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Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева

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Нарушения половой идентичности и проблемы психического здоровья

https://doi.org/10.31363/2313-7053-2019-3-28-35

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Аннотация

В обзоре рассматриваются психические заболевания, наиболее часто встречающиеся у лиц с расстройствами половой идентичности. Анализируется применимость модели «стресса меньшинств», Meyer (1995), для объяснения наблюдаемой коморбидности. Делается вывод о необходимости повышенного внимания к лицам с нарушениями половой идентичности со стороны психологических и психиатрических служб.

Об авторах

Т. К. Пискарева
Научный центр психического здоровья
Россия
Ениколопов Сергей Николаевич — к.п.н., доцент, руководитель отдела медицинской психологии


С. Н. Ениколопов
Научный центр психического здоровья
Россия
Пискарева Татьяна Кондратовна — аспирант отдела медицинской психологии


Список литературы

1. Амбарцумян Э.С. Расстройства половой идентичности и дизонтогенетические состояния у лиц, совершивших сексуальные гомицидные действия. В кн.: Материалы юбилейной конференции «Социальные и клинические проблемы сексологии и сексопатологии», посвященной 30-летию Федерального научно-методического центра медицинской сексологии и сексопатологии. М.; 2003:115-116. [Ambarcumyan ES. Rasstrojstva polovoj identichnosti i dizontogeneticheskie sostoyaniya u lic, sovershivshih seksual’nye gomicidnye dejstviya. V kn.: Materialy yubilejnoj konferencii «Social’nye i klinicheskie problemy seksologii i seksopatologii», posvyashchennoj 30-letiyu Federal’nogo nauchno-metodicheskogo centra medicinskoj seksologii i seksopatologii. M.; 2003:115-116. (In Russ.).]

2. Введенский Г.Е. Нарушения половой идентичности и психосексуальных ориентации у лиц, совершивших противоправные сексуальные действия (клиника, патогенез, коррекция, судебно-психиатрическое значение): дис. д-ра. мед. наук. М.;2000. [Vvedenskij GE. Narusheniya polovoj identichnosti i psihoseksual’nyh orientacii u lic, sovershivshih protivopravnye seksual’nye dejstviya (klinika, patogenez, korrekciya, sudebnopsihiatricheskoe znachenie): dis. d-ra. med. nauk. M.; 2000. (In Russ.).]

3. Дворянчиков Н.В., Макарова Т.Е. Половозрастная идентичность у лиц, совершивших сексуальные насильственные действия в от- ношении детей. Психология и право. 2013;3. [Электронный ресурс] http://psyjournals.ru/psyandlaw/2013/n3/63799.shtml (дата обращения: 07.02.2019) [Dvoryanchikov NV, Makarova TE. Age and gender identity in the perpetrators of sexual violence against children. Psihologiya i pravo. 2013. [Elektronnyj resurs] http://psyjournals.ru/psyandlaw/2013/n3/63799.shtml (In Russ.).]

4. Жариков Н.М., Морозов Г.В., Хритинин Д.Ф. Судебная психиатрия: Учебник для вузов. Под общ. ред. Г.В. Морозова. М.: Норма; 2008. [Zharikov NM, Morozov GV, Hritinin DF. Sudebnaya psihiatriya: Uchebnik dlya vuzov. Pod obshch. red. G.V. Morozova. M.: Norma; 2008. (In Russ.)]

5. Кочарян А.С. Личность и половая роль: симптомокомплекс маскулинности/феминности в норме и патологии. Отв. Ред. Л.Ф. Бурлачук. Харьков;1996. [Kocharyan AS. Lichnost i polovaya rol: simptomokompleks maskulinnosti/femininnosti v norme i patologi. Otv. red. L.F. Burlachuk. Harkov; 1996. (In Russ.)]

6. Матевосян С.Н. Психические расстройства с синдромом «отвергания» пола (клинико-феноменологические и лечебно-реабилитационные аспекты): дис. док. мед. наук. М.; 2009. [Matevosyan SN. Psihicheskie rasstrojstva s sindromom «otverganiya» pola (kliniko-fenomenologicheskie i lechebnoreabilitacionnye aspekty): dis. dok. med. nauk. M.; 2009. (In Russ.)]

7. Матевосян С.Н., Введенский Г.Е. Психопатологическая коморбидность расстройств половой идентичности. Сборник материалов научно-практической конференции «Сексуальная культура современной России». М.; 2006:44-46. [Matevosyan SN, Vvedenskij GE. Psihopatologicheskaya komorbidnost’ rasstrojstv polovoj identichnosti. Sbornik materialov nauchnoprakticheskoj konferencii «Seksual’naya kul’tura sovremennoj Rossii». M.; 2006:44-46. (In Russ.)]

