TY  - JOUR
A1  - Becker, Inga
A1  - Möller, Birgit
A1  - Schweizer, Katinka
T1  - Entwicklungsverläufe von Kindern und Jugendlichen mit Geschlechtsdysphorie
JF  - Zeitschrift für Sexualforschung
Y1  - 2013
U6  - http://dx.doi.org/10.1055/s-0033-1350541
SN  - 0932-8114
VL  - 26
SP  - 266
EP  - 273
ER  - 
TY  - JOUR
A1  - Becker, Inga
A1  - Gjergji-Lama, Voltisa
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Merkmale von Kindern und Jugendlichen mit Geschlechtsdysphorie in der Hamburger Spezialsprechstunde
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - Given the increasing demand for counselling in gender dysphoria in childhood in Germany, there is a definite need for empirical data on characteristics and developmental trajectories of this clinical group. This study aimed to provide a first overview by assessing demographic characteristics and developmental trajectories of a group of gender variant boys and girls referred to the specialised Gender Identity Clinic in Hamburg. Data were extracted from medical charts, transcribed and analysed using qualitative content analysis methods. Categories were set up by inductive-deductive reasoning based on the patients' parents' and clinicians' information in the files. Between 2006 and 2010, 45 gender variant children and adolescents were seen by clinicians; 88.9% (n = 40) of these were diagnosed with gender identity disorder (ICD-10). Within this group, the referral rates for girls were higher than for boys (1:1.5). Gender dysphoric girls were on average older than the boys and a higher percentage of girls was referred to the clinic at the beginning of adolescence (> 12 years of age). At the same time, more girls reported an early onset age. More girls made statements about their (same-sex) sexual orientation during adolescence and wishes for gender confirming medical interventions. More girls than boys revealed self-mutilation in the past or present as well as suicidal thoughts and/or attempts. Results indicate that the presentation of clinically referred gender dysphoric girls differs from the characteristics boys present in Germany; especially with respect to the most salient age differences. Therefore, these two groups require different awareness and individual treatment approaches.
KW  - Adolescent
KW  - Age Factors
KW  - Child
KW  - Preschool
KW  - Cooperative Behavior
KW  - Cross-Sectional Studies
KW  - Female
KW  - Gender Identity
KW  - Germany
KW  - Gonadal Steroid Hormones/therapeutic use
KW  - Humans
KW  - Interdisciplinary Communication
KW  - Male
KW  - Outpatient Clinics
KW  - Hospital
KW  - Psychotherapy
KW  - Puberty/drug effects/psychology
KW  - Referral and Consultation
KW  - Self Mutilation/epidemiology/psychology
KW  - Sex Factors
KW  - Suicidal Ideation
KW  - Transsexualism/diagnosis/epidemiology/psychology/therapy
Y1  - 2014
SN  - 0032-7034
VL  - 63
SP  - 486
EP  - 509
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Nieder, Timo Ole
A1  - Preuss, Wilhelm F.
A1  - Becker, Inga
A1  - Fahrenkrug, Saskia
A1  - Wüsthof, Achim
A1  - Briken, Peer
A1  - Romer, Georg
A1  - Richter-Appelt, Hertha
T1  - Versorgung von Kindern und Jugendlichen mit Geschlechtsdysphorie im Rahmen einer interdisziplinären Spezialsprechstunde
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, and gain of knowledge through research. After finishing a thorough interdisciplinary assessment an individualized, case-by-case treatment starts. Besides psychotherapy an interdisciplinary treatment (e. g. puberty suppression and cross-sex hormones) is provided if indicated. During childhood a watchful waiting and carefully observing attitude is necessary. If a marked increase of gender dysphoria occurs during the first phases of puberty development, puberty suppression and later cross sex-hormones might be indicated.
KW  - Adolescent
KW  - Biomedical Research
KW  - Child
KW  - Combined Modality Therapy
KW  - Cooperative Behavior
KW  - Education
KW  - Nonprofessional
KW  - Female
KW  - Gender Identity
KW  - Gonadal Steroid Hormones/therapeutic use
KW  - Humans
KW  - Interdisciplinary Communication
KW  - Male
KW  - Outpatient Clinics
KW  - Hospital
KW  - Psychotherapy
KW  - Puberty/drug effects/psychology
KW  - Referral and Consultation
KW  - Transsexualism/diagnosis/psychology/therapy
KW  - Watchful Waiting
Y1  - 2014
SN  - 0032-7034
VL  - 63
SP  - 465
EP  - 485
ER  -