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01.12.2017 | Research Article | Ausgabe 1/2017 Open Access

Intense/obsessional interests in children with gender dysphoria: a cross-validation study using the Teacher’s Report Form

Zeitschrift:: Child and Adolescent Psychiatry and Mental Health > Ausgabe 1/2017

Autoren:: Kenneth J. Zucker, A. Natisha Nabbijohn, Alanna Santarossa, Hayley Wood, Susan J. Bradley, Joanna Matthews, Doug P. VanderLaan

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Abstract

Objective

This study assessed whether children clinically referred for gender dysphoria (GD) show symptoms that overlap with Autism Spectrum Disorder (ASD). Circumscribed preoccupations/intense interests and repetitive behaviors were considered as overlapping symptoms expressed in both GD and ASD.

Methods

To assess these constructs, we examined Items 9 and 66 on the Teacher’s Report Form (TRF), which measure obsessions and compulsions, respectively.

Results

For Item 9, gender-referred children (n = 386) were significantly elevated compared to the referred (n = 965) and non-referred children (n = 965) from the TRF standardization sample. For Item 66, gender-referred children were elevated in comparison to the non-referred children, but not the referred children.

Conclusions

These findings provided cross-validation of a previous study in which the same patterns were found using the Child Behavior Checklist (Vanderlaan et al. in J Sex Res 52:213–19, 2015). We discuss possible developmental pathways between GD and ASD, including a consideration of the principle of equifinality.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Press; 2013. CrossRef

Coates S. Extreme boyhood femininity: overview and new research findings. In: DeFries Z, Friedman RC, Corn R, editors. Sexuality: new perspectives. Westport: Greenwood Publishing; 1985. p. 101–24.

Tuber S, Coates S. Interpersonal phenomena in the Rorschachs of extremely feminine boys. Psychoanal Psychol. 1985;2:251–65. CrossRef

Saketopoulou A. Mourning the body as bedrock: developmental considerations in treating transsexual patients analytically. Int J Psychoanal. 2014;62:773–806.

DeLoache JS, Simcock G, Macari S. Planes, trains, automobiles—and tea sets: extremely intense interests in very young children. Dev Psychol. 2007;43:1579–86. CrossRefPubMed

Halim ML, Ruble DN, Lurye LE, Greulich FK, Zosuls KM, Tamis-Lemonda CS. Pink frilly dresses and the avoidance of all things “girly”: children’s appearance rigidity and cognitive theories of gender development. Dev Psychol. 2014;50:1091–101. CrossRefPubMed

Galucci G, Hackerman F, Schmidt CW. Gender identity disorder in an adult male with Asperger’s syndrome. Sex Disabil. 2005;23:35–40. CrossRef

Jacobs LA, Rachlin K, Erickson-Schroth L, Janssen A. Gender dysphoria and co-occurring autism spectrum disorders: review, case examples, and treatment considerations. LGBT Health. 2014;1:277–82. CrossRefPubMed

Kalafarski EG. Gender identity development in individuals with autism. Unpublished Master of Social Work degree, Smith College School for Social Work, Northampton; 2010.

10.

Kraemer B, Delsignore A, Gundelfinger R, Schnyder U, Hepp U. Comorbidity of Asperger syndrome and gender identity disorder. Eur Child Adolesc Psychiatry. 2005;14:292–6. CrossRefPubMed

11.

Landén M, Rasmussen P. Gender identity disorder in a girl with autism—a case report. Eur Child Adolesc Psychiatry. 1997;6:170–3. CrossRefPubMed

12.

Lemaire M, Thomazeau B, Bonnet-Brilhault F. Gender identity disorder and autism spectrum disorder in a 23-year-old female. Arch Sex Behav. 2014;43:395–8. CrossRefPubMed

13.

Mukkades NM. Gender identity problems in autistic children. Child Care Health Dev. 2002;28:529–32. CrossRef

14.

Parkinson J. Gender dysphoria in Asperger’s syndrome: a caution. Australas Psychiatry. 2014;22:84–5. CrossRefPubMed

15.

Perera H, Gadambanathan T, Weerasiri S. Gender identity disorder presenting in a girl with Asperger’s disorder and obsessive compulsive disorder. Ceylon Med J. 2003;48:57–8. PubMed

16.

Tateno M, Ikeda H, Saito T. Gender dysphoria in pervasive developmental disorders. Seishin Shinkeigaku Zasshi. 2011;113:1172–83.

17.

