Karadeniz Bölgesinde Bir Üniversite Hastanesinde Cinsiyetinden Hoşnutsuzluk Olgularının Sosyodemografik ve Klinik Özellikleri

Abstract

Amaç: Cinsiyetinden hoşnutsuzluk, bireyin fiziksel cinsiyeti ile cinsiyet kimliği arasındaki uyumsuzluk ve karşı cinsiyette olma isteği ile tanımlanmıştır. Bu çalışmada Karadeniz Bölgesi’nde bir üniversite hastanesinde cinsiyetinden hoşnutsuzluk ile takip edilen olguların sosyodemografik ve klinik özellikleri, bu özellikler açısından trans kadın ve trans erkekler arasındaki farklılıkların belirlenmesi amaçlanmıştır. Yöntem: Çalışmaya bir üniversite hastanesi Psikiyatri Polikliniği’nde 2015-2021 yılları arasında cinsiyetinden hoşnutsuzluk tanısı ile takip edilen 27 olgu alınmıştır. Olguların sosyodemografik verileri ve cinsiyetinden hoşnutsuzluk tanısına yönelik klinik özellikleri değerlendirilmiştir. Bulgular: Çalışmada cinsiyetinden hoşnutsuzluk nedeniyle psikiyatriye başvuran trans erkekler (%77,8) trans kadınlara (%22,2) göre daha çoktur. Olguların %55,6’sında başta depresyon ve anksiyete olacak şekilde ek bir psikiyatrik hastalık vardır. Trans kadınlarda takip sürecinde intihar düşüncesi, geçmiş travma öyküsü trans erkeklere göre istatistiksel açıdan anlamlı şekilde yüksektir. Trans kadınlara göre trans erkeklerde aile ve akran desteği daha yüksek, iş arkadaşları tarafından onaylanma durumu trans erkeklerde trans kadınlardan istatistiksel açıdan anlamlı şekilde yüksek bulunmuştur. Sonuç: Bu çalışmada trans kadın ve trans erkeklerin toplumsal kabulü, aile destek düzeyi, intihar, travma öyküsü gibi ruh sağlığı riskleri açısından farklı deneyimlere sahip olduğu, trans erkeklerin trans kadınlara göre avantajlı olduğu gösterilmiştir. Bu bağlamda trans bireyler arasındaki cinsiyet farklılıklarını ele alan özelleştirilmiş yaklaşımların geliştirilmesi önerilmektedir.

Keywords

• Cinsiyetinden hoşnutsuzluk
• Trans kadın
• Trans erkek
• Sosyodemografik özellikler
• Klinik özellikler

Sociodemographic and Clinical Characteristics of Gender Dysphoria Cases at a University Hospital in the Black Sea Region

Abstract

Objectives: Gender dysphoria is a condition defined by distress resulting from the incompatibility between an individual's physical sex and their gender identity, accompanied by a desire to belong to the opposite sex. In this study, we aimed to investigate the sociodemographic and clinical characteristics of patients diagnosed with gender dysphoria and followed up at a university hospital in the Black Sea Region, as well as to identify differences between trans women and trans men in terms of these characteristics. Method: This study included 27 patients diagnosed with gender dysphoria and followed up at the Karadeniz Technical University Faculty of Medicine Psychiatry outpatient clinic between 2015 and 2021. Sociodemographic data and clinical characteristics of the patients with gender dysphoria were analyzed. Results: It was observed that a higher proportion of trans men (77.8%) sought treatment for gender dysphoria compared to trans women (22.2%). An additional psychiatric illness, mainly depression and anxiety, was present in 55.6% of cases. Statistically significant differences were found in the suicidal ideation during follow-up and past trauma between trans women and trans men. Family support and peers was found to be greater in trans men than in trans women, trans men were more likely to be approved by colleagues at a statistically significant level. Discussion and Conclusion: This study revealed that trans women and trans men experience different mental health risks, such as social acceptance, family support, suicide, and trauma history, with trans men showing an advantage over trans women.

Keywords

• Gender dysphoria
• trans woman
• trans man
• sociodemographic features
• clinical characteristics

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