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ASD and Gender Dysphoria: A Review of Challenges and Facilitators for Health Professionals
Sexuality and Disability ( IF 1.1 ) Pub Date : 2023-05-02 , DOI: 10.1007/s11195-023-09791-1
Dainelle Gagnon , Virginie Pellerin , Élise Trudel , Alexia Vincent , Ernesto Morales

Although the literature highlights a growing number of diagnoses of autism spectrum disorder (ASD) and the rise in the number of referrals for gender dysphoria in specialized clinics, there is little data currently available on how to intervene with this clientele in health care settings having a comorbidity for these two diagnoses. The objective of this systematic review was to define the challenges encountered by various health professionals when intervening with individuals who present a comorbidity of ASD and gender dysphoria in comparison with neurotypical individuals with similar developmental gender characteristics. Four databases [Sociological Abstracts, EMBASE, PsycInfo (OVID), Academic Search Premier] were consulted with keywords such as "autism spectrum disorder", "neurotypical" and "gender dysphoria". From 5639 studies screened, 184 full-text studies were assessed for eligibility. A total of 25 articles were retained. The results show that individuals with gender dysphoria are at risk of developing psychological distress and that family and friends play a fundamental role in the support offered to them. Health professionals must adapt their approach according to the individual's unique profile, which is even more evident when intervening with individuals with an ASD because of their particularities. Health care professionals need to expand their knowledge on gender dysphoria in order to have a better understanding of the various challenges faced by these individuals, such as discrimination. By the same token, these results will help to shed some light on clinical interventions focusing on the unique profile of these patient in order to better address their particular needs.



中文翻译:

自闭症谱系障碍和性别不安:健康专业人员面临的挑战和促进因素回顾

尽管文献强调自闭症谱系障碍 (ASD) 的诊断数量不断增加,并且专科诊所转诊性别焦虑症的人数也在增加,但目前关于如何在医疗机构中对此类客户进行干预的数据很少这两种诊断的合并症。本系统评价的目的是明确不同卫生专业人员在对患有自闭症谱系障碍和性别不安共病的个体进行干预时遇到的挑战,并与具有相似发育性别特征的神经典型个体进行比较。查阅了四个数据库 [Sociological Abstracts、EMBASE、PsycInfo (OVID)、Academic Search Premier],其中关键词包括“自闭症谱系障碍”、“神经典型”和“性别焦虑症”。从筛选的 5639 项研究中,评估了 184 项全文研究的资格。共保留25篇文章。结果表明,患有性别不安的人面临心理困扰的风险,家人和朋友在向他们提供支持方面发挥着重要作用。卫生专业人员必须根据个人的独特情况调整他们的方法,由于自闭症谱系障碍者的特殊性,这一点在对他们进行干预时更加明显。卫生保健专业人员需要扩大对性别不安的了解,以便更好地了解这些人面临的各种挑战,例如歧视。出于同样的原因,这些结果将有助于阐明针对这些患者的独特情况的临床干预措施,以便更好地满足他们的特殊需求。

更新日期:2023-05-02
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