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NEURODEVELOPMENTAL DISORDERS

In Addition to Stigma: Cognitive and Autism-Related Predictors of Mental Health in Transgender Adolescents

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References

  • Achenbach, T. M. (2009). The Achenbach System of Empirically Based Assessment (ASEBA): Development, findings, theory, and applications. University of Vermont Research Center for Children, Youth, & Families.
  • Aitken, M., Steensma, T. D., Blanchard, R., VanderLaan, D. P., Wood, H., Fuentes, A., … Fitzsimmons, C. L. (2015). Evidence for an altered sex ratio in clinic‐referred adolescents with gender dysphoria. The Journal of Sexual Medicine, 12(3), 756–763. https://doi.org/10.1111/jsm.12817
  • Akgül, G. Y., Ayaz, A. B., Yildirim, B., & Fis, N. P. (2018). Autistic traits and executive functions in children and adolescents with gender dysphoria. Journal of Sex & Marital Therapy, 44(7), 619–626. https://doi.org/10.1080/0092623x.2018.1437489
  • American Psychiatric Association. (2013) Diagnostic and statistical manual of mental disorders (A. American Psychiatric & A. American Psychiatric, Eds., 5th ed.). American Psychiatric Association.
  • Balazs, J., & Kereszteny, A. (2017). Attention-deficit/hyperactivity disorder and suicide: A systematic review. World Journal of Psychiatry, 7(1), 44–59. https://doi.org/10.5498/wjp.v7.i1.44
  • Bargiela, S., Steward, R., & Mandy, W. (2016). The experiences of late-diagnosed women with autism spectrum conditions: An investigation of the female autism phenotype. Journal of Autism and Developmental Disorders, 46(10), 3281–3294. https://doi.org/10.1007/s10803-016-2872-8
  • Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65. https://doi.org/10.1037/0033-2909.121.1.65
  • Cassidy, S. A., Gould, K., Townsend, E., Pelton, M., Robertson, A. E., & Rodgers, J. (2019). Is camouflaging autistic traits associated with suicidal thoughts and behaviours? Expanding the interpersonal psychological theory of suicide in an undergraduate student sample. Journal of Autism and Developmental Disorders, 50, 3638–3648. https://doi.org/10.1007/s10803-019-04323-3
  • Cheung, A. S., Ooi, O., Leemaqz, S., Cundill, P., Silberstein, N., Bretherton, I., Thrower, E., Locke, P., Grossmann, M., & Zajac, J. D. (2018). Sociodemographic and clinical characteristics of transgender adults in Australia. Transgender Health, 3(1), 229–238. https://doi.org/10.1089/trgh.2018.0019
  • Cohen-Kettenis, P. T., & Van Goozen, S. H. (1997). Sex reassignment of adolescent transsexuals: A follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 36(2), 263–271. https://doi.org/10.1097/00004583-199702000-00017
  • Creswell, J. W., Klassen, A. C., Plano Clark, V. L., & Smith, K. C. (2011). Best practices for mixed methods research in the health sciences. Bethesda (Maryland): National Institutes of Health, 2013, 541–545. https://www.csun.edu/sites/default/files/best_prac_mixed_methods.pdf
  • Danielson, M. L., Bitsko, R. H., Ghandour, R. M., Holbrook, J. R., Kogan, M. D., & Blumberg, S. J. (2018). Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. children and adolescents, 2016. Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 47(2), 199–212. https://doi.org/10.1080/15374416.2017.1417860
  • de Vries, A. L. C., McGuire, J. K., Steensma, T. D., Wagenaar, E. C. F., Doreleijers, T. A. H., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696–704. https://doi.org/10.1542/peds.2013-2958
  • de Vries, A. L. C., Noens, I. L. J., Cohen-Kettenis, P. T., Van Berckelaer-onnes, I. A., & Doreleijers, T. A. (2010). Autism spectrum disorders in gender dysphoric children and adolescents. Journal of Autism and Developmental Disorders, 40(8), 930–936. https://doi.org/10.1007/s10803-010-0935-9
