Abstract
Purpose: This study aimed to analyze rumination levels of transsexual women before and after gender affirmation surgery (GAS). Rumination scores may represent a broader measure of GAS success and an alternative to patient-reported satisfaction, quality of life, well-being, or the presence of “caseness” for anxiety or depression as previously established in the literature.Methods: Thirty-nine transsexual women were recruited. The participants completed the rumination scale of the Response Styles Questionnaire (RSQ) and were divided into three subsets according to the treatment time.Results: The rumination scores were lower in the transsexual women who had undergone surgical procedures on primary sexual characteristics and gradually decreased with each additional procedure completed with respect to secondary sexual characteristics.Conclusion: Rumination appears to comprise an important marker of improvement in post-GAS transsexual women.
Highlights
Gender dysphoria (GD) (DSM5) refers to a striking incongruity between the experienced gender and the sex assigned at birth
The Research Domain Criteria (RDoC) project created a novel program of research decoupled from classic etiological concerns, with a focus on investigating the biological and cognitive mechanisms and altered emotional states associated with mental health conditions.[1]
As the transsexual women engaged in our study achieved physical characteristics that were more consistent with the gender they desired, they enjoyed benefits in terms of psychological adaptation, which manifested as a reduction in rumination scores
Summary
Gender dysphoria (GD) (DSM5) refers to a striking incongruity between the experienced gender and the sex assigned at birth. This incongruity leads to discomfort with biological sexual characteristics and sometimes is followed by hormonal treatment and surgical interventions to make the body consistent with the desired gender. Rumination as a factor related to psychopathology has been the subject of studies for at least three decades. The majority of these studies have been conducted with samples of depressed patients.
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