Assessing Gender Dysphoria Tendencies in Adolescents: A Scale Development and Psychometric Properties in Pakistani Adolescents
DOI:
https://doi.org/10.21649/akemu.v31i3.5839Keywords:
Adolescent, Body Image, Cross-Sectional Studies, Factor Analysis, Gender Dysphoria, Psycho-metrics.Abstract
Background: Although gender dysphoria is becoming more widely recognized, there are still very few reliable psychometric instruments available to evaluate its prevalence in Pakistani adolescents. By developing an indigenous culturally relevant scale to assess gender dysphoria tendencies in adolescents and assessing its validity and reliability this study fills this gap.
Objectives: The objective of this current study is to develop a scale on Gender Dysphoria Tendencies in adolescents. Methods: This survey based Cross-sectional study was carried out at the Department of Clinical Psychology, University of Management and Technology Lahore Pakistan over six months from 5 March 2022 to 21 September 2022. Initially, 42
items were generated by a semi-structured open-ended interview with 20 participants (10 boys and 10 girls) with the
age range 15-19 years. After validating the content, a pilot study was carried out on a self-report measure of gender dysphoria. The sample consisted of 10 participants, with 5 boys and 5 girls. In the end, 350 participants (50% boys, 50% girls) aged 15- 19 (M=17.34, SD=1.26) were tested using the Gender Dysphoria Tendency Scale (GDTS) to assess psychometric properties. The Gender Dysphoria Tendency Scale (GDTS) was analyzed using Exploratory Factor Analysis, which resulted in the generation of two factors. i.e., Gender Dissatisfaction and Body Image.
Results: The GDTS demonstrated good reliability and validity, as well as good internal consistency and construct validity. Factorial structures are discussed within the context of Pakistani culture to gain a deeper understanding of the findings.
Conclusion: This study contributed to understanding gender dysphoria tendencies and how they are prevailing in adolescents in Pakistani culture.
References
1. Damon W, Menon J, Bronk KC. The development of purpose during adolescence. Appl Dev Sci. 2003;7(3):119-28.
2. Alexander PA. Past as prologue: Educational psychology’s legacy and progeny. J Educ Psychol. 2018; 110(2):147–62.
3. Saleem S, Karamat A, Zahra ST, Subhan S, Mahmood Z. Mediating Role of Emotional Neglect and Self-Injurious Behaviors in the Relationship Between Family Satisfaction and Depression. Fam J. 2021;29 (2):1-6. doi: 10.1177/10664807211000725.
4. Firth MT. Childhood abuse, depressive vulnerability and gender dysphoria: Part 2. Couns Psychother Res. 2015;15(2):98-108.
5. Bowman SJ, Casey LJ, McAloon J, Wootton BM. Assessing gender dysphoria: A systematic review of patient-reported outcome measures. Psychol Sex Orientat Gend Divers. 2022;9(4):398.
6. Mihaescu D. Autonomy vs duty of care: ethical considerations in the management of gender dysphoria and gender reassignment surgery [Master's thesis].Malta: University of Malta; 2022. Available from https://www.um.edu.mt/library/oar/handle/123456789/107932.
7. Cocchetti, C., Rachoń, D., Fisher, A.D. Environmental Impact on Sexual Response. In: Pivonello, R., Diamanti-Kandarakis, E. (eds) Environmental Endocrinology and Endocrine Disruptors . Endocrinology. Springer, Cham. 2023: 309-333. https://doi.org/10.1007/978-3-030-39044-0_11
8. 8.Kozlowska K, Chudleigh C, McClure G, Maguire AM, Ambler GR. Attachment patterns in children and adolescents with gender dysphoria. Front Psychol. 2021; 12;11:582688.
9. Carmichael P, Butler G, Masic U, Cole TJ, De Stavola BL, Davidson S, et al. Short-term outcomes of pubertal suppression in a selected cohort of 12 to 15 year old young people with persistent gender dysphoria in the UK. PloS one. 2021;16(2):e0243894.
10. Claahsen-van der Grinten H, Verhaak C, Steensma T, Middelberg T, Roeffen J, Klink D. Gender incongruence and gender dysphoria in childhood and adolescence—current insights in diagnostics, management, and follow-up. Eur J Pediatr. 2021;180(5):1349-57.
https://doi.org/10.1007/s00431-020-03906
11. Dray KK, Smith VR, Kostecki TP, Sabat IE, Thomson CR. Moving beyond the gender binary: Examining workplace perceptions of nonbinary and transgender employees. Gend Work Organ. 2020;27(6):1181-91.
12. Karamat A, Saleem S, Zahra ST, Mahmood Z. Assessing emotional neglect in adolescents: A scale development and psychometric properties in Pakistani adolescents. Bahria J Prof Psychcol. 2022;10;21(1):58-69.
13. Saleem S, Asghar A, Subhan S, Mahmood Z. Parental Rejection and Mental Health Problems in College Students: Mediating Role of Interpersonal Difficulties. Pak J Psychol Res. 2019; 1;34(3). 639–53.
14. Sam AP, Pandey N. The Relationship Between Perceived Parental Abuse, Gender Dysphoria, And Imposter Phenomenon. J ReAttach Ther Dev Divers. 2024; 30;7(4):81-7. https://doi.org/10.53555/jrtdd.v7i4.2792
15. Marconi E, Monti L, Marfoli A, Kotzalidis GD, Janiri D, Cianfriglia C, et al. A systematic review on gender dysphoria in adolescents and young adults: focus on suicidal and self-harming ideation and behaviours. Child Adolesc Psychiatry Ment Health. 2023; 21;17(1):110.
16. Morawska A. The effects of gendered parenting on child development outcomes: A systematic review. Clin Child Fam Psychol Rev. 2020;23(4):553-76. doi: 10.1007/s10567-020-00321-5.
17. Cooper K, Russell A, Mandy W, Butler C. The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis. Clin Psychol Rev. 2020;1;80:101875.
18. Veldhuis J, Alleva JM, Bij de Vaate AJ, Keijer M, Konijn EA. Me, my selfie, and I: The relations between selfie behaviors, body image, self-objectification, and self-esteem in young women. Psychol Pop Media 2020;9(1):3-13.
19. Vandenbosch L, Fardouly J, Tiggemann M. Social media and body image: Recent trends and future directions. Curr Opin Psychol. 2022; 1;45:101289.
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