This study examines differences in score profiles on the Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) for transgender and gender-diverse (TGD) youth in a clinical setting. Data were collected from youth receiving services at a gender care clinic in the Midwestern United States. Inclusion criteria were youth that identify as transgender, nonbinary, or another gender-diverse identity label between the ages of 6 and 18 and received services between October 2017 and November 2021. The analytic sample (N = 177) included 51.4% transmasculine, 17.5% transfeminine, 22.6% nonbinary/gender-expansive, and 8.5% questioning youth. 88.1% of youth were White. Wilcoxon signed-rank tests compared differences in mean T scores when using male versus female scoring templates for YSR and CBCL separately. Statistically significant differences were found on the majority of scales, particularly for TGD adolescents. For example, significant differences were found on the YSR for 10 of 11 scales for transmasculine and transfeminine youth ages 11-18 and 9 of 11 scales for nonbinary/gender-expansive youth. McNemar's test revealed significant differences in the number of clinical range scores for transmasculine YSR respondents on Anxious/Depressed, Somatic Complaints, Thought Problems, and Internalizing scales. For CBCL comparison of clinical significance, significant differences were found for Anxious/Depressed, Attention Problems, and Total Problems scales for transmasculine youth ages 12-18. Selecting a scoring template is contextually relevant; however, template selection appears to matter less when examining clinical relevance. Results suggest that clinicians using the CBCL and YSR with TGD youth have flexibility in scoring template selection. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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性别包容性临床筛查者：在基于临床的跨性别/性别多元化青年样本中使用 CBCL 和 YSR。


本研究检查了临床环境中跨性别和性别多元化 （TGD） 青年的儿童行为检查表 （CBCL） 和青少年自我报告 （YSR） 分数概况的差异。数据是从美国中西部一家性别护理诊所接受服务的青年那里收集的。纳入标准是 6 至 18 岁之间被认定为跨性别、非二元或其他性别多元化身份标签并在 2017 年 10 月至 2021 年 11 月期间接受服务的青年。分析样本 （N = 177） 包括 51.4% 的跨性别男性、17.5% 的跨性别女性、22.6% 的非二元/性别扩展和 8.5% 的质疑青年。88.1% 的年轻人是白人。Wilcoxon 符号秩检验比较了分别使用 YSR 和 CBCL 的男性与女性评分模板时平均 T 评分的差异。在大多数量表上发现具有统计学意义的差异，尤其是对于 TGD 青少年。例如，在 YSR 上发现 11-18 岁跨性别男性和跨性别女性青年的 11 个量表中的 10 个存在显著差异，非二元/性别扩张青年的 11 个量表中有 9 个存在显著差异。McNemar 的测试显示，跨男性 YSR 受访者在焦虑/抑郁、躯体抱怨、思维问题和内化量表上的临床范围分数数量存在显着差异。对于临床意义的 CBCL 比较，发现 12-18 岁跨男性青年的焦虑/抑郁、注意力问题和总问题量表存在显著差异。选择评分模板与上下文相关;然而，在检查临床相关性时，模板选择似乎不那么重要。结果表明，将 CBCL 和 YSR 与 TGD 青年一起使用的临床医生在评分模板选择方面具有灵活性。 （PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。