Tateno M, Tateno Y, Saito T. Comorbid childhood gender identity disorder in a boy with Asperger syndrome [Letter to the Editor]. Psychiatry Clin Neurosci. 2008;62:238. CrossRefPubMed

18.

Tateno M, Teo AR, Tateno Y. Eleven year follow-up of a boy with Asperger syndrome and comorbid gender identity disorder of childhood. Psychiatry Clin Neurosci. 2015;69:658. CrossRefPubMedPubMedCentral

19.

Williams PG, Allard AM, Sears L. Case study: cross-gender preoccupations with two male children with autism. J Autism Dev Disord. 1996;26:635–42. CrossRefPubMed

20.

de Vries ALC, Noens IL, Cohen-Kettenis PT, van Berckelaer-Onnes IA, Doreleifers TA. Autism spectrum disorders in gender dysphoric children and adolescents. J Autism Dev Disord. 2010;40:930–6. CrossRefPubMedPubMedCentral

21.

Di Ceglie D, Skagerberg E, Baron-Cohen S, Auyeung B. Empathising and systemising in adolescents with gender dysphoria. Opticon. 2014;12(16):6. doi: 10.5334/opt.bo.

22.

Shumer DE, Reisner SL, Edwards-Leeper L, Tishelman A. Evaluation of Asperger syndrome in youth presenting to a gender dysphoria clinic. LGBT Health. 2016;3:387–90. CrossRefPubMedPubMedCentral

23.

Skagerberg E, Di Ceglie D, Carmichael P. Autistic features in children and adolescents with gender dysphoria. J Autism Dev Disord. 2015;45:2628–32. CrossRefPubMed

24.

Jones RM, Wheelwright S, Farrell K, Martin E, Green R, Di Ceglie D, Baron-Cohen S. Female-to-male transsexual people and autistic traits. J Autism Dev Disord. 2012;42:301–6. CrossRefPubMed

25.

Pasterski V, Gilligan L, Curtis R. Traits of autism spectrum disorders in adults with gender dysphoria. Arch Sex Behav. 2014;43:387–93. CrossRefPubMed

26.

Kristensen ZE, Broome MR. Autistic traits in an internet sample of gender variant UK adults. Int J Transgenderism. 2015;16:234–45. CrossRef

27.

Glidden D, Bouman WP, Jones BA, Arcelus J. Gender dysphoria and autism spectrum disorder: a systematic review of the literature. Sex Med Rev. 2016;4:3–14. CrossRefPubMed

28.

Strang JF, Meagher H, Kenworthy L, de Vries ALC, Menvielle E, Leibowitz S, et al. Initial clinical guidelines for co-occurring autism spectrum disorder and gender dysphoria or incongruence in adolescents. J Clin Child Adolesc Psychol. 2016. doi: 10.1080/15374416.2016.1228462. PubMed

29.

van der Miesen AIR, Hurley H, de Vries ALC. Gender dysphoria and autism spectrum disorder: a narrative review. Int Rev Psychiatry. 2016;28:70–80. CrossRef

30.

van Schalkwyk GI, Klingensmith K, Volkmar FR. Gender identity and autism spectrum disorders. Yale J Biol Med. 2015;88:81–3. PubMedPubMedCentral

31.

Baron-Cohen S, Wheelwright S. ‘Obsessions’ in children with autism or Asperger syndrome: content analysis in terms of core domains of cognition. Br J Psychiatry. 1999;175:484–90. CrossRefPubMed

32.

Klin A, Danovitch JH, Merz AB, Volkmar FR. Circumscribed interests in higher functioning individuals with autism spectrum disorders: an exploratory study. Res Prac Pers Sev Disabil. 2007;32:89–100. CrossRef

33.

Strang JF, Kenworthy L, Dominska A, Sokoloff J, Kenealy LE, Berl M, et al. Increased gender variance in autism spectrum disorders and attention deficit hyperactivity disorder. Arch Sex Behav. 2014;43:1525–33. CrossRefPubMed

34.

Constantino JN, Gruber CP. Social responsiveness scale. 2nd ed. (SRS-2). Torrance: Western Psychological Services; 2012.

35.

Campbell DT, Stanley JC. Experimental and quasi-experimental designs for research. Chicago: Rand McNally & Company; 1969.

36.

Vanderlaan DP, Postema L, Wood H, Singh D, Fantus S, Hyun J, et al. Do children with gender dysphoria have intense/obsessional interests? J Sex Res. 2015;52:213–9. CrossRefPubMed

37.

Achenbach TM. Manual for the child behavior checklist/4-18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry; 1991.

38.

