Cross-sectional study of psychosocial well-being among lesbian, gay, bisexual, and heterosexual gynecologic cancer survivors.

BACKGROUND: Delays in care and increased risk for mental health diagnoses put individuals identifying as a sexual minority with cancer at risk for decreased quality of life. AIM: To assess psychosocial health among sexual minority gynecologic cancer survivors, we compared self-reported quality of life and psychosocial measures between individuals diagnosed with gynecologic cancers identifying as lesbian/gay/bisexual (LGB) and heterosexual. METHODS AND RESULTS: English-speaking adults with gynecologic cancers were invited to participate in an ongoing cohort survey study. Quality of life and psychosocial measures included the Functional Assessment of Cancer Therapy-General, Distress Thermometer (distress), Patient Health Questionnaire-8 (depression), General Anxiety Disorder-7 (anxiety), and Post-traumatic Stress Disorder Checklist for DSM-5 (post-traumatic stress disorder; PTSD). Measures were compared by self-reported sexual orientation (heterosexual vs. LGB) using descriptive statistics (frequencies and means) and linear and logistic regression models, adjusting for college education. Of 814 patients invited, 457 enrolled (56.1%) and 401 (92.6%) completed the survey and provided information on their sexuality. All but one self-identified as cisgender women and 22 (5.5%) as LGB. LGB participants were more likely to have completed college (68.2% vs. 40.1%, p = .009) but were otherwise similar across demographic and clinical characteristics. Quality of life and distress scores were similar between groups. LGB participants, compared to heterosexual, reported higher rates of depression (31.8% vs. 10.6%, adjusted odds ratio [OR] = 4.1 [95% confidence interval [CI]: 1.6-11.0], p = .004), anxiety (25.0% vs. 7.1%, adjusted OR = 5.4 [95% CI: 1.7-16.7], p= .004), and PTSD (13.6% vs. 3.5%, adjusted OR = 4.2 [95% CI: 1.1-16.3], p = .04). CONCLUSION: LGB participants reported poorer emotional health following a gynecologic cancer diagnosis than heterosexual participants. Our data suggest this population may need additional resources and support during and after their cancer diagnosis. Future work is needed to identify additional risk factors and the underlying sources of these disparities in order to improve patient care and wellness in this population.

Disfunciones y trastornos sexuales en mujeres en climaterio: pacientes del Instituto Nacional de Perinatología / Sexual dysfunctions and disorders in climacteric women: patients from the national institute of perinatology"

La sexualidad es una de las áreas que sufre cambios importantes cuando la mujer se instala en el climaterio, estos cambios se conocen como trastornos y/o disfunciones sexuales. Material y método: en el Instituto Nacional de Perinatología se llevó a cabo un estudio con 139 mujeres en climaterio; se utilizó la encuesta de síntomas y la Historia Clínica Codificada de la Sexualidad Femenina (HCCSF) para conocer la presencia de las disfunciones y/o trastornos sexuales y los factores asociados a estos. Resultados: no se encontró relación alguna entre las variables sociodemográficas y la presencia de disfunciones sexuales; de la muestra, 124 mujeres presentaron al menos una disfunción sexual. Conclusión: aquellas mujeres que cuentan con información sexual a edades tempranas, que tienen deseo y cooperan durante la relación sexual y que además han explorado su sexualidad con más de una pareja, tienen un efecto protector para no presentar disfunciones sexuales. Por otra parte, la presencia de trastornos sexuales se asocia exclusivamente con padecimientos médicos y de salud en la mujer como en la pareja.

Sexuality is one of the areas that undergoes important changes when women settle in climacteric, these changes are known as sexual disorders and/or dysfunctions. Methods: A study was carried out at the National Institute of Perinatology with 139 women in climacteric. The survey of symptoms and the Codified Clinical History of Female Sexuality (HCCSF) were used to determine the presence of sexual dysfunctions and/or disorders and the factors associated with them. Results: No relationship was found between sociodemographic variables and the presence of sexual dysfunctions. Of the sample, 124 women presented at least one sexual dysfunction. Conclusion: Those women who have sexual information at an early age, who have desire and cooperate during sexual intercourse and who have explored their sexuality with more than one partner, have a protective effect for not presenting sexual dysfunctions. On the other hand, the presence of sexual disorders is associated exclusively with medical and health conditions in both the woman and the couple.

