Archives of Sexual Behavior

, Volume 43, Issue 8, pp 1525–1533

Increased Gender Variance in Autism Spectrum Disorders and Attention Deficit Hyperactivity Disorder

Authors

    • Center for Autism Spectrum DisordersChildren’s National Medical Center
  • Lauren Kenworthy
    • Center for Autism Spectrum DisordersChildren’s National Medical Center
  • Aleksandra Dominska
    • Division of NeuropsychologyChildren’s National Medical Center
  • Jennifer Sokoloff
    • Center for Autism Spectrum DisordersChildren’s National Medical Center
  • Laura E. Kenealy
    • Division of NeuropsychologyChildren’s National Medical Center
  • Madison Berl
    • Division of NeuropsychologyChildren’s National Medical Center
  • Karin Walsh
    • Division of NeuropsychologyChildren’s National Medical Center
  • Edgardo Menvielle
    • Department of PsychiatryChildren’s National Medical Center
  • Graciela Slesaransky-Poe
    • School of EducationArcadia University
  • Kyung-Eun Kim
    • Department of PsychiatryChildren’s National Medical Center
  • Caroline Luong-Tran
    • Center for Autism Spectrum DisordersChildren’s National Medical Center
  • Haley Meagher
    • Center for Autism Spectrum DisordersChildren’s National Medical Center
  • Gregory L. Wallace
    • Laboratory of Brain and CognitionNational Institute of Mental Health
Original Paper

DOI: 10.1007/s10508-014-0285-3

Cite this article as:
Strang, J.F., Kenworthy, L., Dominska, A. et al. Arch Sex Behav (2014) 43: 1525. doi:10.1007/s10508-014-0285-3

Abstract

Evidence suggests over-representation of autism spectrum disorders (ASDs) and behavioral difficulties among people referred for gender issues, but rates of the wish to be the other gender (gender variance) among different neurodevelopmental disorders are unknown. This chart review study explored rates of gender variance as reported by parents on the Child Behavior Checklist (CBCL) in children with different neurodevelopmental disorders: ASD (N = 147, 24 females and 123 males), attention deficit hyperactivity disorder (ADHD; N = 126, 38 females and 88 males), or a medical neurodevelopmental disorder (N = 116, 57 females and 59 males), were compared with two non-referred groups [control sample (N = 165, 61 females and 104 males) and non-referred participants in the CBCL standardization sample (N = 1,605, 754 females and 851 males)]. Significantly greater proportions of participants with ASD (5.4 %) or ADHD (4.8 %) had parent reported gender variance than in the combined medical group (1.7 %) or non-referred comparison groups (0–0.7 %). As compared to non-referred comparisons, participants with ASD were 7.59 times more likely to express gender variance; participants with ADHD were 6.64 times more likely to express gender variance. The medical neurodevelopmental disorder group did not differ from non-referred samples in likelihood to express gender variance. Gender variance was related to elevated emotional symptoms in ADHD, but not in ASD. After accounting for sex ratio differences between the neurodevelopmental disorder and non-referred comparison groups, gender variance occurred equally in females and males.

Keywords

Gender varianceGender identityAutismAttention deficit hyperactivity disorderGender dysphoria

Copyright information

© Springer Science+Business Media New York (outside the USA) 2014