Achenbach TM. Manual for the teacher’s report form and 1991 profile. Burlington: University of Vermont Department of Psychiatry; 1991.

39.

Achenbach TM, Rescorla LA. Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families; 2001.

40.

Achenbach TM, Edelbrock C. Manual for the teacher’s report form and teacher version of the child behavior profile. Burlington: University of Vermont Department of Psychiatry; 1986.

41.

Achenbach TM, Rescorla LA. Manual for the ASEBA preschool forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families; 2000.

42.

Hollingshead AB. Four-factor index of social status. Unpublished manuscript, Department of Sociology, Yale University, New Haven; 1975.

43.

Cicchetti D, Rogosch FA. Equifinality and multifinality in developmental psychopathology [Editorial]. Dev Psychopathol. 1996;8:597–600. CrossRef

44.

Zucker KJ, Wood H, Singh D, Bradley SJ. A developmental, biopsychosocial model for the treatment of children with gender identity disorder. J Homosex. 2012;59:369–97. CrossRefPubMed

45.

Hus V, Bishop S, Gotham S, Huerta M, Lord C. Factors influencing scores on the social responsiveness scale. J Child Psychol Psychiatry. 2013;54:216–24. CrossRefPubMed

46.

Cholemkery H, Kitzerow J, Rohrmann S, Freitag CM. Validity of the Social Responsiveness Scale to differentiate between autism spectrum disorders and disruptive behavior disorders. Eur Child Adolesc Psychiatry. 2014;23:81–93. CrossRefPubMed

47.

Cholemkery H, Mojica L, Rohrmann S, Gensthaler A, Freitag CM. Can autism spectrum disorders and social anxiety disorders be differentiated by the Social Responsiveness Scale in children and adolescents? J Autism Dev Disord. 2014;44:1168–82. CrossRefPubMed

48.

Griffiths DL, Farrell LJ, Waters AM, White SW. ASD traits among youth with obsessive-compulsive disorder. Child Psychiatry Hum Dev. 2017. doi: 10.1007/s10578-017-0714-3. PubMed

49.

Zucker KJ, Leef JH, Wood H, Hughes KH, Wasserman L, VanderLaan DP. LinkedIn? On the relation between gender dysphoria and traits of autism spectrum disorder in children. Paper presented at the meeting of the International Academy of Sex Research, Toronto; 2015.

50.

VanderLaan DP, Leef JH, Wood H, Hughes K, Zucker KJ. Autism spectrum disorder risk factors and autistic traits in gender dysphoric children. J Autism Dev Disord. 2015;45:1742–50. CrossRefPubMed

51.

Nowack N, Wittsiepe J, Kasper-Sonnenberg M, Wilhelm M, Schölmreich A. Influence of low-level prenatal exposure to PCDD/Fs and PCBs on empathizing, systematizing and autistic traits: results from the Duisburg Birth Cohort Study. PLoS ONE. 2015;10(6):e0129906. doi: 10.1371/journal.pone.0129906. CrossRefPubMedPubMedCentral

52.

Shumer DE, Roberts AL, Reisner SL, Lyall K, Austin SB. Autistic traits in mothers and children associated with child’s gender nonconformity. J Autism Dev Disord. 2015;45:1489–94. CrossRefPubMedPubMedCentral

53.

So P, Greaves-Lord K, van der Ende J, Verhulst PC, Rescorla L, de Nijs PFA. Using the child behavior checklist and the teacher’s report form for identification of children with autism spectrum disorders. Autism. 2012;15:595–607.

54.

Lord C, Rutter M, DiLavore PC, Risi S, Gotham K, Bishop SL, et al. Autism diagnostic observation schedule. In: 2nd ed: ADOS-2. Oxford: Pearson Assessment; 2012.

Titel: Intense/obsessional interests in children with gender dysphoria: a cross-validation study using the Teacher’s Report Form
Autoren:: Kenneth J. Zucker
A. Natisha Nabbijohn
Alanna Santarossa
Hayley Wood
Susan J. Bradley
Joanna Matthews
Doug P. VanderLaan
Publikationsdatum: 01.12.2017
DOI: https://doi.org/10.1186/s13034-017-0189-9
Verlag: BioMed Central
Zeitschrift: Child and Adolescent Psychiatry and Mental Health
Ausgabe 1/2017
Elektronische ISSN: 1753-2000

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Springer Medizin

Intense/obsessional interests in children with gender dysphoria: a cross-validation study using the Teacher’s Report Form

Abstract

Objective

Methods

Results

Conclusions

Neu im Fachgebiet Psychiatrie

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Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

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