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Research into the relationship between gender identity disorder and
psychiatric problems has shown contradictory results.
To investigate psychiatric problems in adults fulfilling DSM-IVTR
criteria for a diagnosis of gender identity disorder.
Data were collected within the European Network for the Investigation of
Gender Incongruence using the Mini International Neuropsychiatric
Interview – Plus and the Structured Clinical Interview for DSM-IV Axis II
Disorders (n = 305).
In 38% of the individuals with gender identity disorder a current
DSM-IV-TR Axis I diagnosis was found, mainly affective disorders and
anxiety disorders. Furthermore, almost 70% had a current and lifetime
diagnosis. All four countries showed a similar prevalence, except for
affective and anxiety disorders, and no difference was found between
individuals with early-onset and late-onset disorder. An Axis II
diagnosis was found in 15% of all individuals with gender identity
disorder, which is comparable to the general population.
People with gender identity disorder show more psychiatric problems than
the general population; mostly affective and anxiety problems are