UNASSIGNED:尽管许多研究表明,与普通人群相比,变性女性(TW)倾向于有更多的抑郁症状,重度抑郁症的确切患病率和影响因素尚未研究,尤其是那些接受过性别确认生殖器手术(GAS)的人。
UNASSIGNED:每个20-60岁的TW在泰国红十字会的变性人诊所接受术后检查,被邀请填写一份自我报告问卷,包括(1)人口统计数据,(2)泰国患者健康问卷9(PHQ-9),(3)对心理社会因素的满意度(家庭关系、朋友,和社会),GAS前后性别确认治疗的性经历和结果,(4)抑郁症状的影响因素。测试了人口统计学数据与抑郁评分之间的相关性。采用配对t检验比较GAS前后数据。
未经评估:共分析了97个TW,22.7%的患者在GAS后被认为患有“重度抑郁症”(PHQ-9≥9)。术后观察患者对心理社会因素的满意度和性别确认治疗结果的改善。尤其是在性经验方面。发现抑郁严重程度与年龄和性满意度呈负相关。值得注意的是,手术前存在男性特征,缺乏社会支持和理解,术后手术并发症被认为是导致抑郁症状的因素。
UNASSIGNED:与非GASTW相比,在泰国接受GAS治疗的患者中,抑郁症较低,但仍然显著,并且与年龄较小和术后性体验差有关.这些发现得到了性心理领域和术后治疗结果的定性评估数量的支持。临床试验登记号-TCTR20190904003。
UNASSIGNED: Although many studies have shown that transgender women (TW) tend to have more depressive symptoms compared with the general population, the exact prevalence of major depressive disorder and contributing risk factors have not yet been studied, especially in those who have undergone gender-affirming genital surgery (GAS).
UNASSIGNED: Every TW aged 20-60 years attending transgender clinics in the Thai Red Cross Society for postoperative checkup were invited to complete a self-report questionnaire, including (1) demographic data, (2) the Thai Patient Health Questionnaire 9 (PHQ-9), (3) satisfaction with psychosocial factors (relationship in family, friends, and society), sexual experiences and outcomes of gender-affirming treatments before and after GAS, and (4) contributing factors to depressive symptoms. Correlations between demographic data and depressive scores were tested. Paired t-test was used to compare pre- and post-GAS data.
UNASSIGNED: A total of 97 TW were analyzed, with 22.7% considered to have \"major depression\" (PHQ-9≥9) after GAS. Postoperative improvement in satisfaction with psychosocial factors and gender-affirming treatment outcomes were observed, especially in sexual experience. Depression severity was found to be negatively correlated with age and sexual satisfaction. Notably, presence of male characteristics before surgery, poor social support and understanding, and postoperative surgical complications were greatly considered as factors contributing to depressive symptoms.
UNASSIGNED: Compared with non-GAS TW, depression among those who underwent GAS in Thailand was lower but still significant and was linked to younger age and poor postoperative sexual experiences. These findings were supported by the number of qualitative assessments in the psychosexual domain and postoperative treatment outcomes. Clinical Trial Registration Number - TCTR20190904003.