title: Sociodemographic Characteristics and Psychological Adjustment Among Transsexuals in Spain.
abstract: This study examined the sociodemographic characteristics and the psychological adjustment of transsexuals in Andalusia (Spain), and also analyzed the differences between female-to-male (FtM) and male-to-female (MtF) transsexuals. The sample included 197 transsexuals (101 MtF and 96 FtM) selected from those who visited the Transsexual and Gender Identity Unit at the Carlos Haya Hospital in Malaga between 2011 and 2012. Our analyses indicated that MtF transsexuals were more likely to have lower educational levels, live alone, have worked less frequently throughout their lifetime, and have engaged in prostitution. For FtM transsexuals, there were more frequent references to the mother's psychiatric history and more social avoidance and distress. Multivariate analysis showed that the number of personality dysfunctional traits and unemployment status were associated with depression in the entire sample. The following three conclusions can be made: there are significant differences between MtF and FtM transsexuals (mainly related to sociodemographic variables), depression was high in both groups, and a remarkable percentage of transsexuals have attempted suicide (22.8 %) or have had suicidal thoughts (52.3 %).
authors.affiliation: Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain. joseguzman@uma.es.|Department of Personality, Assessment and Psychological Treatment, University of Malaga, Málaga, Spain. joseguzman@uma.es.|Grupo Andaluz de Investigación Psicosocial, Málaga, Spain. joseguzman@uma.es.
authors.forename: José
authors.initials: J
authors.lastname: Guzmán-Parra
authors.affiliation: Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain.|Department of Personality, Assessment and Psychological Treatment, University of Malaga, Málaga, Spain.
authors.forename: Nicolás
authors.initials: N
authors.lastname: Sánchez-Álvarez
authors.affiliation: Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: de Diego-Otero
authors.affiliation: Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain.|Department of Personality, Assessment and Psychological Treatment, University of Malaga, Málaga, Spain.
authors.forename: Lucía
authors.initials: L
authors.lastname: Pérez-Costillas
authors.affiliation: Transsexual and Gender Identity Unit, Málaga, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Esteva de Antonio
authors.affiliation: Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain.
authors.forename: Miriam
authors.initials: M
authors.lastname: Navais-Barranco
authors.affiliation: Department of Personality, Assessment and Psychological Treatment, University of Malaga, Málaga, Spain.
authors.forename: Serafina
authors.initials: S
authors.lastname: Castro-Zamudio
authors.affiliation: Mental Health Department, Málaga Plaza Hospital, University Regional Hospital of Málaga, Civil s/n, 29009, Málaga, Spain.|Transsexual and Gender Identity Unit, Málaga, Spain.
authors.forename: Trinidad
authors.initials: T
authors.lastname: Bergero-Miguel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000523:psychology; D013030:Spain; D011795:Surveys and Questionnaires; D014189:Transsexualism / Q000523:psychology*; D055815:Young Adult
keywords: Gender dysphoria; Psychosocial adjustment; Sociodemographic characteristics; Transgender; Transsexualism