Long-Term Effects of Treatment for Gender Identity Disorder of Childhood

Abstract

To evaluate the durability of behavioral treatment effects for gender identity disorder of childhood. 29 prepubescent boys aged 4 to 13 years at initial referral were assessed by an independent clinical psychologist before any treatment was offered and again for follow-up at a mean of 4 years and 3 months later. Initial and follow-up clinical ratings on severity of cross-gender behavior and cross-gender identity were transformed into scores representing percentage of potential improvement. Regression analysis indicated that completion of individualized behavioral treatment significantly accounted for long-term improvement in both gender behavior and gender identity. Age in months at initiation of treatment, number of months of treatment received, number of months from initial assessment to follow-up, and full scale I.Q. were additional independent variables considered as potentially important in regard to treatment outcome. Younger subjects received more severe initial diagnoses, were more likely to have ...