[Transgender in Adolescence: State of the Art and Future Research Needs]. / Transgender im Jugendalter: Forschungsstand und zukünftiger Forschungsbedarf.

Transgender in adolescence is currently a widely discussed topic, additionally reflected by an increasing prevalence in clinical practice. The present review of the available literature on transgender, trans* , gender dysphoria or gender incongruence in youth reports results on the long-term results of medical interventions for the psychological well-being, prevalence, referral rates and sex ratio, developmental pathways, current developments and the role of the social environment. Finally, implications for clinical care and future research will be discussed.

Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study.

OBJECTIVE: Despite professional recommendations to consider gender-affirming hormone and surgical interventions for transgender individuals experiencing gender incongruence, the long-term effect of such interventions on mental health is largely unknown. The aim of this study was to ascertain the prevalence of mood and anxiety disorder health care visits and antidepressant and anxiolytic prescriptions in 2015 as a function of gender incongruence diagnosis and gender-affirming hormone and surgical treatment in the entire Swedish population. METHODS: This study used the Swedish Total Population Register (N=9,747,324), linked to the National Patient Register and the Prescribed Drug Register. Among individuals who received a diagnosis of gender incongruence (i.e., transsexualism or gender identity disorder) between 2005 and 2015 (N=2,679), mental health treatment in 2015 was examined as a function of length of time since gender-affirming hormone and surgical treatment. Outcome measures were mood and anxiety disorder health care visits, antidepressant and anxiolytic prescriptions, and hospitalization after a suicide attempt. RESULTS: Compared with the general population, individuals with a gender incongruence diagnosis were about six times as likely to have had a mood and anxiety disorder health care visit, more than three times as likely to have received prescriptions for antidepressants and anxiolytics, and more than six times as likely to have been hospitalized after a suicide attempt. Years since initiating hormone treatment was not significantly related to likelihood of mental health treatment (adjusted odds ratio=1.01, 95% CI=0.98, 1.03). However, increased time since last gender-affirming surgery was associated with reduced mental health treatment (adjusted odds ratio=0.92, 95% CI=0.87, 0.98). CONCLUSIONS: In this first total population study of transgender individuals with a gender incongruence diagnosis, the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them.

Identidad, género y confusión / Identity, gender and confusion

El objetivo del presente trabajo es presentar el caso de una (¿o un? Como veremos...) adolescente que resulta muy ilustrativo respecto a la difusión de la identidad propia de las organizaciones limítrofes de la personalidad, poniendo el foco, entre otros, en las manifestaciones de dicha organización en el plano de la construcción de la identidad de género.Así mismo, al hilo del caso expuesto, se aprovechará para reflexionar en torno a desarrollos teóricos de interés dentro del marco psicoanalítico, como el 'síndrome de difusión de identidad' de los Kernberg o 'el complejo de la madre muerta' de André Green

The aim of this work is to present the case of an adolescent that is very illustrative of the diffusion of the own identity in the borderline organizations of personality, putting the focus, among others, in the manifestations of this organization in the construction of gender identity. Likewise, this case will be used to reflect on interesting theoretical developments within the psychoanalytic framework, such as Kenberg’s 'identity diffusion syndrome' or André Green’s 'the complex of the dead mother'

Role of Sexuality in Body Integrity Identity Disorder (BIID): A Cross-Sectional Internet-Based Survey Study.

