TY  - JOUR
A1  - Becker, Inga
A1  - Auer, Matthias
A1  - Barkmann, Claus
A1  - Fuss, Johannes
A1  - Möller, Birgit
A1  - Nieder, Timo O.
A1  - Fahrenkrug, Saskia
A1  - Hildebrandt, Thomas
A1  - Richter-Appelt, Hertha
T1  - A Cross-Sectional Multicenter Study of Multidimensional Body Image in Adolescents and Adults with Gender Dysphoria Before and After Transition-Related Medical Interventions
JF  - Archives of sexual behavior
N2  - Persistent feelings of gender dysphoria (GD) are accompanied by distress and body dissatisfaction in most clinically referred adolescents and adults. Transition-related medical interventions (e.g., puberty suppression, hormones, or surgery) may alleviate body dissatisfaction. The aim of the present cross-sectional study was to compare multidimensional body image across clinically referred adolescents and adults undergoing different transition-related medical interventions. Two clinical samples of adolescents (n = 82) and adults (n = 120) referred to specialized departments of four different transgender health services in Germany participated in the study. In total, 202 individuals from the female-to-male (FtM individuals) and male-to-female (MtF individuals) spectrum aged 14-74 years were included at different stages of their transition. Four scales assessing multidimensional aspects of body image (measured by the Body Image Assessment Questionnaire, FBeK) were compared across three groups: sample, gender, and medical interventions (while controlling for age and treatment duration). The results indicated less favorable body image scores compared with the norm in both adolescents and adults with GD. Individuals who had undergone transition-related medical interventions presented a significantly better body image on two of the four scales. Differences according to gender and age were also present. These findings suggest that medical interventions, especially gender-affirming hormones and surgery, are generally beneficial to the body image in individuals with GD. However, not all of the less favorable outcomes in multidimensional body image were positively influenced by the treatment conditions and may thus benefit from additional integrative counseling before and during transition.
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Body Image/psychology
KW  - Cross-Sectional Studies
KW  - Female
KW  - Gender Dysphoria/psychology/therapy
KW  - Gender Identity
KW  - Germany
KW  - Hormones
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Psychology
KW  - Sexual Maturation
KW  - Surveys and Questionnaires
KW  - Transgender Persons/psychology
KW  - Transsexualism/psychology/therapy
KW  - Young Adult
Y1  - 2018
U6  - http://dx.doi.org/10.1007/s10508-018-1278-4
VL  - 47
SP  - 2335
EP  - 2347
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Barkmann, Claus
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Bergelt, Corinna
A1  - Beierlein, Volker
A1  - Ernst, Johanna
A1  - Brähler, Elmar
A1  - Flechtner, Hans-Henning
A1  - Herzog, Wolfgang
A1  - Klitzing, Kai
A1  - Führer, Daniel
A1  - Resch, Franz
A1  - Romer, Georg
T1  - Children of cancer patients: prevalence and predictors of emotional and behavioral problems
JF  - Cancer
N2  - BACKGROUND Children of patients with cancer are at increased risk for developing emotional and behavioral problems. This study explored the prevalence and predictors of emotional and behavioral problems in Children of cancer patients in a multisite research project. METHODS A cross-sectional sample of N = 235 families was recruited simultaneously in 5 university medical centers. The participants, including parents (N = 402) and children (N = 324; ages 11-21 years) completed standardized questionnaires. Emotional and behavioral problems in children were measured by the Strengths and Difficulties Questionnaire (SDQ). On the basis of previous research and using a mixed-model approach, child-, parent-, family- and cancer-related variables were examined in addition to socioeconomic status as potential predictors. Descriptive statistics and a multiple random coefficient model were used in the analyses. RESULTS Compared to norms, Children of cancer patients show increased mean levels of emotional and behavioral symptoms. The best predictor of emotional and behavioral problems from the perspectives of the child, the healthy parent, and the ill parent was general family dysfunction. Although family dysfunction was identified as the main predictor, the analysis revealed that the main part of variance was related to the individual child's level. CONCLUSIONS The results indicate that screening for child mental health problems and family dysfunction in oncological and psychosocial treatment units can identify the families most in need of psychosocial support. Psychological services need to be both family-oriented and child-centered and focus on family dysfunction to prevent mental health problems in children.
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Child Behavior Disorders/etiology
KW  - Child of Impaired Parents/psychology
KW  - Female
KW  - Humans
KW  - Male
KW  - Mental Disorders/etiology
KW  - Neoplasms/psychology
KW  - Parents/psychology
KW  - Prevalence
KW  - Risk Factors
KW  - Surveys and Questionnaires
KW  - Young Adult
Y1  - 2014
U6  - http://dx.doi.org/10.1002/cncr.28644
VL  - 120
SP  - 2361
EP  - 2370
ER  -