  • de Vries, A. L. C., Steensma, T. D., Doreleijers, T. A. H., & Cohen-Kettenis, P. T. (2011). Puberty suppression in adolescents with gender identity disorder: A prospective follow-up study. The Journal of Sexual Medicine, 8(8), 2276–2283. https://doi.org/10.1111/j.1743-6109.2010.01943.x
  • Eckerd, M. (2020). Detection and diagnosis of ASD in females. Journal of Health Service Psychology, 46(1), 37–47. https://doi.org/10.1007/s42843-020-00006-1
  • Elia, J., Ambrosini, P., & Berrettini, W. (2008). ADHD characteristics: I. Concurrent co-morbidity patterns in children & adolescents. Child and Adolescent Psychiatry and Mental Health, 2(1), 15. https://doi.org/10.1186/1753-2000-2-15
  • George, R., & Stokes, M. A. (2018a). Gender identity and sexual orientation in autism spectrum disorder. Autism: The International Journal of Research and Practice, 22(8), 970–982. https://doi.org/10.1177/1362361317714587
  • George, R., & Stokes, M. A. (2018b). A quantitative analysis of mental health among sexual and gender minority groups in ASD. Journal of Autism and Developmental Disorders, 48(6), 2052–2063. https://doi.org/10.1007/s10803-018-3469-1
  • Hall, J. P., Batza, K., Streed, C. G., Boyd, B. A., & Kurth, N. K. (2020). Health disparities among sexual and gender minorities with autism spectrum disorder. Journal of Autism and Developmental Disorders, 50, 3071–3077. https://doi.org/10.1007/s10803-020-04399-2
  • Happé, F. G., & Booth, R. D. (2008). The power of the positive: Revisiting weak coherence in autism spectrum disorders. Quarterly Journal of Experimental Psychology, 61(1), 50–63. https://doi.org/10.1080/17470210701508731
  • Hirvikoski, T., Boman, M., Chen, Q., D’Onofrio, B. M., Mittendorfer-Rutz, E., Lichtenstein, P., Bölte, S., & Larsson, H. (2020). Individual risk and familial liability for suicide attempt and suicide in autism: A population-based study. Psychological Medicine, 50(9), 1463–1474. https://doi.org/10.1017/s0033291719001405
  • Hisle-Gorman, E., Landis, C. A., Susi, A., Schvey, N. A., Gorman, G. H., Nylund, C. M., & Klein, D. A. (2019). Gender dysphoria in children with autism spectrum disorder. LGBT Health, 6(3), 95–100. https://doi.org/10.1089/lgbt.2018.0252
  • Hull, L., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., Petrides, K., & Mandy, W. (2020). Gender differences in self-reported camouflaging in autistic and non-autistic adults. Autism: The International Journal of Research and Practice, 24(2), 352–363. https://doi.org/10.1177/1362361319864804
  • Jang, J., Matson, J. L., Williams, L. W., Tureck, K., Goldin, R. L., & Cervantes, P. E. (2013). Rates of comorbid symptoms in children with ASD, ADHD, and comorbid ASD and ADHD. Research in Developmental Disabilities, 34(8), 2369–2378. https://doi.org/10.1016/j.ridd.2013.04.021
  • Kenworthy, L., Anthony, L. G., Naiman, D. Q., Cannon, L., Wills, M. C., Luong-Tran, C., Werner, M. A., Alexander, K. C., Strang, J., Bal, E., Sokoloff, J. L., & Wallace, G. L. (2014). Randomized controlled effectiveness trial of executive function intervention for children on the autism spectrum. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 55(4), 374–383. https://doi.org/10.1111/jcpp.12161
  • Kuschner, E. S., Bodner, K. E., & Minshew, N. J. (2009). Local vs. global approaches to reproducing the Rey Osterrieth complex figure by children, adolescents, and adults with high‐functioning autism. Autism Research: Official Journal of the International Society for Autism Research, 2(6), 348–358. https://doi.org/10.1002/aur.101
  • Lai, M. C., & Szatmari, P. (2020). Sex and gender impacts on the behavioural presentation and recognition of autism. Current Opinion in Psychiatry, 33(2), 117–123. https://doi.org/10.1097/yco.0000000000000575
  • Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466–474. https://doi.org/10.1016/j.jaac.2017.03.013
  • Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). ADOS-2: Autism diagnositc observation schedule, second edition (ADOS-2). Western Psychological Services.
