Archives of Sexual Behavior

, Volume 43, Issue 8, pp 1525–1533

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

  • John F. Strang
  • Lauren Kenworthy
  • Aleksandra Dominska
  • Jennifer Sokoloff
  • Laura E. Kenealy
  • Madison Berl
  • Karin Walsh
  • Edgardo Menvielle
  • Graciela Slesaransky-Poe
  • Kyung-Eun Kim
  • Caroline Luong-Tran
  • Haley Meagher
  • Gregory L. Wallace
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

Authors and Affiliations

  • John F. Strang
    • 1
  • Lauren Kenworthy
    • 1
  • Aleksandra Dominska
    • 2
  • Jennifer Sokoloff
    • 1
  • Laura E. Kenealy
    • 2
  • Madison Berl
    • 2
  • Karin Walsh
    • 2
  • Edgardo Menvielle
    • 3
  • Graciela Slesaransky-Poe
    • 4
  • Kyung-Eun Kim
    • 3
  • Caroline Luong-Tran
    • 1
  • Haley Meagher
    • 1
  • Gregory L. Wallace
    • 5
  1. 1.Center for Autism Spectrum DisordersChildren’s National Medical CenterRockvilleUSA
  2. 2.Division of NeuropsychologyChildren’s National Medical CenterRockvilleUSA
  3. 3.Department of PsychiatryChildren’s National Medical CenterWashingtonUSA
  4. 4.School of EducationArcadia UniversityGlensideUSA
  5. 5.Laboratory of Brain and CognitionNational Institute of Mental HealthBethesdaUSA