- Title
- Validity of categories related to gender identity in ICD-11 and DSM-5 among transgender individuals who seek gender-affirming medical procedures
- Creator
- Robles, Rebeca, Keeley, Jared W, Vega-Ramírez, H, Cruz-Islas, Jeremy, Rodríguez-Pérez, Victor, Sharan, Pratap, Purnima, Shivani, Rao, Ravindra, Rodrigues-Lobato, María I, Soll, Bianca, Askevis-Leherpeux, Françoise, Roelandt, Jean-Luc, Campbell, Megan M, Grobler, Gerhard, Stein, Dan H, Khoury, Brigitte, El Khoury, Joseph, Fresán, Ana, Medina-Mora, María, Reed, Geoffrey M
- Subject
- To be catalogued
- Date
- 2022
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/10962/302589
- Identifier
- vital:58210
- Identifier
- xlink:href="https://doi.org/10.1016/j.ijchp.2021.100281"
- Description
- Background/Objective: The most recent versions of the two main mental disorders classifications—the World Health Organization's ICD-11 and the American Psychiatric Association's DSM–5—differ substantially in their diagnostic categories related to transgender identity. ICD-11 gender incongruence (GI), in contrast to DSM-5 gender dysphoria (GD), is explicitly not a mental disorder; neither distress nor dysfunction is a required feature. The objective was compared ICD-11 and DSM-5 diagnostic requirements in terms of their sensitivity, specificity, discriminability and ability to predict the use of gender-affirming medical procedures. Method: A total of 649 of transgender adults in six countries completed a retrospective structured interview. Results: Using ROC analysis, sensitivity of the diagnostic requirements was equivalent for both systems, but ICD-11 showed greater specificity than DSM-5. Regression analyses indicated that history of hormones and/or surgery was predicted by variables that are an intrinsic aspect of GI/GD more than by distress and dysfunction. IRT analyses showed that the ICD-11 diagnostic formulation was more parsimonious and contained more information about caseness than the DSM-5 model. Conclusions: This study supports the ICD-11 position that GI/GD is not a mental disorder; additional diagnostic requirements of distress and/or dysfunction in DSM-5 reduce the predictive power of the diagnostic model.
- Format
- computer, online resource, application/pdf, 1 online resource (11 pages), pdf
- Publisher
- Elsevier
- Language
- English
- Relation
- International Journal Of Clinical And Health Psychology, Robles, R., Keeley, Jared, W., Vega-Ramirez, H., Cruz-Islas, J., Rodríguez-Pérez, V., Sharan, P., Purnima, S., Rao, Ravindra., Rodrigues-Lobato, M., Soll, B., Askevis-Leherpeux, F., Roelandt, J., Campbell, M., Grobler, G., Stein, D., Khoury, B., El Khoury, J., Orellana, A., Icaza, M., Reed, G. 2022. Validity of categories related to gender identity in ICD-11 and DSM-5 among transgender individuals who seek gender-affirming medical procedures. International Journal Of Clinical And Health Psychology, 22(1), p. 1., International Journal Of Clinical And Health Psychology volume 22 number 1 p. 1 2022 1697-2600
- Rights
- Publisher
- Rights
- Open Access
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Collections
Gender Action Forum (GENACT)
Campbell, Megan M (Prof)
SDG 05. Gender Equality
RU Department of Psychology
SDG 10. Reduced Inequalities
SDG 03. Good Health and Well-Being
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Validity of categories related to gender identity in ICD-11 and DSM-5 among transgender individuals.pdf | 369 KB | Adobe Acrobat PDF | View Details Download |