  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685. https://doi.org/10.1007/BF02172145
  • Mahfouda, S., Panos, C., Whitehouse, A., Thomas, C., Maybery, M., Strauss, P., Zepf, F. D., O’Donovan, A., Van Hall, H.-W., Saunders, L. A., Moore, J. K., & Lin, A. (2019). Mental health correlates of autism spectrum disorder in gender diverse young people: Evidence from a specialised child and adolescent gender clinic in Australia. Journal of Clinical Medicine, 8(10), 1503. https://doi.org/10.3390/jcm8101503
  • Mazefsky, C. A., McPartland, J. C., Gastgeb, H. Z., & Minshew, N. J. (2013). Brief report: comparability of DSM-IV and DSM-5 ASD research samples. Journal of Autism and Developmental Disorders, 43(5), 1236–1242. https://doi.org/10.1007/s10803-012-1665-y
  • McCormick, C. E., Kavanaugh, B. C., Sipsock, D., Righi, G., Oberman, L. M., Moreno De Luca, D., Quinn, J. G., Jerskey, B. A., Quinn, J. G., Jewel, S. B., Wu, P.-C., McLean, R. L., Levine, T. P., Tokadjian, H., Perkins, K. A., Clarke, E. B., Dunn, B., Gerber, A. H., Tenenbaum, E. J., Morrow, E. M., & Gamsiz Uzun, E. D. (2020). Autism heterogeneity in a densely sampled US population: Results from the first 1,000 participants in the RI‐CART study. Autism Research, 13(3), 474–488. https://doi.org/10.1002/aur.2261
  • Nahata, L., Quinn, G. P., Caltabellotta, N. M., & Tishelman, A. C. (2017). Mental health concerns and insurance denials among transgender adolescents. LGBT Health, 4(3), 188–193. https://doi.org/10.1089/lgbt.2016.0151
  • Olson, K. R., Durwood, L., DeMeules, M., & McLaughlin, K. A. (2016). Mental health of transgender children who are supported in their identities. Pediatrics, 137(3), e20153223. https://doi.org/10.1542/peds.2015-3223
  • Pariseau, E. M., Chevalier, L., Long, K. A., Clapham, R., Edwards-Leeper, L., & Tishelman, A. C. (2019). The relationship between family acceptance-rejection and transgender youth psychosocial functioning. Clinical Practice in Pediatric Psychology, 7(3), 267. https://doi.org/10.1037/cpp0000291
  • Peterson, C. M., Matthews, A., Copps‐Smith, E., & Conard, L. A. (2017). Suicidality, self‐harm, and body dissatisfaction in transgender adolescents and emerging adults with gender dysphoria. Suicide and Life‐Threatening Behavior, 47(4), 475–482. https://doi.org/10.1111/sltb.12289
  • Ratto, A., Anthony, B. J., Pugliese, C., Mendez, R., Safer-Lichtenstein, J., Dudley, K. M., Anthony, B. J., Kahn, N. F., Kenworthy, L., Biel, M., Martucci, J. L., & Anthony, L. G. (2017). Lessons learned: Engaging culturally diverse families in neurodevelopmental disorders intervention research. Autism: The International Journal of Research and Practice, 21(5), 622–634. https://doi.org/10.1177/1362361316650394
  • Ratto, A., Kenworthy, L., Yerys, B. E., Bascom, J., Wieckowski, A. T., White, S. W., Ollendick, T. H., Schultz, R. T., Ollendick, T. H., Scarpa, A., Seese, S., Register-Brown, K., Martin, A., Anthony, L. G., & Wallace, G. L. (2018). What about the girls? Sex-based differences in autistic traits and adaptive skills. Journal of Autism and Developmental Disorders, 48(5), 1698–1711. https://doi.org/10.1007/s10803-017-3413-9
  • Reisner, S. L., Vetters, R., Leclerc, M., Zaslow, S., Wolfrum, S., Shumer, D., & Mimiaga, M. J. (2015). Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 56(3), 274–279. https://doi.org/10.1016/j.jadohealth.2014.10.264
  • Russell, S. T., Pollitt, A. M., Li, G., & Grossman, A. H. (2018). Chosen name use is linked to reduced depressive symptoms, suicidal ideation, and suicidal behavior among transgender youth. Journal of Adolescent Health, 63(4), 503–505. https://doi.org/10.1016/j.jadohealth.2018.02.003
