Cinsiyet Hoşnutsuzluğu Belirtileri Gösteren Çocuklarda Demografik ve Klinik Özellikler: Bir Türkiye Örneklemi

Abstract

Amaç: Bu araştırmada cinsiyet hoşnutsuzluğu (CH) belirtileri gösteren 3-12 yaş aralığındaki çocuklarda demografik ve klinik özelliklerin tanımlanması amaçlanmıştır.

Gereç ve Yöntemler: Araştırmaya CH belirtileri gösteren 20 çocuk dahil edilmiştir (17 erkek, 3 kız; ortalama yaş 6.63±2.43 yıl). Araştırmada demografik ve klinik veriler ile pre-peri- ve postnatal özelliklerin kaydedilmesi amacıyla sosyodemografik veri formu; davranışsal ve duygusal sorunların değerlendirilmesi amacıyla ise Çocukluk Çağı Davranış Değerlendirme Ölçeği (ÇÇDDÖ) kullanılmıştır.

Bulgular: Araştırmamız örnekleminde erkek/ kız oranı 5.66’dır. CH belirtilerinin ortaya çıkma yaşı ortalama 2.85±1.17 yıldır. Ortalama başvuru yaşı ise 5.82±2.27 yıl bulunmuştur. Annelerin %20’si gebelik öncesinde karşı cinsiyetten bir çocuk tercihi olduğunu belirtmiş; %20’si prenatal dönemde stres, %20’si prenatal, %25’i ise postnatal dönemde depresif belirtiler bildirmiştir. Katılımcıların %10’unda düşük riski öyküsü mevcuttur ve %25’i prematüredir. Katılımcıların %55’nin ÇÇDDÖ içe yönelim sorun davranış puanları; %40’nın ise dışa yönelim sorun davranış puanları klinik eşiğin üzerinde yer almıştır.

Sonuç: Ergenlik öncesi dönemde, kız çocuklarına kıyasla daha fazla erkek çocuğu CH belirtileri ile kliniğimize yönlendirilmiştir. Ülkemizde CH belirtileri ile ilk başvuru yaşı batı ülkelerinde göre daha düşük bulunmuştur. CH olan çocuklarda ruhsal işlevsellik düşük bulunmuştur. CH olan çocuklarda yaşanan ruhsal sorunların CH’nun kendisinin yanı sıra karşı cinsiyet ilgileri ve davranışlarına karşı toplumsal tutumların da etkili olduğu düşünülmüştür. 

Keywords

• cinsiyet hoşnutsuzluğu
• cinsiyet kimliği
• çocuk

Demographic and Clinical Characteristics of Children with Gender Dysphoria Symptoms: A Turkish Sample

Abstract

Objective: In this study, we aim to describe the demographic and clinical characteristics and psychological functioning of children with gender dysphoria (GD) symptoms aged between 3-12 years.

Material and Methods: The study group included 20 children (17 males, 3 females; mean age 6.63±2.43 years) with GD symptoms. A sociodemographic data form was used to collect data with regards to demographic and clinical characteristics, and pre- peri-and postnatal features. The Child Behavior Checklist (CBCL) is used to assess behavioral and emotional problems in the child.

Results: The boy/girl ratio in the study group was 5.66. The mean age at onset of gender-nonconforming behaviors was 2.85±1.17 years and the mean age of admission to our clinic was 5.82±2.27 years. 20% of the mothers reported a preference for an opposite-sex child prior to conception; 20 % of the mothers reported prenatal stress, 20% of the mothers had prenatal and 25% had postnatal depressive symptoms. There was a risk of miscarriage in 10% of children and 25% were born prematurely. 55% of our study sample exceeded the clinical threshold for internalizing problems and 40% exceeded the clinical threshold for externalizing problems in CBCL ratings.

Conclusion: There were more prepubertal boys than girls referred for GD symptoms and the age at referral was younger compared to western countries. In addition, findings of this study indicate that children with GD have poorer psychological functioning possibly due to social intolerance for cross-gender behaviors and/or interests alongside the GD per se. 

Keywords

• gender dysphoria
• gender identity
• child
• prepubertal

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