A recent study published in General Psychiatry reveals a noteworthy trend: individuals are receiving gender dysphoria (GD) diagnoses at increasingly younger ages. The American Psychiatric Association defines "gender dysphoria" as the psychological distress stemming from a mismatch between one's assigned sex at birth and their gender identity. This often manifests as a strong desire to be the opposite gender, as explained by Dr. Ryan Sultan, a psychiatry professor at Columbia University.
Researchers from the Virginia Tech Carilion School of Medicine analyzed data from 42 million patients within the TriNetX medical database, identifying 66,078 individuals diagnosed with GD. The average age of diagnosis dropped from 31 in 2017 to 26 in 2021. This shift is largely attributed to a surge in GD diagnoses among those aged 15 to 30. Notably, individuals assigned female at birth exhibited a higher likelihood of diagnosis (58%) compared to those assigned male (55%).
The study also uncovered differences in the onset age of GD based on assigned sex at birth. For those assigned female, the increase in diagnoses began around age 11, peaking between 17 and 19. For those assigned male, the rise started around 13, peaking at 23. This difference may be linked to the earlier onset of puberty in girls. Researchers suggest factors like growing societal acceptance and increased access to specialized gender clinics could contribute to the overall trend of earlier diagnoses.
Importantly, the researchers emphasize that GD is not a permanent diagnosis, acknowledging the fluidity of gender identity throughout life. Dr. Zachary Ginder, a clinical psychologist, highlights the challenge in determining the exact prevalence of GD due to the common occurrence of gender-atypical behavior in young children as part of normal development. While the study's findings are significant, limitations include the lack of detailed location, race, and ethnicity data, primarily focusing on U.S. patients. Further research is needed to confirm these trends across diverse populations.
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