  • Shin, M.-S., Park, S.-Y., Park, S.-R., Seol, S.-H., & Kwon, J. S. (2006). Clinical and empirical applications of the Rey–Osterrieth complex figure test. Nature Protocols, 1(2), 892. https://doi.org/10.1038/nprot.2006.115
  • Skagerberg, E., Di Ceglie, D., & Carmichael, P. (2015). Brief report: Autistic features in children and adolescents with gender dysphoria. Journal of Autism and Developmental Disorders, 45(8), 2628–2632. https://doi.org/10.1007/s10803-015-2413-x
  • Somerville, J., Tremont, G., & Stern, R. A. (2000). The Boston qualitative scoring system as a measure of executive functioning in Rey-Osterrieth complex figure performance. Journal of Clinical and Experimental Neuropsychology, 22(5), 613–621. https://doi.org/10.1076/1380-3395(200010)22:5;1-9;ft613
  • Stagg, S. D., & Vincent, J. (2019). Autistic traits in individuals self-defining as transgender or nonbinary. European Psychiatry, 61, 17–22. https://doi.org/10.1016/j.eurpsy.2019.06.003
  • Steensma, T. D., Kreukels, B. P., Jürgensen, M., Thyen, U., de Vries, A. L. C., & Cohen-Kettenis, P. (2013). The Utrecht Gender Dysphoria Scale: A validation study. Archives of Sexual Behavior, 41–56. https://research.vumc.nl/ws/portalfiles/portal/354253/hoofdstuk+03.pdf
  • Strang, J. F., Kenworthy, L., Dominska, A., Sokoloff, J., Kenealy, L. E., Berl, M., Walsh, K., Menvielle, E., Slesaransky-Poe, G., Kim, K.-E., Luong-Tran, C., Meagher, H., & Wallace, G. L. (2014). Increased gender variance in autism spectrum disorders and attention deficit hyperactivity disorder. Archives of Sexual Behavior, 43(8), 1525–1533. https://doi.org/10.1007/s10508-014-0285-3
  • Strang, J. F., Klomp, S. E., Caplan, R., Griffin, A. D., Anthony, L. G., Harris, M. C., Graham, E. K., Knauss, M., & van der Miesen, A. I. R. (2019). Community-based participatory design for research that impacts the lives of transgender and/or gender-diverse autistic and/or neurodiverse people. Clinical Practice in Pediatric Psychology, 7(4), 396. https://doi.org/10.1037/cpp0000310
  • Strang, J. F., Knauss, M., van der Miesen, A. I. R., McGuire, J. K., Kenworthy, L., Caplan, R., Freeman, A., Sadikova, E., Zaks, Z., Pervez, N., Balleur, A., Rowlands, D. W., Sibarium, E., Willing, L., McCool, M. A., Ehrbar, R. D., Wyss, S. E., Wimms, H., Tobing, J., Austen, J., … Anthony, L. G. (2020). A clinical program for transgender and gender-diverse neurodiverse/autistic adolescents developed through community-based participatory design. Journal of Clinical Child & Adolescent Psychology, 49(4), 1–16. https://doi.org/10.1080/15374416.2020.1731817
  • Strang, J. F., Powers, M. D., Knauss, M., Sibarium, E., Leibowitz, S. F., Kenworthy, L., Sadikova, E., Wyss, S., Willing, L., Caplan, R., Pervez, N., Nowak, J., Gohari, D., Gomez-Lobo, V., Call, D., & Anthony, L. G. (2018). “They Thought It Was An Obsession”: Trajectories and perspectives of autistic transgender and gender-diverse adolescents. Journal of Autism and Developmental Disorders, 48(12), 4039–4055. https://doi.org/10.1007/s10803-018-3723-6
  • Strang, J. F., van der Miesen, A. I. R., Caplan, R., Hughes, C., daVanport, S., & Lai, M. C. (2020). Both sex- and gender-related factors should be considered in autism research and clinical practice. Autism: The International Journal of Research and Practice, 24(3), 539–543. https://doi.org/10.1177/1362361320913192
  • Strauss, P., Cook, A., Winter, S., Watson, V., Wright Toussaint, D., & Lin, A. (2017). Trans pathways: The mental health experiences and care pathways of, trans young people. Perth, Australia: Telethon Kids Institute.