BACKGROUND: Body integrity identity disorder (BIID)-a strong desire for amputation or paralysis-is often accompanied by feelings and cognitions of sexual arousal, although this sexual component has been largely neglected in the recent literature. AIM: To examine the presence of BIID-related sexual arousal in subjects with BIID and explore clinical and demographic variables of subjects with BIID who do and do not possess this sexual arousal. METHODS: Eighty individuals with BIID responded to an internet-based survey we created. For all subjects, restoring identity was the primary motivation for preferred body modification. We collected data about respondents' demographic, clinical, and sexual characteristics. Based on responses to questions about BIID-specific sexual desires, subjects were assigned to the group with BIID-related sexual feelings (S-BIID; n = 57) or the group without such feelings (NS-BIID; n = 23). OUTCOMES: Differences in clinical, demographic, and sexual characteristics between S-BIID and NS-BIID groups. RESULTS: Of the respondents, 71.3% endorsed S-BIID. Subjects with S-BIID were significantly more often men, religious, and of a homosexual identity compared with the NS-BIID group. Subjects with S-BIID also significantly more often reported a change in localization and/or intensity of their BIID feelings over time. Furthermore, 66.7% of subjects with S-BIID reported S-BIID as an additional motivation for body modification. Seven of the 57 subjects with S-BIID achieved their preferred body modification through (self)-amputation, whereas none of the subjects with NS-BIID did. CLINICAL IMPLICATIONS: BIID is a heterogeneous disorder in which subjects who self-reported comorbid sexual arousal more often resorted to (self-induced) amputation. STRENGTHS AND LIMITATIONS: This study contains the largest BIID cohort presented in the literature and is the first to genuinely research sexuality in BIID. The first limitation is the lack of face-to-face interviews with the subjects, so no clinical diagnoses could be made. Moreover, there is an ascertainment bias because subjects were collected through the internet and in English, which excluded those who spoke other languages or subjects without an internet connection. CONCLUSION: The present study provides preliminary evidence for a subpopulation or distinct group of individuals with BIID based on the presence of S-BIID. Blom RM, van der Wal SJ, Vulink NC, Denys D. Role of Sexuality in Body Integrity Identity Disorder (BIID): A Cross-Sectional Internet-Based Survey Study. J Sex Med 2017;14:1028-1035.

Partial scalar invariance and observed differences across gender in a reasoning test battery / Invarianza escalar parcial y diferencias observadas entre sexos en una batería de tests de razonamiento

BACKGROUND: The substantive basis of the Reasoning Test Battery (BPR) is the theory of the hierarchical organization of cognitive abilities and therefore, it combines a general cognitive factor and specific factors associated with abstract, numerical, verbal, practical, spatial and mechanical reasoning. The battery has three forms, covering an age range from 9 to 22 years. METHOD: The present study analyzes the internal structure of the Basque version of the battery using exploratory and confirmatory factor analyses. Factorial invariance studies across gender were performed and partial differences observed were analyzed in a sample of 1,923 students. RESULT: The results concluded: (a) the presence of one general reasoning factor in each of the forms, (b) partial scalar invariance across gender affecting mechanical reasoning and numerical reasoning, (c) no differences in the general reasoning factor, and (d) negligible observed differences in partial scales. CONCLUSIONS: Tests for measurement invariance indicate differences in factor intercepts, cautioning that comparisons of observed g scores across gender are not appropriate

ANTECEDENTES: construida sobre la teoría de la organización jerárquica de las habilidades cognitivas, la Batería de Pruebas de Razonamiento (BPR) combina un factor de razonamiento general y factores específicos asociados con el razonamiento abstracto, numérico, verbal, práctico, espacial y mecánico. La batería tiene 3 Formas que cubren un rango de edad entre 9 y 22 años. MÉTODO: se analizó la estructura interna de la versión en euskera de la batería por medio de análisis factoriales exploratorios y confirmatorios. Se llevaron a cabo estudios de invarianza factorial en función del sexo y se analizaron las diferencias observadas en las escalas parciales en una muestra de 1.923 estudiantes. RESULTADOS: los resultados concluyeron: (a) la presencia de un factor de razonamiento general en cada una de las formas, (b) la invarianza escalar parcial que afectan a las escalas de razonamiento mecánico y razonamiento numérico, (c) la no diferenciación entre sexos en el factor general, y (d) diferencias mínimas en las escalas parciales. CONCLUSIONES: los resultados del test de invarianza factorial apuntaron la presencia de valores interceptales diferentes, lo cual desaconseja la comparación de puntuaciones observadas g en función del sexo

Activación del cerebelo por estimulación olfativa en ratas macho sexualmente inexpertas / Activation of the cerebellum by olfactory stimulation in sexually naive male rats

