006). Ser transexual [Being transsexual]. Barcelona: Editorial Glosa.

  • Gómez-Gil, E., & Peri Nogués, J. M. (2002). Transexualidad: un reto para el sistema sanitario español [Transsexualism: A challenge for the Spanish National Service]. Medicina Clínica (Barc), 118, 418–420.

    Google Scholar 

  • Gómez-Gil, E., Trilla García, A., Godás Sieso, T., Halperin Rabinovich, I., Puig Domingo, M., Vidal Hagemeijer, A., et al. (2006). Estimación de la prevalencia, incidencia y razón de sexos del transexualismo en Cataluña según la demanda asistencial [Estimation of prevalence, incidence and sex ratio of transsexualism in Catalonia according to health care demand]. Actas Españolas de Psiquiatría, 34, 295–302.

    PubMed  Google Scholar 

  • Gómez-Gil, E., Vidal-Hagemeijer, A., & Salamero-Baró, M. (in press). MMPI-2 characteristics of transsexuals requesting sex reassignment: Comparison of patients in pre-hormonal and pre-surgical phases. Journal of Personality Assessment.

  • Haraldsen, I. R., & Dahl, A. A. (2000). Symptom profiles of gender dysphoric patients of transsexual type compared to patients with personality disorders and healthy adults. Acta Psychiatrica Scandinavica, 102, 276–281.

    Article  PubMed  Google Scholar 

  • Hepp, U., Kraemer, B., Schnyder, U., Miller, N., & Delsignore, A. (2005). Psychiatric comorbidity in gender identity disorder. Journal of Psychosomatic Research, 58, 259–261.

    Article  PubMed  Google Scholar 

  • Herman-Jeglińska, A., Grabowska, A., & Dulko, S. (2002). Masculinity, femininity, and transsexualism. Archives of Sexual Behavior, 31, 527–534.

    Article  PubMed  Google Scholar 

  • Köckott, G., & Fahrner, E. M. (1988). Male-to-female and female-to-male transsexuals: A comparison. Archives of Sexual Behavior, 17, 539–546.

    Article  PubMed  Google Scholar 

  • Landén, M., Wälinder, J., & Lundström, B. (1996). Prevalence, incidence and sex ratio of transsexualism. Acta Psychiatrica Scandinavica, 93, 221–223.

    Article  PubMed  Google Scholar 

  • Landén, M., Wälinder, J., & Lundström, B. (1998). Clinical characteristics of a total cohort of female and male applicants for sex reassignment: A descriptive study. Acta Psychiatrica Scandinavica, 97, 189–194.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2005). Sexuality before and after male-to-female sex reassignment surgery. Archives of Sexual Behavior, 34, 147–166.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A., Latty, E. M., Chivers, M. L., & Bailey, J. M. (2005). Measurement of sexual arousal in postoperative male-to-female transsexuals using vaginal photoplethysmography. Archives of Sexual Behavior, 34, 135–145.

    Article  PubMed  Google Scholar 

  • Lothstein, L. M. (1984). Psychological testing with transsexuals: A 30 year review. Journal of Personality Assessment, 48, 500–507.

    Article  PubMed  Google Scholar 

  • Mate-Kole, C., Freschi, M., & Robin, A. (1988). Aspects of psychiatric symptoms at different stages in the treatment of transsexualism. British Journal of Psychiatry, 152, 550–553.

    Article  PubMed  Google Scholar 

  • Mate-Kole, C., Freschi, M., & Robin, A. (1990). A controlled study of psychological and social change after surgical gender reassignment in selected male transsexuals. British Journal of Psychiatry, 157, 261–264.

    Article  PubMed  Google Scholar 

  • Meyer, W., Bockting, W., Cohen-Kettenis, P., Coleman, E., DiCeglie, D., Devor, H., et al. (2001). The Harry Benjamin Gender Dysphoria Association’s Standards of care for gender identity disorders, Sixth Version. Journal of Psychology and Human Sexuality, 13(1), 1–30.

