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LGBT Health. 2016 Oct;3(5):387-90. doi: 10.1089/lgbt.2015.0070. Epub 2015 Dec 1.

Evaluation of Asperger Syndrome in Youth Presenting to a Gender Dysphoria Clinic.

Author information

1
1 Department of Medicine, Division of Pediatric Endocrinology, Boston Children's Hospital , Boston, Massachusetts.
2
2 Department of Pediatrics and Communicable Diseases, Division of Pediatric Endocrinology, University of Michigan , Ann Arbor, Michigan.
3
3 Department of Pediatrics, Boston Children's Hospital , Boston, Massachusetts.
4
4 Pacific University School of Professional Psychology , Hillsboro, Oregon.
5
5 Department of Psychology, Boston Children's Hospital , Boston, Massachusetts.
6
6 Department of Psychiatry, Boston Children's Hospital , Boston, Massachusetts.
7
7 Department of Urology, Boston Children's Hospital , Boston, Massachusetts.

Abstract

PURPOSE:

There is evolving evidence that children and adolescents with gender dysphoria have higher-than-expected rates of autism spectrum disorder (ASD), yet clinical data on ASD among youth with gender dysphoria remain limited, particularly in North America. This report aims to fill this gap.

METHODS:

We conducted a retrospective review of patient chart data from 39 consecutive youth ages 8 to 20 years (mean age 15.8 years, natal male: nā€‰=ā€‰22, natal female: nā€‰=ā€‰17) presenting for evaluation at a multidisciplinary gender clinic in a large U.S. pediatric hospital from 2007 to 2011 to evaluate the prevalence of ASD in this patient population.

RESULTS:

Overall, 23.1% of patients (9/39) presenting with gender dysphoria had possible, likely, or very likely Asperger syndrome as measured by the Asperger Syndrome Diagnostic Scale (ASDS).

CONCLUSION:

These findings are consistent with growing evidence supporting increased prevalence of ASD in gender dysphoric children. To guide provision of optimal clinical care and therapeutic intervention, routine assessment of ASD is recommended in youth presenting for gender dysphoria.

KEYWORDS:

Asperger syndrome; and transgender (LGBT) youth; autism spectrum disorder; bisexual; gay; gender dysphoria; lesbian; transgender

PMID:
26651183
PMCID:
PMC5073215
DOI:
10.1089/lgbt.2015.0070
[Indexed for MEDLINE]
Free PMC Article

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