Introducción: El cerebelo es una estructura que se ha vinculado con múltiples funciones, tales como control motor, cognición, memoria y procesamiento emocional. En cuanto a su relación con los sistemas sensoriales no está claro el papel que desempeña en relación con el sentido del olfato. Suponemos que las ratas macho sexualmente inexpertas presentarán un incremento en la actividad neuronal del vermis cerebelar tras ser estimuladas con olor de hembra receptiva y almendra. Métodos: Comparamos la actividad de la capa granular del vermis cerebelar mediante la inmunorreactividad a Fos tras estimulación olfativa. Esta estimulación se realizó durante 60 min en cámaras cúbicas de acrílico con un doble fondo. Los estímulos fueron aserrín limpio, con esencia de almendra y proveniente de la cama de hembras receptivas. Finalmente los machos fueron anestesiados con pentobarbital sódico intraperitoneal. El tejido cerebelar fue fijado con paraformaldehído para su posterior análisis inmunohistoquímico. Resultados: El número de células inmunorreactivas a Fos en todos los lóbulos del vermis cerebelar de los grupos estimulados con almendra y hembra receptiva fue similar, pero mayor comparado con el grupo de aserrín limpio. Conclusiones: La estimulación olfativa del sistema olfatorio principal (almendra) y accesorio (hembra receptiva) incrementa la producción de proteína Fos en la capa granular de la corteza cerebelar del vermis de ratas macho sexualmente inexpertas

Introduction: The cerebellum has been linked to multiple functions, such as motor control, cognition, memory, and emotional processing. As for its involvement in the sensory systems, the role of the cerebellum in the sense of smell remains unclear. We suggest that sexually naive male rats will present increased neuronal activity in the cerebellar vermis after being stimulated with almond odour or oestrous odour from receptive females. Methods: We compared activity in the cerebellar vermis using Fos immunoreactivity after olfactory stimulation. Stimulation took place during 60 min in a cube-shaped acrylic chamber with a double bottom. Stimuli were clean woodchip bedding, bedding with almond extract, and bedding taken from a cage of receptive females. Male rats were subsequently anaesthetised with intraperitoneal sodium pentobarbital. Cerebellar tissue was fixed with paraformaldehyde for later immunohistochemical analysis. Results: The number of Fos immunoreactive cells in all lobes of the cerebellar vermis was similar between groups stimulated with almond extract and with oestrous odour, and higher than in the clean woodchip group. Conclusions: Stimulation of the main olfactory system (almond) and the accessory system (oestrous odour) increases Fos protein production in the granular layer of the cortex of the cerebellar vermis in naive male rats

Diferencias de género en el trastorno delirante / Gender differences in delusional disorder

El objetivo de nuestro estudio fue explorar las diferencias de género en trastorno delirante (TD) comparando aspectos sociodemográficos, factores de riesgo, correlatos clínicos y características del curso del trastorno. La muestra se compuso de 50 pacientes con primer ingreso psiquiátrico y con diagnóstico de TD (según SCID-I para criterios DSM-IV). Los casos fueron evaluados retrospectivamente mediante la revisión de historia clínicas mediante el cuestionario OPCRIT 4.0 y un inventario diseñado por los autores que comprendió distintos aspectos clínicos no recogidos en el anterior instrumento. La proporción mujer-hombre fue de 1.27:1. La edad del primer ingreso psiquiátrico fue más alta en mujeres. Respecto a los potenciales factores de riesgo, los hombres presentaron mayor prevalencia de Trastornos por uso de sustancias premórbido mientras las mujeres más retraimiento social y síntomas depresivos previos al inicio del trastorno. En relación a la sintomatología delirante, los hombres presentaron mayor frecuencia de delirios generalizados, de grandiosidad, de celos y persecución; mientras que las mujeres presentaron mayor frecuencia de delirio erotomaniaco así como percepciones y humor delirantes. Los hombres presentaron mayor frecuencia de aumento de la estima del Self y las mujeres insomnio inicial y de media noche. No se observaron diferencias de género en otros factores sociodemográficos, potenciales factores de riesgo, correlatos clínicos y características del curso de la enfermedad (AU)

The objective of our study was to explore gender differences in Delusional Disorder (DD) comparing sociodemographic, clinical and risk factors and course ́s characteristics. The sample was compound of 50 inpatients during their first psychiatric entrance and diagnosis of DD (according to SCID-I for DSM-IV criteria). Cases were evaluated retrospectively by means of medical records revision, OPCRIT 4.0 and an inventory created by authors, about not gathered aspects. The proportion woman-man was of 1.27:1. The age of the first psychiatric entrance was higher in women. Men presented greater prevalence of Disorders for use of drugs before; while the women suffered more social retirement and previous depressive symptoms. Men presented greater frequency of generalized, megalo-maniac, and jealousy and persecution delusions; whereas women displayed greater frequency of erotomaniac delusions, as well as delusional affectivity and perceptions. Men presented greater frequency of increase of the esteem of the Self; and women displayed initial insomnia and of average night more frequently. Differences in other sociodemographic, clinical and risk factors, and course ́s characteristics were not observed (AU)

Increased Cross-Gender Identification Independent of Gender Role Behavior in Girls with Congenital Adrenal Hyperplasia: Results from a Standardized Assessment of 4- to 11-Year-Old Children.