    Article  Google Scholar 

  • Michel, A., Mormont, C., & Legros, J. J. (2001). A psycho-endocrinological overview of transsexualism. European Journal of Endocrinology, 145, 365–376.

    Article  PubMed  Google Scholar 

  • Newfield, E., Hart, S., Dibble, S., & Kohler, L. (2006). Female-to-male transgender quality of life. Quality of Life Research, 15, 1447–1457.

    Article  PubMed  Google Scholar 

  • O’Gorman, E. C. (1982). A retrospective study of epidemiological and clinical aspects of 28 transsexual patients. Archives of Sexual Behavior, 11, 231–236.

    Article  PubMed  Google Scholar 

  • Olsson, S. E., & Möller, A. R. (2003). On the incidence and sex ratio of transsexualism in Sweden, 1972–2002. Archives of Sexual Behavior, 32, 381–386.

    Article  PubMed  Google Scholar 

  • Rakic, Z., Starcevic, V., Maric, J., & Kelin, K. (1996). The outcome of sex reassignment surgery in Belgrade: 32 patients of both sexes. Archives of Sexual Behavior, 25, 515–525.

    Article  PubMed  Google Scholar 

  • Ross, M.W., Wålinder, J., Lundström, B., & Thuwe, I. (1981). Cross-cultural approaches to transsexualism: A comparison between Sweden and Australia. Acta Psychiatrica Scandinavica, 63, 75–82.

    Article  PubMed  Google Scholar 

  • Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl. 20), 22–33.

    PubMed  Google Scholar 

  • Smith, Y. L., van Goozen, S. H., Kuiper, A. J., & Cohen-Kettenis, P. T. (2005). Transsexual subtypes: Clinical and theoretical significance. Psychiatry Research, 137, 151–160.

    Article  PubMed  Google Scholar 

  • Sorensen, T., & Hertoft, P. (1982). Male and female transsexualism: The Danish experience with 37 patients. Archives of Sexual Behavior, 11, 133–155.

    Article  PubMed  Google Scholar 

  • Tsoi, W. F. (1990). Developmental profile of 200 male and 100 female transsexuals in Singapore. Archives of Sexual Behavior, 19, 595–605.

    Article  PubMed  Google Scholar 

  • Tsoi, W. F. (1992). Male and female transsexuals: A comparison. Singapore Medical Journal, 33, 182–185.

    PubMed  Google Scholar 

  • van Kesteren, P. J., Gooren, L. J., & Megens, J. A. (1996). An epidemiological and demographic study of transsexuals in The Netherlands. Archives of Sexual Behavior, 25, 589–600.

    Article  PubMed  Google Scholar 

  • Verschoor, A. M., & Poortinga, J. (1988). Psychosocial differences between Dutch male and females transsexuals. Archives of Sexual Behavior, 17, 173–178.

    Article  PubMed  Google Scholar 

  • Weitze, C., & Osburg, S. (1996). Transsexualism in Germany: Empirical data on epidemiology and application of the German transsexuals’ act during its first ten years. Archives of Sexual Behavior, 25, 409–425.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research (10th ed.). Geneva: Author.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, Institute of Neurosciences, Hospital Clínic, University of Barcelona, Villarroel 170, 08036, Barcelona, Spain

    Esther Gómez-Gil & Manuel Valdés

  2. Clinical Epidemiology Unit, Hospital Clínic, University of Barcelona, Barcelona, Spain

    Antoni Trilla

  3. Department of Psychology, Institute of Neurosciences, Hospital Clínic, University of Barcelona, Barcelona, Spain

    Manel Salamero & Teresa Godás

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  1. Esther Gómez-Gil
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  2. Antoni Trilla
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  3. Manel Salamero
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  4. Teresa Godás
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  5. Manuel Valdés
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Correspondence to Esther Gómez-Gil.

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Gómez-Gil, E., Trilla, A., Salamero, M. et al. Sociodemographic, Clinical, and Psychiatric Characteristics of Transsexuals from Spain. Arch Sex Behav 38, 378–392 (2009). https://doi.org/10.1007/s10508-007-9307-8

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  • DOI: https://doi.org/10.1007/s10508-007-9307-8

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