ICEECE2012 Poster Presentations Developmental endocrinology (18 abstracts)
Childhood maltreatment in subjects with male to female gender identity disorder
A. Fisher 1 , E. Bandini 1 , V. Ricca 2 , M. Meriggiola 3 , E. Jannini 4 , C. Manieri 5 , G. Corona 1 , M. Monami 6 , G. Forti 1 , E. Mannucci 6 & M. Maggi 1
1Sexual Medicine and Andrology Unit, Florence, Italy; 2University of Florence, Florence, Italy; 3Center for Reproductive Health, S.Orsola Hospital, University of Bologna, Bologna, Italy; 4Course of Endocrinology and Medical Sexology, University of L’Aquila, L’Aquila, Italy; 5University of Turin, Turin, Italy, Torino, Italy; 6Diabetes Section, Geriatric Unit, Florence, Italy.
Introduction: Childhood maltreatment is quite common and constitutes a non-specific risk factor for a range of different emotional and behavioural problems during lifespan. It has been demonstrated that sexual minorities are at higher risk of maltreatment and abuse, and a high proportion of transsexual subjects reports childhood maltreatment.
Aim: To evaluate the prevalence of reported childhood maltreatment in a clinical sample of patients with male to female gender identity disorder (MtF GID), and to explore the relationship between these early life events, body image, and different psychopathological and clinical variables.
Methods: A consecutive series of 162 patients with male genotype was evaluated for gender dysphoria in different dedicated centers from July 2008 to May 2010. One hundred-nine subjects (mean age 36±10 years) meeting the criteria for MtF GID, were considered.
The occurrence of childhood maltreatment experiences was evaluated through a face-to-face clinical interview. Patients were asked to complete the body uneasiness test (BUT, a self-rating scale exploring different areas of body-related psychopathology) and Symptom Checklist-90 Revised (a self-rating scale to measure psychological state).
Results: More than one fourth of patients reported childhood maltreatment. Maltreated subjects reported a higher body dissatisfaction and display a worse mental health lifetime. They also reported a higher BUT depersonalization score.
Conclusions: An history of childhood maltreatment is associated with body image dissatisfaction, worse psychosocial adjustment during childhood and worse lifetime mental health in subjects with gender identity disorder. The presence of reported childhood maltreatment in these patients has relevant psychopathological implications, and therefore should be carefully investigated.
Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.
Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
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Endocrine Abstracts
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