Assessing Gender Dysphoria

Bowman, Sarah Joy

Assessing Gender Dysphoria

Bowman, Sarah Joy

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Publication Type:: Thesis
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Bowman, Sarah Joy
dc.date.accessioned	2022-11-25T04:12:28Z
dc.date.available	2022-11-25T04:12:28Z
dc.date.issued	2022
dc.identifier.uri	http://hdl.handle.net/10453/163747
dc.description	University of Technology Sydney. Graduate School of Health.	en_US.UTF-8
dc.description.abstract	Trans and gender diverse people who experience gender dysphoria often report higher rates of mental health concerns than the general population. Some trans and gender diverse individuals may choose to engage in social, medical, and surgical interventions, others may seek psychological support, and others may use a combination of these approaches’. Evidence-based psychological assessment requires a multi-modal approach that consists of clinician interviews, diagnostic interviews and patient-reported (self-report) outcome measures (PROMs). However, current PROMs used in the psychological assessment of gender dysphoria are limited and insufficient, especially when used with youth. The aim of this program of research was to improve the psychological assessment of gender dysphoria, focussing on PROMs. Firstly, a systematic review, conducted in line with the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology, identified five PROMs that assessed gender dysphoria. This study (Study 1) found that none of the identified PROMs were suitable for use with adolescents and that they needed further development to improve their content validity and trustworthiness. Secondly, a PROM of gender dysphoria, the Gender Preoccupation and Stability Questionnaire – 2nd Edition (GPSQ-2), was developed for use with both adolescents and adults. Studies two, three and four focus on the development and validation (Study 2), further validation in a clinical sample (Study 3), and an assessment of interpretability (Study 4) of the GPSQ-2. The findings suggest that the GPSQ-2 is a valid, brief, easy to use tool for assessing experiences of gender dysphoria. This program of research has clinical implications for the psychological assessment and treatment of adolescents and adults who experience gender dysphoria.	en_US.UTF-8
dc.format	Thesis (PhD)
dc.language.iso	en_US	en_US.UTF-8
dc.relation	https://opus.lib.uts.edu.au/bitstream/10453/163747/2/02whole.pdf
dc.rights	The author owns the copyright in this thesis including all reproduction and reuse rights for the work. The work may not be altered without the permission of the copyright owner. Attribution is essential when quoting or paraphrasing from this thesis.
dc.rights	au.edu.uts.lib/ppc
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Assessing Gender Dysphoria	en_US.UTF-8
dc.type	Thesis
utslib.copyright.status	open_access	*

Abstract:

Trans and gender diverse people who experience gender dysphoria often report higher rates of mental health concerns than the general population. Some trans and gender diverse individuals may choose to engage in social, medical, and surgical interventions, others may seek psychological support, and others may use a combination of these approaches’. Evidence-based psychological assessment requires a multi-modal approach that consists of clinician interviews, diagnostic interviews and patient-reported (self-report) outcome measures (PROMs). However, current PROMs used in the psychological assessment of gender dysphoria are limited and insufficient, especially when used with youth. The aim of this program of research was to improve the psychological assessment of gender dysphoria, focussing on PROMs. Firstly, a systematic review, conducted in line with the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology, identified five PROMs that assessed gender dysphoria. This study (Study 1) found that none of the identified PROMs were suitable for use with adolescents and that they needed further development to improve their content validity and trustworthiness. Secondly, a PROM of gender dysphoria, the Gender Preoccupation and Stability Questionnaire – 2nd Edition (GPSQ-2), was developed for use with both adolescents and adults. Studies two, three and four focus on the development and validation (Study 2), further validation in a clinical sample (Study 3), and an assessment of interpretability (Study 4) of the GPSQ-2. The findings suggest that the GPSQ-2 is a valid, brief, easy to use tool for assessing experiences of gender dysphoria. This program of research has clinical implications for the psychological assessment and treatment of adolescents and adults who experience gender dysphoria.

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http://hdl.handle.net/10453/163747