Inga Becker-Hebly- PhD
- PostDoc Position at University Medical Center Hamburg - Eppendorf
Inga Becker-Hebly
- PhD
- PostDoc Position at University Medical Center Hamburg - Eppendorf
About
61
Publications
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Introduction
PostDoc Researcher at the Department of Child and Adolescent Psychiatry and Psychotherapy, and formerly the Institute for Sex Research, Sexual Medicine and Forensic Psychiatry (University Medical Center Hamburg-Eppendorf).
Main research interests include the psychosocial well-being in gender variant and sexual minority youth, family/social support, body image, psychosexual development and sexual health in childhood and adolescence/young adulthood.
Current institution
Additional affiliations
October 2010 - June 2017
February 2013 - June 2017
Education
February 2013 - June 2017
January 2009 - June 2009
March 2006 - January 2013
Publications
Publications (61)
Purpose: Adolescence marks a transition point in the development of gender experience and expression. Although there is growing awareness about various gender identities in health research, only limited data on the prevalence of adolescent gender variance in the general population exists.
Methods: German female and male adolescents (n = 940) aged 1...
Sexual agency (i.e., the ability to make decisions and assertions related to one’s own sexuality) is associated with sexual health enhancing outcomes. Given that young women are expected to act passively, rather than with agency when it comes to sexual encounters, the present study aimed to explore whether parental support, knowledge, and communica...
Adolescents with gender dysphoria (GD) often face various associated social, emotional, and behavioral difficulties. In such a marginalized group, it is crucial to identify factors that may impact psychological functioning to better accommodate their needs. Therefore, the present study investigated the impact of two specific risk factors, poor peer...
The manner in which individuals report their sexual attraction, self-label their sexual identity, or behave in sexual situations can vary over time, and particularly, adolescents may change their reported sexual attraction or sexual orientation identity over the course of their development. It is important to better understand the social factors th...
Empirical evidence concerning the psychosocial health outcomes after puberty suppression and gender-affirming (GA) medical interventions of adolescents with gender dysphoria (GD) is scarce. The aim of the present study was to describe how dimensions of psychosocial health were distributed among different intervention groups of adolescents with a GD...
Zusammenfassung
Einleitung Der Bedarf an einem spezialisierten Beratungs- und Behandlungsangebot für Menschen mit Geschlechtsdysphorie nimmt in den letzten Jahren stetig zu. Kinder und Jugendliche mit Geschlechtsdysphorie suchen, oft gemeinsam mit ihren Eltern, vermehrt professionelle Hilfe. Die Eltern, deren Einstellungen und Haltungen für die kin...
Treatment requests in transgender healthcare are heterogenous and not all transgender and gender-diverse individuals want to undergo the various transition-related medical interventions offered. This study aims to explore demographic and treatment-related predictors associated with different transgender care pathways in a multicenter, multinational...
An increasing heterogeneity of clinical presentations and varying levels of psychological problems characterize gender dysphoria (GD) in adolescents. These clinical patterns suggest distinct developmental trajectories. Here, we examine the onset age of GD, i.e., the percentage of early onset (EO) vs. late onset (LO), and its association with intern...
Sexual assertiveness – the ability to express and act on sexual desires – is crucial for sexual health, linked to greater sexual satisfaction and reduced risk of sexual violence. However, little is known about the role of sexuality education for individual differences in sexual assertiveness. This study examined self-reported sexual assertiveness o...
Adolescents spend a critical amount of their free time on the Internet and social media. Transgender and gender-diverse (TGD) adolescents, who report elevated rates of mental health issues, especially internalizing problems, have both positive and negative online social experiences (e.g., support and cyberbullying). This can have both beneficial an...
Importance
Major depressive disorder is one of the most common mental disorders among adolescents, entailing severe, long-term psychosocial impairment and a high risk of chronicity. In view of the large number of patients requiring treatment, along with insufficient treatment responses with small effect sizes, innovative adjunctive treatment strate...
Zusammenfassung: Fragestellung: Nichtbinäre Geschlechtsidentitäten werden in der Transgender-Gesundheitsversorgung und -forschung zunehmend sichtbar. Gleichzeitig ist wenig bekannt über die verschiedenen Geschlechtsidentitäten von transgeschlechtlichen Jugendlichen, ob diese stabil oder veränderbar sind und welche Faktoren das Geschlechtserleben be...
Objectives: For transgender and gender diverse (TGD) adolescents, the internet and social media have several risks and benefits. The present study aims at assessing how and for which purposes TGD adolescents use the internet and social media and how often they experience support compared to cyberbullying online. Methods: The sample comprised 114 TG...