8. À Campo J, Nijman H, Merckelbach H, Evers C. Psychiatric comorbidity of gender identity disorders: a survey among dutch psychiatrists. The American Journal of Psychiatry. 2003; 160(7):1332–1336. doi: 10.1176/appi.ajp.160.7.1332

9. Arcelus J, Claes L, Witcomb GL, Marshall E, Bouman WP. Risk Factors for Non-Suicidal Self- Injury Among Trans Youth. The Journal of Sexual Medicine. 2016; 13(3):402-412. doi:10.1016/j.jsxm.2016.01.003

10. Baron-Cohen S. The Extreme Male Brain Theory of Autism and the Potential Adverse Effects for Boys and Girls with Autism. Journal of Bioethical Inquiry. 2012; 9(1):93-103. doi: 10.1007/s11673-011-9350-y

11. Baird G, Simonoff E, Pickles A, Chandler S, Loucas T, Meldrum D, Charman T. Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: The special needs and autism project (SNAP). The Lancet. 2006; 368(9531):210-215. doi:10.1016/S0140-6736(06)69041-7

12. Bakker A., van Kesteren P.J., Gooren L.J., Bezemer P.D. The prevalence of transsexualism in Netherlands. Acta Psychiatrica Scandinavica. 1993; 87(4):237-238.

13. Bergero-Miguel T, García-Encinas MA, Villena- Jimena A, Pérez-Costillas L, Sánchez-Álvarez N, de Diego-Otero Y, Guzman-Parra J. Gender Dysphoria and Social Anxiety: An Exploratory Study in Spain. The Journal of Sexual Medicine. 2016; 13(8):1270-1278. doi: 10.1016/j.jsxm.2016.05.009

14. Bodlund O, Kullgren G, Sundbom E, Hojerback T. Personality traits and disorders among transsexuals. Acta Psychiatrica Scandinavica. 1993; 88(5):322–327.

15. Bonierbale M, Baumstarck K, Maquigneau A, Gorin- Lazard A, Boyer A, Loundou A, Auquier P, Lancon C. MMPI-2 Profile of French Transsexuals: The Role of Sociodemographic and Clinical Factors. A cross-sectional design. Scientific Reports. 2016; 6:24281. doi: 10.1038/srep24281

16. Brown G. Sex reassignment surgery in a patient with gender identity disorder and dissociative identity disorders: Report of a successful case. XVII Harry Benjamin International Gender Dysphoria Association Symposium. Texas: Galveston; 2001.

17. Brown GR, Wise TN, Costa PTJr, Herbst JH, Fagan PJ, Schmidt CWJr. Personality characteristics and sexual functioning of 188 cross-dressing men. The Journal of Nervous and Mental Disease. 1996; 184(5):265–273.

18. Busa S, Janssen A, Lakshman M. A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder. Transgender Health. 2018; 3(1):27–33. doi:10.1089/trgh.2017.0037

19. Carmel TC, Erickson-Schroth L. Mental health and the transgender population. Journal of Psychosocial Nursing and Mental Health Services. 2016; 54(12):44-48. doi:10.3928/02793695-20161208-09

20. Chien YL, Gau SS, Gadow KD. Sex difference in the rates and co-occurring conditions of psychiatric symptoms in incoming college students in Taiwan. Comprehensive Psychiatry. 2011; 52(2):195–207. doi:10.1016/j.comppsych.2010.03.009

21. Claes L, Bouman WP, Witcomb G, Thurston M, Fernandez-Aranda F, Arcelus J. Non-suicidal selfinjury in trans people: associations with psychological symptoms, victimization, interpersonal functioning, and perceived social support. The Journal of Sexual Medicine. 2015; 12(1):168-179. doi:10.1111/jsm.12711

22. Clements-Nolle K, Marx R, Guzman R, Katz M. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: Implications for public health intervention. American Journal of Public Health. 2001; 91:915–921.

23. Cole CM, O’Boyle M, Emory LE, Meyer WJ. Comorbidity of gender dysphoria and other major psychiatric diagnoses. Archives of Sexual Behavior. 1997; 26(1):13–26.

