title: [Gender dysphoria in children and adolescents - treatment guidelines and follow-up study].
abstract: Treatment guidelines for transidentity in children and adolescents are presently under discussion. We present an overview of the various treatment modalities. Further, follow-up data on children and adolescents referred for gender-identity problems are presented. Of the 84 patients seen for the first time more than 3 years before follow-up, 37 mailed in the completed questionnaires. In addition, 33 patients agreed to answer some short follow-up questions. We assessed steps of treatment, gender role, psychopathology, and psychotherapy. We compared differences in psychopathology in patients with vs. without gender role change and in patients with intense vs. less intense psychotherapy. A total of 22 patients had completely changed gender role, and some had started hormonal treatment und sex reassignment surgery. Most patients were satisfied with the treatment results. All patients showed less psychopathology on follow-up, independent of role change or intensity of psychotherapy. In general, the patients reported little psychopathology. Our follow-up results support the present treatment approach. In patients with little psychopathology, low-frequency supportive treatment appears sufficient to obtain safe judgement on hormonal of surgical treatment.
authors.affiliation: Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, J. W. Goethe-Universität, <location>Frankfurt/Main</location>
authors.forename: Bernd
authors.initials: B
authors.lastname: Meyenburg
authors.affiliation: Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, J. W. Goethe-Universität, <location>Frankfurt/Main</location>
authors.forename: Anne
authors.initials: A
authors.lastname: Kröger
authors.affiliation: Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, J. W. Goethe-Universität, <location>Frankfurt/Main</location>
authors.forename: Rebecca
authors.initials: R
authors.lastname: Neugebauer
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005783:Gender Identity; D012739:Gonadal Steroid Hormones / Q000627:therapeutic use; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D010352:Patient Dropouts / Q000523:psychology; D011599:Psychopathology; D011613:Psychotherapy; D012017:Referral and Consultation; D057829:Gender-Affirming Procedures / Q000523:psychology; D011795:Surveys and Questionnaires; D014189:Transsexualism / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D055815:Young Adult
chemical_list: D012739:Gonadal Steroid Hormones
keywords: Geschlechtsdysphorie bei Jugendlichen; Geschlechtsidentitätsstörungen im Jugendalter; Katamnese Transidentität im Jugendalter; Leitlinien für Geschlechtsidentitätsstörungen im Jugendalter; Transidente Jugendliche; follow-up study of transidentity in adolescents; gender dysphoria in adolescents; gender identity disorder in adolescents; transidentity in adolescents; treatment guidelines for adolescents with gender identity disorder