autisme en genderdysforie wetenschappelijke artikelen

[Vethrvolnir]

Is It Autism? A Critical Commentary on the Co-Occurrence of Gender Dysphoria and Autism Spectrum Disorder

Alexandro Fortunato , PhD, Guido Giovanardi , PhD,
Eleonora Innocenzi , MA,Marta Mirabella, MA, Giorgio Caviglia, PhD,Vittorio Lingiardi , MD & show all
Published online: 14 Apr 2021

https://doi.org/10.1080/00918369.2021.1905385

An increasing amount of literature revealed a link between GD and ASD. Both GD and ASD are complex and heterogeneous conditions characterized by a large variety of presentations. Studies have reported that individuals with GD tend to have higher prevalence rates of autistic traits in comparison to the general population. The purpose of this commentary is to provide, through the description of a clinical case, our reading and a possible interpretation of the correlation of these two conditions in light of the several methodological limitations found in literature. We hypothesize that the traits often classified as autistic could be more accurately related to the distress and discomfort evoked by GD. The autistic traits of individuals with GD as forms of psychological defenses and coping mechanisms aimed at dealing with socio-relational and identity problems are discussed.

https://www.tandfonline.com/doi/abs ... 1.1905385

[Annabel]

Interessant artikel!
Waarschijnlijk/misschien heb je ook de afgelopen AUMC "Webinar De wetenschap achter genderincongruentie" gezien, waar Anna van der Miesen haar promotieproefschrift presenteerde, met als titel: Contemporary complexities in transgender care; Disentangling the intersections among gender diversity, autism, and mental health?
https://research.vu.nl/en/publications/ ... ling-the-i
Duidelijke presentatie, dat wel, maar vond het wel wat te veel 'cijfertjes kijken' en niet naar oorzaken zoeken. Daarom interessant om een discussie hierover te vinden in dit artikel. Het artikel waar naar verwezen wordt in de discussie is deze:
Prevalence of the Wish to be of the Opposite Gender in Adolescents and Adults with Autism Spectrum Disorder
https://researchinformation.amsterdamum ... adolescent

[Josh]

Daarop inhakend worden er ook al richtlijnen opgesteld voor mogelijke diagnose stelling en behandelingen:

https://www.tandfonline.com/doi/full/10 ... 16.1228462

Abstract

Evidence indicates an overrepresentation of youth with co-occurring autism spectrum disorders (ASD) and gender dysphoria (GD). The clinical assessment and treatment of adolescents with this co-occurrence is often complex, related to the developmental aspects of ASD. There are no guidelines for clinical care when ASD and GD co-occur; however, there are clinicians and researchers experienced in this co-occurrence. This study develops initial clinical consensus guidelines for the assessment and care of adolescents with co-occurring ASD and GD, from the best clinical practices of current experts in the field. Expert participants were identified through a comprehensive international search process and invited to participate in a two-stage Delphi procedure to form clinical consensus statements. The Delphi Method is a well-studied research methodology for obtaining consensus among experts to define appropriate clinical care. Of 30 potential experts identified, 22 met criteria as expert in co-occurring ASD and GD youth and participated. Textual data divided into the following data nodes: guidelines for assessment; guidelines for treatment; six primary clinical/psychosocial challenges: social functioning, medical treatments and medical safety, risk of victimization/safety, school, and transition to adulthood issues (i.e., employment and romantic relationships). With a cutoff of 75% consensus for inclusion, identified experts produced a set of initial guidelines for clinical care. Primary themes include the importance of assessment for GD in ASD, and vice versa, as well as an extended diagnostic period, often with overlap/blurring of treatment and assessment.

Voor de onderstaande twee artikelen zijn alleen Abstract beschikbaar, de rest is betaalde toegang only:
https://research.vumc.nl/en/publication ... ctrum-diso

https://www.liebertpub.com/doi/full/10. ... .2017.0178