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  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Führer, Daniel
A1  - Beierlein, Volker
A1  - Brähler, Elmar
A1  - Resch, Franz
A1  - Klitzing, Kai V.
A1  - Flechtner, Hans-Henning
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Coping skills and mental health status in adolescents when a parent has cancer: a multicenter and multi-perspective study
JF  - Journal of psychosomatic research
N2  - OBJECTIVE Parental cancer increases the risk of psychosocial problems in adolescents. We investigated the frequency and efficacy of adolescents' coping strategies and relationships between those strategies and mental health status. Age and gender differences regarding coping and mental health were also investigated. METHODS In total, 214 adolescents from 167 families participated in a cross-sectional, multicenter study. All participants were recruited from standard oncological care. Among the participants, 52% utilized a child-centered intervention program. Adolescents' coping skills were measured using KIDCOPE. Mental health status was rated by adolescents and parents by the SDQ for symptomatology and the KIDSCREEN for well-being. RESULTS We found that 29% of the adolescents showed emotional and behavioral problems. We found gender differences in mental health status but not in coping. Adolescents used a broad spectrum of coping strategies. Active problem-solving, distraction, acceptance, wishful thinking and seeking social support were the most frequently used coping strategies. The utilization of certain coping skills was mediated by their perceived efficacy. Problem-focused or approach-oriented coping strategies generally are associated with better mental health, while avoidance-oriented coping are associated with worse mental health. Emotion-focused coping was associated with both lower and higher mental health. CONCLUSION The strategies used by adolescents to cope with parental cancer are associated with their mental health. Problem-solving and approach-oriented coping strategies should be facilitated by psychological interventions regardless of age and gender. Age and gender differences in adolescents' mental health should be further investigated because these differences are not explained by differences in coping strategies.
KW  - Adaptation
KW  - Psychological/classification/physiology
KW  - Adolescent
KW  - Adult
KW  - Age Factors
KW  - Aged
KW  - Child
KW  - Cross-Sectional Studies
KW  - Female
KW  - Humans
KW  - Male
KW  - Mental Disorders/epidemiology/etiology
KW  - Middle Aged
KW  - Neoplasms/psychology
KW  - Parents
KW  - Psychiatric Status Rating Scales
Y1  - 2013
U6  - http://dx.doi.org/10.1016/j.jpsychores.2012.10.003
VL  - 74
SP  - 252
EP  - 259
ER  -