#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#
preLekára.sk / Journals / Czech-Slovak Pediatrics / 2022 - Supplementum 3

Children and adolescents with gender incongruence: current approaches and situation in the Czech Republic

Česká verzia

Authors: Šnajderová Marta 1;  Zapletalová Jiřina 2;  Magnová Olga 3;  Fifková Hana 4,5;  Weiss Petr 6,7;  Neumann David 8
Authors place of work: Pediatrická klinika, 2. lékařská, fakulta Univerzity Karlovy, a FN Motol, Praha 1;  Dětská klinika, Lékařská, fakulta Univerzity Palackého, a FN Olomouc 2;  Pediatrická klinika, FN Brno 3;  Sexuologická, a psychoterapeutická poradna, Praha 4;  Dětská sekce Sexuologické, společnosti ČLS JEP 5;  Sexuologický ústav, 1. lékařská fakulta Univerzity, Karlovy a Všeobecné fakultní, nemocnice, Praha 6;  Katedra psychologie Filozofické, fakulty Univerzity Karlovy, Praha 7;  Dětská klinika Lékařské fakulty, Univerzity Karlovy, a FN Hradec Králové 8
Published in the journal: Čes-slov Pediat 2022; 77 (Supplementum 3): 30-35.
Category: Comprehensive Report
doi: https://doi.org/10.55095/CSPediatrie2022/056

Summary

In recent years, there has been a significant increase in new cases of children and adolescents with gender incongruence. Most of them are aged 15-17. Many individuals seek endocrine care on the recommendation of a sexologist. The cause of the rising trend is not entirely clear, some attitudes to the proposed procedures also differ. This overview article summarizes current approaches and opinions on the care of children and adolescents with gender incongruence, and also presents the current situation in the Czech Republic.

Keywords:

adolescence – gender incongruence – current opinions – therapeutic approaches

Zdroje
  1. Neumann D, Fifková H, Zapletalová J, et al. Pohlavní/rodová neshoda v dětství. Ces-slov Pediat 2022; 77(3): 170–174.
  2. Butler G, De Graaf N, Wren B, et al. Assessment and support of children and adolescents with gender dysphoria. Arch Dis Child 2018; 103(7): 631–636.
  3. Kyriakou A, Nicolaides NC, Skordis N. Current approach to the clinical care of adolescents with gender dysphoria. Acta Biomed 2020; 91(1):165–175.
  4. Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2017; 102(11): 1–35.
  5. Vance SR Jr, Rosenthal SM. Treating transgender youth: pushing the dialogue forward. J Adolesc Health 2015; 57(4): 357–358.
  6. Vrouenraets LJ, Fredriks AM, Hannema SE, et al. Early medical treatment of children and adolescents with gender dysphoria: an empirical ethical study. J Adolesc Health 2015; 57(4): 367–73.
  7. Mezinárodní klasifikace nemocí, 11. revize. Dostupné na: https://icd. who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%-2ficd%2fentity% 2f411470068. [15. 3. 2022]
  8. World Health Organisation 2016, ÚZIS ČR 2017. MKN-10: Mezinárodní klasifikace nemocí a přidružených zdravotních problémů, 10. revize. Dostupné na: https://apps.who.int/iris/bitstream/handle/10665/ 246208/9788074721687-V1-cze.pdf
  9. Olson KR, Durwood L, DeMeules M, et al. Mental health of transgender children who are supported in their identities. Pediatrics 2016; 137: e20153223.
  10. Olson KR, Gülgöz S. Early findings from the transyouth project: Gender development in transgender children. Child Dev Perspect 2018; 12: 93.
  11. Durwood L, McLaughlin KA, Olson KR. Mental health and self-worth in socially transitioned transgender youth. J Am Acad Child Adolesc Psychiatry 2017; 56: 116.
  12. Lykens JE, LeBlanc AJ, Bockting WO. Healthcare experiences among young adults who identify as genderqueer or nonbinary. LGBT Health 2018; 5: 191.
  13. World Professional Association for Transgender Health (WPATH ). WPAT H Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People. 7th Version. Dostupné na: www.wpath. org/documents/Standards%20of%20Care_FullBook_1g-1.pdf [Accessed on November 27, 2012].
  14. Streed CG Jr, Anderson JS, Babits C, et al. Changing medical practice, not patients – putting an end to conversion therapy. N Engl J Med 2019; 381: 500–502.
  15. Turban JL, Beckwith N, Reisner SL, et al. Association between recalled exposure to gender identity conversion efforts and psychological distress and suicide attempts among transgender adults. JAMA Psychiatry 2020; 1;77(1): 68–76.
  16. Yunger JL, Carver PR, Perry DG. Does gender identity influence children’s psychological well-being? Dev Psychol 2004; 40(4): 572–582.
  17. Zucker KJ. Gender identity disorder in children and adolescents. Annu Rev Clin Psychol 2005; 1: 467–492.
  18. Cohen-Kettenis PT, Steensma TD, de Vries AL. Treatment of adolescents with gender dysphoria in the Netherlands. Child Adolesc Psychiatr Clin N Am 2011; 20: 689–700.
  19. Giovanardi G, Morales P, Mirabella M, et al. Transition memories: experiences of trans adult women with hormone therapy and their beliefs on the usage of hormone blockers to suppress puberty. J Endocrinol Invest 2019; 42(10): 1231–1240.
  20. Spack NP, Edwards-Leeper L, Feldman HA, et al. Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics 2012; 129(3): 418–425.
  21. Bauer GR, Lawson ML, Metzger DL. Do clinical data from transgender adolescents support the phenomenon of “rapid onset gender dysphoria”? J Pediatr 2022; 243: 224–227.
  22. Irwing MS. Detransition among transgender and gender-diverse people— an increasing and increasingly complex phenomenon. J Clin Endocrinol Metab 2022; v tisku.
  23. Turban JL, Loo SS, Almazan AN, et al. Factors leading to “detransition” among transgender and gender diverse people in the United States: a mixed- methods analysis. LGBT Health 2021; 8(4): 273–280.
  24. Steensma TD, McGuire JK, Kreukels BP, et al. Factors associated with desistence and persistence of childhood gender dysphoria: A quantitative follow- up study. J Am Acad Child Adolesc Psychiatry 2013; 52: 582–590.
  25. De Vries AL, Steensma TD, Doreleijers TA , et al. Puberty suppression in adolescents with gender identity disorder: a prospective follow-up study. J Sex Med 2011; 8: 2276–2283.
  26. Skordis N, Kyriakou A, Dror S , et al. Gender dysphoria in children and adolescents: an overview. Hormones (Athens) 2020 19(3): 267–276.
  27. Grossman AH, D’Augelli AR. Transgender youth: Invisible and vulnerable. J Homosex 2006; 51: 111–128.
  28. Viner RM, Brain C, Carmichael P, et al. Sex on the brain: Dilemmas in the endocrine management of children and adolescents with gender identity disorder. Arch Dis Child 2005; 90(Suppl II): A78.
  29. Kreukels BP, Cohen-Kettenis PT. Puberty supression in gender identity disorder: The Amsterdam experience. Nat Rev Endocrinol 2011; 7: 466 supression 472.
  30. Vlot MC, Klink DT, den Heijer M, et al. Effect of pubertal suppression and cross-sex hormone therapy on bone turnover markers and bone mineral apparent density (BMAD) in transgender adolescents. Bone 2017; 95: 11.
Štítky
Neonatology Paediatrics General practitioner for children and adolescents
Článek Vážení kolegové, přátelé, pediatři z primární péče, z regionálních nemocnic i z klinik,
Článek Minipuberty – an important and still neglected period of sexual development
Článek Current perspectives on the aetiology of tall stature in children and adolescents (1): Syndromes associated with tall stature
Článek Current perspectives on the aetiology of tall stature in children and adolescents (2): Non-syndromic tall stature
Článek Endocrine causes of obesity in childhood and adolescence
Článek First experience with long-acting growth hormone
Článek Mystický Hagibor a jeho místo v historii české pediatrie
Článok vyšiel v časopise

Czech-Slovak Pediatrics

Číslo Supplementum 3
2022 Číslo Supplementum 3
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#