24. De Vries AL, Doreleijers TA, Steensma TD, Cohen- Kettenis PT. Psychiatric comorbidity in gender dysphoric adolescents. Journal of Child Psychology and Psychiatry. 2011; 52(11):1195-1202. doi:10.1111/j.1469-7610.2011.02426.x

25. De Vries AL, Noens IL, Cohen-Kettenis PT, van Berckelaer-Onnes IA, Doreleijers TA. Autism spectrum disorders in gender dysphoric children and adolescents. Journal of Autism and Developmental Disorders. 2010; 40(8):930–936. doi:10.1007/s10803-010-0935-9

26. Dhejne C, Van Vlerken R, Heylens G, Arcelus J. Mental health and gender dysphoria: A review of the literature. International Review of Psychiatry. 2016; 28(1):44-57. doi:10.3109/09540261.2015.1115753

27. Dixen JM, Maddever H, Van Maasdam J, Edwards PW. Psychosocial characteristics of applicants evaluated for surgical gender reassignment. Archives of Sexual Behavior. 1984; 13:269–276.

28. Duišin D, Batinić B, Barišić J, Djordjevic ML, Vujović S, Bizic M. Personality Disorders in Persons with Gender Identity Disorder. Scientific World Journal. 2014;809058. doi:10.1155/2014/809058.

29. García-Vega E, Camero A, Fernández M, Villaverde A. Suicidal ideation and suicide attempts in persons with gender dysphoria. Psicothema. 2018; 30(3):283-288. doi:10.7334/psicothema2017.438. 30. Guzman-Parra J, Paulino-Matos P, de Diego-Otero Y, Perez-Costillas L, Villena-Jimena A, Garcia-Encinas MA, Bergero-Miguel T. Substance use and social anxiety in transsexual individuals. Journal of Dual Diagnosis. 2014; 10(3):162-167. doi: 10.1080/15504263.2014.930658

30. Hepp U, Kraemer B, Schnyder U, Miller N, Delsignore A. Psychiatric comorbidity in gender identity disorder. Journal of Psychosomatic Research. 2005; 58(3):259–261.

31. Hoshiai M, Matsumoto Y, Sato T, Ohnishi M, Okabe N, Kishimoto Y, Terada S, Kuroda S. Psychiatric comorbidity among patients with gender identity disorder. Psychiatry and Clinical Neurosciences. 2010; 64(5):514–519. doi:10.1111/j.1440-1819.2010.02118.x

32. Hoy-Ellis CP, Fredriksen-Goldsen KI. Depression Among Transgender Older Adults: General and Minority Stress. American Journal of Community Psychology. 2017; 59(3-4):295-305. doi:10.1002/ajcp.12138

33. Ibrahim C, Haddad R, Richa S. Les comorbidités psychiatriques dans le transsexualisme : étude sur une population de transgenres libanais. l’Encéphale Revue De Psychiatrie Clinique Biologique et Thérapeutique. 2016; 42(6):517-522 doi: 10.1016/j.encep.2016.02.011

34. Jackman K, Honig J, Bockting W. Nonsuicidal selfinjury among lesbian, gay, bisexual and transgender populations: an integrative review. Journal of Clinical Nursing. 2016; 25(23-24):3438-3453. doi: 10.1111/jocn.13236

35. 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(4):277–282. doi: 10.1089/lgbt.2013.0045

36. Judge C, O’Donovan C, Callaghan G, Gaoatswe G, O’Shea D. Gender dysphoria—prevalence and co-morbidities in an Irish adult population. Frontiers in Endocrinology. 2014; 5:1-5. doi:10.3389/fendo.2014.00087

37. Kraemer B, Delsignore A, Gundelfinger R, Schnyder U, Hepp U. Comorbidity of Asperger syndrome and gender identity disorder. European Child and Adolescent Psychiatry. 2005; 14(5):292–296.

38. Levine SB. Psychiatric diagnosis of patients requesting sex reassignment surgery. Journal of Sex and Marital Therapy. 1980; 6(3):164–173. 40. Lombardi EL, Wilchins RA, Priesing D, Malouf D. Gender violence: Transgender experiences with violence and discrimination. Journal of Homosexuality. 2001; 42(1):89–101.

39. Madeddu F, Prunas A, Hartmann D. Prevalence of axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery. Psychiatric Quarterly. 2009; 80(4):261–267. doi:10.1007/s11126-009-9114-6

40. Marshall E, Claes L, Bouman WP, Witcomb GL, Arcelus J. Non-suicidal self-injury and suicidality in trans people: A systematic review of the literature. International Review of Psychiatry. 2016; 28(1):58-69. doi: 10.3109/09540261.2015.1073143

41. Meybodi AM, Hajebi A, Jolfaei AG. Psychiatric axis I comorbidities among patients with gender dysphoria. Psychiatry Journal. 2014;971814. doi:10.1155/2014/971814

42. Meyer IH. Minority stress and mental health in gay men. Journal of Health and Social Behavior. 1995; 36(1):38-56.

43. McCabe SE, Bostwick WB, Hughes TL, West BT, Boyd CJ. The relationship between discrimination and substance use disorders among lesbian, gay and bisexual adults in the United States. American Journal of Public Health. 2010; 100:1946-1952. doi: 10.2105/AJPH.2009.163147

44. Miach PP, Berah EF, Butcher JN, Rouse S. Utility of the MMPI-2 in assessing gender dysphoric patients. Journal of Personality Assessment. 2000; 75:268–279.