While reports showing a link between prenatal androgen exposure and human gender role behavior are consistent and the effects are robust, associations to gender identity or cross-gender identification are less clear. The aim of the current study was to investigate potential cross-gender identification in girls exposed prenatally to high concentrations of androgens due to classical congenital adrenal hyperplasia (CAH). Assessment included two standardized measures and a short parent interview assessing frequency of behavioral features of cross-gender identification as conceptualized in Part A of the diagnostic criteria for gender identity disorder (GID) in the DSM-IV-TR. Next, because existing measures may have conflated gender role behavior with gender identity and because the distinction is potentially informative, we factor analyzed items from the measures which included both gender identity and gender role items to establish the independence of the two constructs. Participants were 43 girls and 38 boys with CAH and 41 unaffected female and 31 unaffected male relatives, aged 4- to 11-years. Girls with CAH had more cross-gender responses than female controls on all three measures of cross-gender identification as well as on a composite measure of gender identity independent of gender role behavior. Furthermore, parent report indicated that 5/39 (12.8 %) of the girls with CAH exhibited cross-gender behavior in all five behavioral domains which comprise the cross-gender identification component of GID compared to 0/105 (0.0 %) of the children in the other three groups combined. These data suggest that girls exposed to high concentrations of androgens prenatally are more likely to show cross-gender identification than girls without CAH or boys with and without CAH. Our findings suggest that prenatal androgen exposure could play a role in gender identity development in healthy children, and may be relevant to gender assignment in cases of prenatal hormone disruption, including, in particular, cases of severely virilized 46, XX CAH.

Stop Harassment Men's reactions to victims' confrontation / ¡Stop Acoso! Reacciones de los hombres a la confrontación de las víctimas

Sexual harassment is one of the most widespread forms of gender violence. Perceptions of sexual harassment depend on gender, context, the perceivers' ideology, and a host of other factors. Research has underscored the importance of coping strategies in raising a victim's self-confidence by making her feel that she plays an active role in overcoming her own problems. The aim of this study was to assess the men's perceptions of sexual harassment in relation to different victim responses. The study involved 101 men who were administered a questionnaire focusing on two of the most frequent types of harassment (gender harassment vs. unwanted sexual attention) and victim response (confrontation vs. non confrontation), both of which were manipulated. Moreover, the influences of ideological variables, ambivalent sexism, and the acceptance of myths of sexual harassment on perception were also assessed. The results highlight the complexities involved in recognizing certain behaviors as harassment and the implications of different victim responses to incidents of harassment. As the coping strategies used by women to confront harassment entail drawbacks that pose problems or hinder them, the design and implementation of prevention and/or education programs should strive to raise awareness among men and women to further their understanding of this construct (AU)

El acoso sexual es una de las formas más generalizadas de violencia de género. Las percepciones sobre el acoso sexual dependen de factores tales como el género, el contexto y la ideología del perceptor, entre otros. La investigación ha mostrado la importancia que tiene el afrontamiento de la víctima en su nivel de confianza, haciendo que sienta de esta manera que tiene un papel relevante en la solución del problema. El objetivo de este estudio fue indagar en la percepción que los hombres tienen acerca del acoso sexual y de las distintas medidas usadas como respuesta por parte de la víctima. Participaron en el estudio 101 hombres que contestaron un cuestionario en el que se manipulaban dos de los tipos de acoso más frecuentes (acoso de género vs. atención sexual no deseada) así como la respuesta de la víctima (confrontación vs. no confrontación). También se estudió la influencia en dicha percepción de variables ideológicas como el sexismo ambivalente y la aceptación de los mitos sobre el acoso sexual. Los resultados resaltan la dificultad de reconocer determinados comportamientos como acoso, así como las posibles consecuencias que puede sufrir la víctima en función de la respuesta que dé a estas situaciones de acoso. Las estrategias usadas por las mujeres para afrontar el acoso parecen presentar algún obstáculo o problema para ellas, por lo que se hace necesaria la implantación de programas preventivos y/o educativos con el fin de enseñar a hombres y mujeres a comprender mejor el constructo (AU)

[Gender identity disorders or andromimetic behaviour in a victim of incest--a case study]. / Zaburzenia identyfikacji plciowej czy zachowania andromimetyczne u ofiary kazirodztwa--studium przypadku.

