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- W2026091477 abstract "Purpose:The incidence of childhood/adolescent Gender IdentityDisorder (GID) is unknown. GID is an important condition wheregender identity differs from biological sex. It is associated with significant distress, particularly with puberty, with much controversyinternationally over the optimal timing of hormonal treatment. Weexamine the incidence and clinical presentation in UK and Irishchildren and adolescents.Methods:STUDY POPULATION: Children and adolescents aged4-15.9 years in the UK and Republic of Ireland. DESIGN: Joint BritishPaediatric Surveillance Unit (BPSU) and Child and Adolescent Psychiatry Surveillance System (CAPSS) study. New cases of GID reported by clinicians over a 19-month reporting period (01-Nov-2011to 01-June-2013) are validated against the authoritative DSM-IV-TR(2000). Exclusions include disorders of sexual differentiation andmajor psychosis. PRIMARY OUTCOME: Incidence of childhood/adolescent GID, calculated by dividing the number of validated casesby the base population of children and adolescents aged 4-15.9 years.Sources of denominator data: UK Office of National Statistics and theCentral Statistics Office in Ireland. STATISTICAL ANALYSIS: Descriptive statistics and comparisons using two-sample t-tests or Mann-Whitney U tests for continuous data and Chi-squared or Fisher’sexact testsfor categorical data.Results:Preliminary descriptive data from the first 15 months’sur-veillance (n¼138 cases, 69 males) indicate that similar numbers ofmales and females are affected by this condition. Early estimatessuggest UK and Irish incidences of 1:80,000 and <1:200,000 respectively. There is a lag of several years between median [inter-quartile range] onset of symptoms (7y [4-12y]) and presentation toPaediatricians or Psychiatrists (14.5y [11.9-15.2y]), with most casespresenting at 14 or 15 years. Only a quarter of all cases (n¼35) wereless than 12 years old at reporting, but 50% of cases reported by Paediatricians. There are high levels of psychiatric co-morbidity at pre-sentation, with at least one other mental health diagnosis in 45%, andtwo or more other diagnoses in adolescents aged 12 years and over.Conclusions: We present the first ever population-level data onthe incidence, clinical features and presentation of childhood/adolescent GID. These data will inform clinical management,including the highly controversial debate around early pubertalsuppression in this group." @default.
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- W2026091477 date "2014-02-01" @default.
- W2026091477 modified "2023-09-26" @default.
- W2026091477 title "UK and Irish Surveillance Study of Gender Identity Disorder (GID) in Children and Adolescents" @default.
- W2026091477 doi "https://doi.org/10.1016/j.jadohealth.2013.10.126" @default.
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