  • Testa, R. J., Michaels, M. S., Bliss, W., Rogers, M. L., Balsam, K. F., & Joiner, T. (2017). Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors. Journal of Abnormal Psychology, 126(1), 125. https://doi.org/10.1037/abn0000234
  • Toomey, R. B., Ryan, C., Diaz, R. M., Card, N. A., & Russell, S. T. (2010). Gender-nonconforming lesbian, gay, bisexual, and transgender youth: School victimization and young adult psychosocial adjustment. Developmental Psychology, 46(6), 1580–1589. https://doi.org/10.1037/a0020705
  • Toomey, R. B., Syvertsen, A. K., & Shramko, M. (2018). Transgender adolescent suicide behavior. Pediatrics, 142(4), e20174218. https://doi.org/10.1542/peds.2017-4218
  • Van de Cruys, S., Evers, K., Van der Hallen, R., Van Eylen, L., Boets, B., De-wit, L., & Wagemans, J. (2014). Precise minds in uncertain worlds: Predictive coding in autism. Psychological Review, 121(4), 649–675. https://doi.org/10.1037/a0037665
  • van der Miesen, A. I. R., Hurley, H., Bal, A. M., & de Vries, A. L. C. (2018). Prevalence of the wish to be of the opposite gender in adolescents and adults with autism spectrum disorder. Archives of Sexual Behavior, 47(8), 2307–2317. https://doi.org/10.1007/s10508-018-1218-3
  • van der Miesen, A. I. R., Hurley, H., & de Vries, A. L. C. (2016). Gender dysphoria and autism spectrum disorder: A narrative review. International Review of Psychiatry, 28(1), 70–80. https://doi.org/10.3109/09540261.2015.1111199
  • Van Meter, A. R., Algorta, G. P., Youngstrom, E. A., Lechtman, Y., Youngstrom, J. K., Feeny, N. C., & Findling, R. L. (2018). Assessing for suicidal behavior in youth using the Achenbach System of Empirically Based Assessment. European Child & Adolescent Psychiatry, 27(2), 159–169. https://doi.org/10.1007/s00787-017-1030-y
  • Van Schalkwyk, G. I., Klingensmith, K., & Volkmar, F. R. (2015). Gender identity and autism spectrum disorders. The Yale Journal of Biology and Medicine, 88 (1), 81–83. http://www.ncbi.nlm.nih.gov/pubmed/25744543
  • Veale, J. F., Peter, T., Travers, R., & Saewyc, E. M. (2017). Enacted stigma, mental health, and protective factors among transgender youth in Canada. Transgender Health, 2(1), 207–216. https://doi.org/10.1089/trgh.2017.0031
  • Verbeek, M. J., Hommes, M. A., Stutterheim, S. E., Van Lankveld, J. J., & Bos, A. E. (2020). Experiences with stigmatization among transgender individuals after transition: A qualitative study in the Netherlands. International Journal of Transgender Health, 21(2), 220–233. https://doi.org/10.1080/26895269.2020.1750529
  • Walsh, R. J., Krabbendam, L., Dewinter, J., & Begeer, S. (2018). Brief report: Gender identity differences in autistic adults: Associations with perceptual and socio-cognitive profiles. Journal of Autism and Developmental Disorders, 48(12), 4070–4078. https://doi.org/10.1007/s10803-018-3702-y
  • Warrier, V., Greenberg, D. M., Weir, E., Buckingham, C., Smith, P., Lai, M.-C., Allison, C., & Baron-Cohen, S. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nature Communications, 11(1), 1–12. https://doi.org/10.1038/s41467-020-17794-1
  • Wechsler, D., & Zhou, X. (2011). Wechsler Abbreviated Scale of Intelligence II. The Psychological Corporation: Harcourt Brace & Company.
  • Weinhardt, L. S., Stevens, P., Xie, H., Wesp, L. M., John, S. A., Apchemengich, I., Kioko, D., Chavez-Korell, S., Cochran, K. M., Watjen, J. M., & Lambrou, N. H. (2017). Transgender and gender nonconforming youths’ public facilities use and psychological well-being: A mixed-method study. Transgender Health, 2(1), 140–150. https://doi.org/10.1089/trgh.2017.0020
  • Ylvisaker, M., Jacobs, H. E., & Feeney, T. (2003). Positive supports for people who experience behavioral and cognitive disability after brain injury: A review. The Journal of Head Trauma Rehabilitation, 18(1), 7–32. https://doi.org/10.1097/00001199-200301000-00005

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