Nowadays, it is becoming increasingly difficult to clearly classify the issues associated with the phenomenon of gender dysphoria due to the fact that one identifies oneself in the context of increasingly fluid categories of gender identity-- an intrinsic sense of being a woman or a man. The authors present a woman whose internal problems connected with her sexuality and incomplete identification with the role attributed to her gender originate from her family history. Long-lasting, traumatic experiences of incestuous abuse and violence on the part of close relatives disturbed her development in many areas of personality and functioning. The aim of the study was to verify the hypothesis of the existence of gender identity disorder accompanied by depressive disorders. In addition to the medical history, the study of patient's problems included the following diagnostic tools: the Minnesota Multiphasic Personality Inventory (MMPI) and the Rorschach Inkblot Test in a CSR Exner system (TPA). The study revealed that as for sexual identification, the patient unambiguously identifies herself as a woman. Her behaviour to become like a man does not deny her sex, or even involve a temporary need of belonging to the opposite sex. It should be interpreted in the broader context of her traumatic experiences, not just sexual, but also concerning different aspects of a female gender role.

Perfil psicológico de personas transexuales en tratamiento / Psychological profile of transgender people under treatment

Introducción: La transexualidad es un campo emergente dentro de la atención sanitaria. Por ello, está llena de tópicos. Dos de los mitos más extendidos acerca de las personas transexuales es que presentan graves alteraciones psicopatológicas y que son personas sumamente infelices. Objetivo: El objetivo principal de esta investigación fue estudiar el perfil psicológico de los pacientes transexuales. Especialmente, se quiso comprobar la presencia de rasgos psicopatológicos en el perfil de personalidad. Por otro lado, también se deseaba evaluar la presencia de problemas de depresión. Un segundo objetivo fue buscar diferencias en el perfil según el sexo (transexuales de hombre a mujer o de mujer a hombre). Material y método: El presente estudio tuvo un diseño transversal. Los pacientes fueron seleccionados consecutivamente por orden de acceso a la unidad de trastornos de identidad de género al inicio del estudio. La muestra se formó con 121 pacientes de la Unidad de Trastornos de Identidad de Género de Madrid. Todos acabaron el estudio. El criterio de entrada fue tener el diagnóstico de transexualidad. Se les aplicaron test psicológicos: la Entrevista diagnóstica de identidad de género, el Cuestionario general de salud de Goldberg, el Cuestionario de competencia emocional, la Escala de bienestar psicológico, la Escala de satisfacción con la vida, la Escala de felicidad subjetiva, el nuevo Inventario de personalidad NEO y el Inventario clínico multiaxial de Millon III. Resultados: Se encontró un alto bienestar psicológico. No se encontraron alteraciones psicopatológicas significativas. Se encontraron pocas aunque llamativas diferencias por sexos. Finalmente, apareció un único factor significativo en su perfil de personalidad. Conclusiones: Las personas transexuales no tienen un perfil psicopatológico de personalidad, y hay pocas pero significativas diferencias por sexos (AU)

Introduction: Transsexualism is an emergent field in healthcare and consequently is plagued by stereotypes. Two of the most widespread misconceptions are that transgender people have serious psychopathological disorders and that they are less happy than the general population. Objective: The main aim of this study was to characterize the psychological profile of transgender people and, in particular, the presence of psychopathological features in their personality profile. The presence of depressive features was also investigated. A second aim was to assess the differences in psychological profile between the s exes (female-to-male or male-to-females transgender people). Material and Method: A cross-sectional study was carried out. The patients were selected consecutively according to their order of access to the Gender Identity Disorder Unit (GIDU) of Madrid at the beginning of the study. The sample was composed of 121 patients from the GIDU. All patients completed the study. The access criterion was a diagnosis of transsexualism. The patients were administered the following psychological tests: Gender Identity Diagnosis Interview, the General Health Questionnaire (GHQ-28), Emotional Competence Questionnaire, Psychological well-being Scale, Life Satisfaction Scale, Subjective Happiness Scale, the NEO Personality Inventory (NEO-PI) and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Outcomes: The subjects showed a high level of well-being. No serious psychopathological alterations were found. Differences between sexes were few but striking. Only one significant factor was found in the subjects’ personality profile. Conclusions: Transgender people do not have a psychopathological personality profile. The differences between sexes are few but important (AU)

[A validation study of the German version of the Hypersexual Behavior Inventory (HBI)]. / Eine Validierungsstudie der deutschen Version des Hypersexual Behavior Inventory (HBI).

