Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Psychiatric Analysis about Transsexuals

성주체성장애 환자의 정신의학적 분석

  • Kim, Seok Kwun (Departments of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kim, Myung Hoon (Departments of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kwon, Yong Seok (Departments of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Cha, Byung Hoon (Departments of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Keun Cheol (Departments of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Choi, Byung Moo (Departments of Psychiatry, College of Medicine, Dong-A University) ;
  • Son, Ho Sung (BK Dong Yang Plastic Surgery Clinic)
  • 김석권 (동아대학교 의과대학 성형외과학교실) ;
  • 김명훈 (동아대학교 의과대학 성형외과학교실) ;
  • 권용석 (동아대학교 의과대학 성형외과학교실) ;
  • 차병훈 (동아대학교 의과대학 성형외과학교실) ;
  • 이근철 (동아대학교 의과대학 성형외과학교실) ;
  • 최병무 (동아대학교 의과대학 정신과학교실) ;
  • 손호성 (BK동양 성형외과)
  • Received : 2007.04.23
  • Published : 2007.11.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Transsexualism is considered to be the extreme end of the spectrum of gender identity disorders characterized by, among other things, a pursuit of sex reassignment surgery (SRS). We evaluated psychologic status, health-related quality of life in female-to-male (FTM), male-to-female (MTF) transgender individuals. Methods: We used the Minnesota Multiphasic Personality Inventory, Beck Anxiety Inventory, Beck Depression Inventory, Moudsley obsessive-compulsive Inventory, SCL-90-R, Short-Form 36-Question Health Survey version 2 (SF-36v2). We enrolled 40 transsexual participants. Results: Analysis of quality of life health concepts demonstrated statistically significant (p<0.01) diminished quality of life among the transsexual participants as compared to the Korea male and female population. FTM transgender participants reported more higher hostile, phobic than MTF transgenders. Overall, in all psychologic status examination, Transgender individuals are within normal population boundary. On all category, result is improved post-operatively. Conclusion: Transgender participants reported mental status within normal boundary. SRS improved their quality of life and mental stability.

Keywords

References

  1. Brown GR: A review of clinical approaches to gender dysphoria. J Clin Psychiatry 51: 57, 1990
  2. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 3rd ed.-revised, Washington, DC, American Psychiatric Association 1987, p 71
  3. Roberto LG: Issues in diagnosis and treatment of transsexualism. Arch Sex Behav 12: 445 1983 https://doi.org/10.1007/BF01542888
  4. Edgerton MT: The role of surgery in the treatment of transsexualism. Ann Plast Surg 13: 473, 1984 https://doi.org/10.1097/00000637-198412000-00003
  5. Pauly IB, Edgerton MT: The gender identity movement: a growing surgical-psychiatric liaison. Arch Sex Behav 15: 315, 1986 https://doi.org/10.1007/BF01550366
  6. Levine SB, Lothstein LM: Transsexualism or the gender dysphoria syndromes. J Sex Marital Ther 7: 85, 1981 https://doi.org/10.1080/00926238108406096
  7. Lothstein LM: Psychological testing with transsexuals: a 30-year review. J Pers Assess 48: 500, 1984 https://doi.org/10.1207/s15327752jpa4805_9
  8. Gordon EB: Transsexual healing: medicaid funding of sex reassignment surgery. Arch Sex Behav 20: 61, 1991 https://doi.org/10.1007/BF01543008
  9. Edgerton MT, Meyer JK: Surgical and Psychiatric Aspects of Trannsexualiam: Plastic and Reconstructive Surgery of the Genital Area, Boston, Little Brown, 1973, p 239
  10. Ho rton CE, Strcker JF, Jordan GH: Plastic Surgery, 3rd ed, vol 6. Philadelphia, WB Suanders, 1990, p 4239
  11. Walker PA, Berger JC, Green R, Laub DR, Reynolds CL, Wollman L: Standards of care: the hormonal and surgical sex reassignment of gender dysphoric persons. Arch Sex Behav 14: 79, 1985 https://doi.org/10.1007/BF01541354