45. Okabe N, Sato T, Matsumoto Y, Ido Y, Terada S, Kuroda S. Clinical characteristics of patients with gender identity disorder at a Japanese gender identity disorder clinic. Psychiatry Research. 2008;157(1–3):315–318.

46. Pasterski V, Gilligan L, Curtis R. Traits of autism spectrum disorders in adults with gender dysphoria. Archives of Sexual Behavior. 2014; 43:387-393. doi: 10.1007/s10508-013-0154-5

47. Rajkumar RP. Gender identity disorder and schizophrenia: neurodevelopmental disorders with common causal mechanisms? Schizophrenia Research and Treatment. 2014;463757. doi:10.1155/2014/463757

48. Roberts KE, Schwartz D, Hart TA. Social anxiety among lesbian, gay, bisexual, and transgender adolescents and young adults. Alfano CA, Beidel DC. (Eds.) Social anxiety in adolescents and young adults: Translating developmental science into practice. US: APA; 2011:161-181. doi:10.1037/12315-009

49. Schuler MS, Rice CE, Evans-Polce RJ, Collins RL. Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity. Drug and Alcohol Dependence. 2018; 189:139-146. doi: 10.1016/j.drugalcdep.2018.05.008

50. Smith YLS, van Goozen SHM, Cohen-Kettenis PT. Adolescents with gender identity disorder who were accepted or rejected for sex reassignment surgery: a prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry. 2001; 40(4):472–481.

51. Tebbe EA, Moradi B. Suicide risk in trans populatrions: An application of minority stress theory. Journal of Counseling Psychology. 2016; 63(5):520-533. doi: 10.1037/cou0000152

52. Ten Have M, de Graaf R, van Dorsselaer S, Verdurmen J, van ‘t Land H, Vollebergh W, Beekman A. Incidence and course of suicidal ideation and suicide attempts in the general population. The Canadian Journal of Psychiatry. 2009; 54(12):824-833.

53. Terada S, Matsumoto Y, Sato T, Okabe N, Kishimoto Y, Uchitomi Y. Suicidal ideation among patients with gender identity disorder. Psychiatry Research. 2011; 190(1):159-162. doi:10.1016/j.psychres.2011.04.024

54. Van Damme A, Declercq T, Lemey L, Tandt H, Petrovic M. Late-life depression: issues for the general practitioner. International Journal of General Medicine. 2018; 11:113-120. doi:10.2147/IJGM.S154876

55. Van Kesteren PJ, Asscheman H, Megens JA, Gooren LJ. Mortality and morbidity in transsexual subjects treated with crosssex hormones. Clinical Endocrinology (Oxford). 1997; 47:337–342.

56. Van Schalkwyk GI, Klingensmith K, Volkmarb FR. Gender Identity and Autism Spectrum Disorders. Yale Journal of Biology and Medicine. 2015; 88(1):81–83.

57. Wadsworth LP, Hayes-Skelton SA. Differences Among Lesbian, Gay, Bisexual, Heterosexual Individuals, and those Who Reported an Other Identity on an Open-Ended Response on Levels of Social Anxiety. Psychology of sexual orientation and gender diversity. 2015; 2(2):181-187. doi:10.1037/sgd0000092

58. Witcomb GL, Bouman WP, Claes L, Brewin N, Crawford JR, Arcelus J. Levels of depression in transgender people and its predictors: Results of a large matched control study with transgender people accessing clinical services. Journal of Affective Disorders. 2018; 235:308-315. doi:10.1016/j.jad.2018.02.051

59. Zucker KJ, Bradley SJ, Owen-Anderson A, Kibblewhite SJ, Wood H, Singh D, Choi K. Demographics, behavior problems, and psychosexual characteristics of adolescents with gender identity disorder or transvestic fetishism. Journal of Sex and Marital Therapy. 2012; 38(2):151-189. doi:10.1080/0092623X.2011.611219.


Для цитирования:


Пискарева Т.К., Ениколопов С.Н. Нарушения половой идентичности и проблемы психического здоровья. Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева. 2019;(3):28-35. https://doi.org/10.31363/2313-7053-2019-3-28-35

For citation:


Piskareva T.K., Enikolopov S.N. Gender identity disorder and mental health problems. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2019;(3):28-35. (In Russ.) https://doi.org/10.31363/2313-7053-2019-3-28-35

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