Hypersexuality is characterized by recurrent and intense sexual fantasies, sexual urges, or sexual behaviors resulting in clinically significant personal distress or impairment in social, occupa-tional, or other important areas of functioning. The Hypersexual Behavior Inventory (HBI, Reid et al., 2011) is a 3-factor measure (coping, control and consequences) developed to assess hypersexual behaviour. The aim of the present study was to investigate the psychometric properties of the German version of the HBI. In a sample consisting of 1 749 men and women the questionnaire was used as part of an online survey. The questionnaire showed good reliability and validity. A confirmatory factor analysis supported the 3-factor structure of the original English version. The results and potential benefit of the HBI in research and clinical practice are discussed.

Behavioral and emotional problems on the Teacher's Report Form: a cross-national, cross-clinic comparative analysis of gender dysphoric children and adolescents.

For gender dysphoric children and adolescents, the school environment may be challenging due to peer social ostracism and rejection. To date, information on the psychological functioning and the quality of peer relations in gender dysphoric children and adolescents has been studied via parental report, peer sociometric methods, and social interactions in laboratory play groups. The present study was the first cross-national investigation that assessed behavior and emotional problems and the quality of peer relations, both measured by the Teacher's Report Form (TRF), in a sample of 728 gender dysphoric patients (554 children, 174 adolescents), who were referred to specialized gender identity clinics in the Netherlands and Canada. The gender dysphoric adolescents had significantly more teacher-reported emotional and behavioral problems than the gender dysphoric children. In both countries, gender dysphoric natal boys had poorer peer relations and more internalizing than externalizing problems compared to the gender dysphoric natal girls. Furthermore, there were significant between-clinic differences: both the children and the adolescents from Canada had more emotional and behavioral problems and a poorer quality of peer relations than the children and adolescents from the Netherlands. In conclusion, gender dysphoric children and adolescents showed the same pattern of emotional and behavioral problems in both countries. The extent of behavior and emotional problems was, however, higher in Canada than in the Netherlands, which appeared, in part, an effect of a poorer quality of peer relations. Per Bronfenbrenner's (American Psychologist, 32, 513-531, 1977) ecological model of human development and well-being, we consider various interpretations of the cross-national, cross-clinic differences on TRF behavior problems at the level of the family, the peer group, and the culture at large.

Breast cancer: reviewing the past to give direction for the future.

Since the 1970s, significant advances have been made in the diagnosis and treatment of breast cancer. Incidence rates increased during the 1980s and 1990s but began to decrease about 2% each year for women aged 50 years and older beginning in the year 2000, with a 7% decrease in the year 2002 (Siegel, Naishadham, & Jemal, 2013). Mortality rates in the United States also have decreased since 1990, particularly in women younger than 50 years. The declining incidence of breast cancer and improved mortality rates have been attributed to early detection, improved treatment, and research investigating factors associated with an increased risk of breast cancer. However, challenges such as limited effective treatment for symptoms resulting from estrogen deprivation still exist.

Loneliness of homosexual male students: parental bonding attitude as a moderating factor

The purpose of this paper was to examine the relationships of homosexual male students at the senior high school level and their loneliness using parental bonding attitude as a moderating factor. An amount of 127 homosexual male senior high school students in Taiwan is studied. The Pearson correlation analysis and the hierarchical regression analysis are adapted to examine two proposed hypotheses. Based on the results, homosexual male senior high school students in both hyper-masculine and feminine gender roles are found to feel loneliness, but levels of loneliness of those who possess hyper-masculine gender role are relatively lower than those in a feminine role. In addition, the levels of loneliness of homosexual male senior high school students could be negatively affected by parental bonding attitudes (Care). Recommendations and suggestions for parents as well as teachers of homosexual senior high school male students and future studies are underscored at the end of this article (AU)

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