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首页> 外文期刊>Nordic journal of psychiatry. >Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality
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Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality

机译：进行性别重新分配手术的个体的长期随访：精神病的发病率和死亡率

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Background: There is a lack of long-term register-based follow-up studies of sex-reassigned individuals concerning mortality and psychiatric morbidity. Accordingly, the present study investigated both mortality and psychiatric morbidity using a sample of individuals with transsexualism which comprised 98% (n = 104) of all individuals in Denmark. Aims: (1) To investigate psychiatric morbidity before and after sex reassignment surgery (SRS) among Danish individuals who underwent SRS during the period of 1978-2010. (2) To investigate mortality among Danish individuals who underwent SRS during the period of 1978-2010. Method: Psychiatric morbidity and mortality were identified by data from the Danish Psychiatric Central Research Register and the Cause of Death Register through a retrospective register study of 104 sex-reassigned individuals. Results: Overall, 27.9% of the sample were registered with psychiatric morbidity before SRS and 22.1% after SRS (p = not significant). A total of 6.7% of the sample were registered with psychiatric morbidity both before and after SRS. Significantly more psychiatric diagnoses were found before SRS for those assigned as female at birth. Ten individuals were registered as deceased post-SRS with an average age of death of 53.5 years. Conclusions: No significant difference in psychiatric morbidity or mortality was found between male to female and female to male (FtM) save for the total number of psychiatric diagnoses where FtM held a significantly higher number of psychiatric diagnoses overall. Despite the over-representation of psychiatric diagnoses both pre- and post-SRS the study found that only a relatively limited number of individuals had received diagnoses both prior to and after SRS. This suggests that generally SRS may reduce psychological morbidity for some individuals while increasing it for others.
机译：背景：缺乏基于性别登记的个人的长期注册随访研究，涉及死亡率和精神病发病率。因此，本研究使用变性者个人样本调查了死亡率和精神病发病率，其中变性者占丹麦所有个体的98％（n = 104）。目的：（1）调查在1978-2010年期间接受SRS的丹麦人中进行性别重新分配手术（SRS）之前和之后的精神病发病率。 （2）调查1978-2010年间接受SRS的丹麦人的死亡率。方法：通过回顾性研究登记的104名性别相关个体，通过丹麦精神病学中央研究注册处和死亡原因登记处的数据确定精神病的发病率和死亡率。结果：总体而言，样本中27.9％的患者在SRS之前登记为精神病，在SRS之后为22.1％（p =不显着）。在SRS之前和之后，总共有6.7％的样本患有精神疾病。在出生之前被分配为女性的那些人，在SRS之前发现了更多的精神病学诊断。十个人在SRS后登记为已故，平均死亡年龄为53.5岁。结论：在男性和女性之间以及女性与男性之间，精神病的发病率或死亡率均无显着差异，但精神病诊断的总数除外，而精神病诊断的总数总体上要高得多。尽管在SRS之前和之后精神病学诊断的代表性都很高，但该研究发现，在SRS之前和之后，只有相对有限数量的个体接受过诊断。这表明，一般而言，SRS可能会降低某些人的心理发病率，而增加其他人的心理发病率。

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