Abstract
The Transgender Congruence Scale (TCS) is a non-binary tool used in Sweden for gender dysphoria (GD) assessment; however, its Swedish version has not been validated. To investigate the psychometric properties of the TCS, its capacity to distinguish individuals with GD and its concurrent validity compared to other scales. Patients with GD (n = 135) and controls (n = 443) filled in a questionnaire containing sociodemographic questions, the TCS, the Utrecht Gender Dysphoria Scale (UGDS), and the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA). TCS had good discriminatory validity and internal consistency. Patients with GD, stratified by birth-assigned sex, had lower TCS scores compared to controls. Confirmatory factor analysis (CFA) supported the two-factor model of the TCS. Multiple-group CFA suggested measurement invariance between birth-assigned sexes and configural invariance between patients with GD and controls. Area under the ROC curve for birth-assigned males was 0.991 and for females 0.994. A TCS mean value of three provided sensitivity 94.3% and 95.1% as well as specificity 98.6% and 98% for aM and aF, respectively. The TCS was significantly correlated to UGDS and GIDYQ-AA. The TCS may be a valuable tool in the clinical assessment of individuals with GD.
Highlights
An individual’s sex at birth is determined based on genital appearance and is usually referred to as birth-assigned sex
The Utrecht Gender Dysphoria Scale (UGDS) was introduced around 1997 and gender dysphoria (GD) is treated as being caused by the divergence between sense of self-gender identity and body aspects[4,5]
The Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA) is a binary scale developed by Deogracias et al.[6] with a different approach
Summary
An individual’s sex at birth is determined based on genital appearance and is usually referred to as birth-assigned sex (male; aM or female; aF). Gender role behavior is closely related to a person’s gender identity, denoting the extent of experience of conformity to others of the same gender or the sense of being a male or female[1]. Gender Dysphoria (GD), as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), refers to the conflict between a person’s assigned gender and the gender with which they identify[2]. The Utrecht Gender Dysphoria Scale (UGDS) was introduced around 1997 and GD is treated as being caused by the divergence between sense of self-gender identity and body aspects[4,5]. The scale has been reported to be able to distinguish between transsexual and non-transsexual persons as well as those suitable for gender affirming surgery[4]. A person’s gender identity was treated as a bipolar continuum, with unproblematic gender identity and gender dysphoria being on the edges of the gender identity
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
