Disforia y comorbilidad psiquiátrica en personas transgénero que solicitan atención médica para transición somática.

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Bibliographic Details
Title:	Disforia y comorbilidad psiquiátrica en personas transgénero que solicitan atención médica para transición somática.
Alternate Title:	Dysphoria and psychiatric comorbidity in transgender people seeking medical care for somatic transition.
Authors:	Jiménez-López, José Luis¹ jimenezpsi@hotmail.com
Source:	Revista Medica del IMSS. sep/oct2023, Vol. 61 Issue 5, p617-622. 6p.
Abstract (English):	Gender dysphoria is the diagnosis included in the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, which refers to the marked incongruence that exists between the gender that is felt or expressed and the one assigned at birth. The discomfort generated by the incongruity can cause gender affirmation to be requested through hormonal treatment or surgical sex reassignment, which is expected to disappear such discomfort. However, not all people with gender incongruence manifest discomfort and when the discomfort exists it is not always of psychopathological characteristics (dysphoria), which for some authors represents gender affirmation for aesthetic purposes (correct the incongruity). There are reports of increased medical care for transgender people who request somatic transition, but in Mexico there are no standardized protocols for their care; it is only recommended to promote access to hormonal treatment and mental health services to transgender people who request it. The eventual inclusion of surgical management in the Mexican guidelines will require clarity of concepts and unification of criteria to select the cases that should enter the health system for treatment, which is why health personnel must be prepared to identify those who can benefit from the somatic transition. The presence of dysphoria and psychiatric comorbidity may be key elements when the evaluation is carried out. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Disforia de género es el diagnóstico incluido en el Manual diagnóstico y estadístico de los trastornos mentales, editado por la Asociación Americana de Psiquiatría, que se refiere a la marcada incongruencia que existe entre el género que se siente o se expresa y el que fue asignado al nacer. El malestar generado por la incongruencia puede ocasionar que se solicite afirmación de género mediante tratamiento hormonal o reasignación quirúrgica de sexo, con lo que se espera que desaparezca tal malestar. Sin embargo, no todas las personas con incongruencia de género manifiestan malestar y cuando el malestar existe no siempre es de características psicopatológicas (disforia), lo que para algunos autores representa afirmación de género con fines estéticos (corregir la incongruencia). Existen reportes del incremento de atención médica de personas transgénero que solicitan transición somática, pero en México no existen protocolos estandarizados para su atención; solo se recomienda promover el acceso a tratamiento hormonal y servicios de salud mental a las personas transgénero que así lo soliciten. La eventual inclusión de manejo quirúrgico en las guías mexicanas requerirá claridad de conceptos y unificación de criterios para seleccionar los casos que deban ingresar al sistema de salud para tratamiento, por lo que el personal sanitario deberá estar preparado para poder identificar a quienes puedan beneficiarse con la transición somática. La presencia de disforia y comorbilidad psiquiátrica pueden ser elementos claves cuando se lleve a cabo la evaluación. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Gender dysphoria is the diagnosis included in the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, which refers to the marked incongruence that exists between the gender that is felt or expressed and the one assigned at birth. The discomfort generated by the incongruity can cause gender affirmation to be requested through hormonal treatment or surgical sex reassignment, which is expected to disappear such discomfort. However, not all people with gender incongruence manifest discomfort and when the discomfort exists it is not always of psychopathological characteristics (dysphoria), which for some authors represents gender affirmation for aesthetic purposes (correct the incongruity). There are reports of increased medical care for transgender people who request somatic transition, but in Mexico there are no standardized protocols for their care; it is only recommended to promote access to hormonal treatment and mental health services to transgender people who request it. The eventual inclusion of surgical management in the Mexican guidelines will require clarity of concepts and unification of criteria to select the cases that should enter the health system for treatment, which is why health personnel must be prepared to identify those who can benefit from the somatic transition. The presence of dysphoria and psychiatric comorbidity may be key elements when the evaluation is carried out. [ABSTRACT FROM AUTHOR]
ISSN:	04435117
DOI:	10.5281/zenodo.8316452