Clinical research on transgender and gender-nonconforming (TGNC) adolescents has focused on binary individuals or often not differentiated among gender identities. Recent studies suggest that a considerable proportion of TGNC adolescents identify as non-binary and that these youth report more internalizing problems as well as different transition-r...
Our author team would first like to thank the authors of the letter to the editor for their reaction to our recent article “Desired Decision-Making Role and Treatment Satisfaction Among Trans People During Medical Transition: Results From the ENIGI Follow-up Study.”¹ In today’s world of Twitter & Co, it is not a given that critical reflection is br...
Background
Shared decision making (SDM) is particularly important in transition-related medical interventions (TRMIs) given the nature of treatment and history of gatekeeping in transgender health care. Yet few studies have investigated trans people’s desired decision-making role within TRMI and factors that influence these desires.
Aims
The study...
Gender differences in mental health emerge as early as in childhood and adolescence, highlighting the potential need for gender-specific child and adolescent mental health care. However, it is unclear how gender-specific child and adolescent mental health care is implemented and whether its’ approaches are useful. Therefore, this study reviews gend...
Zusammenfassung
Einleitung Für die kontrovers diskutierte Diagnose Geschlechtsinkongruenz (GI) / Geschlechtsdysphorie (GD) im Kindes- und Jugendalter werden international steigende Zahlen in der Inanspruchnahme sowie zunehmend heterogene Verläufe für trans* Entwicklungen berichtet. Bisher existieren nur wenige Studien, welche die Zuweisungszahlen u...
Background
Young transgender or gender nonconforming (TGNC) children and adolescents or those with a gender dysphoria (GD) diagnosis show an increased risk of suicidal and nonsuicidal self-harming thoughts and behaviors (STBs). Data from German-speaking regions on this topic and studies comparing self- and parent-reported STBs have been scarce. The...
Background: While the importance of sexual pleasure for physical and mental health becomes increasingly evident, research on sexual pleasure in transgender persons is lacking. Recently, the first version of the Amsterdam Sexual Pleasure Index (ASPI Vol. 0.1) was validated in cisgender persons. This questionnaire aims to assess the tendency to exper...
Objectives: To evaluate the experienced barriers of care for treatment-seeking trans individuals (TSTG) in three large European clinics.
Methods: An online follow-up questionnaire was filled out by 307 TSTG individuals as part of the research protocol of the European Network for the Investigation of Gender Incongruence (ENIGI). Data was collected...
Background:
While much emphasis has been put on the evaluation of gender-affirming surgery (GAS) approaches and their effectiveness, little is known about the health care needs after completion of these interventions.
Aim:
To assess post-GAS aftercare needs using a mixed-method approach and relate these to participant characteristics.
Methods:...
Samenvatting Hoewel transgender personen steeds zichtbaarder worden in onze maatschappij en in de zorgverlening, blijkt er bitter weinig onderzoek uitgevoerd naar hun seksualiteitsbeleving. Oudere, vaak kleinschalige studies hebben het seksueel functioneren na een medische transitie vaak verengd tot het al dan niet kunnen beleven van een orgasme. H...
Zusammenfassung. Fragestellung: Aktuelle Studien weisen auf ein erhöhtes gemeinsames Auftreten von Geschlechtsdysphorie (GD) und Autismus-Spektrum-Störungen (ASS) hin. Diese Studie soll Aufschluss über die klinische Prävalenz von ASS bei Kindern und Jugendlichen in einer deutschen Spezialsprechstunde für GD sowie über personen- und behandlungsbezog...
Background: The number of adolescents presenting with gender dysphoria (GD) in healthcare services has increased significantly, yet specialized services offering transition-related care (TRC) for trans youth is lacking.
Aim: To investigate satisfaction with TRC, regret, and reasons for (dis)satisfaction with transition-related medical intervention...
It has been posited that gender-affirming treatment (GAT) can have an influence on body image and sexual desire in trans people. This study aims to examine associations between GAT and sexual desire as well as whether body image mediates the influences of gender-affirming hormone therapy (GAHT) or gender-affirming surgery (GAS) on sexual desire. A...
Research provides inconclusive results on whether a social gender transition (e.g. name, pronoun, and clothing changes) benefits transgender children or children with a Gender Dysphoria (GD) diagnosis. This study examined the relationship between social transition status and psychological functioning outcomes in a clinical sample of children with a...
Zusammenfassung
Ziel Die Literatur zum gemeinsamen Auftreten von Geschlechtsdysphorie/Gendervarianz und Autismus-Spektrum-Störungen wird für das Kindes- und Jugendalter systematisch aufbereitet.
Methodik Für den Zeitraum 1946 bis Dezember 2018 wurde eine systematische Literaturrecherche durchgeführt.
Ergebnisse Von insgesamt 144 identifizierten Pub...
Transgender in adolescence is currently a widely discussed topic, additionally reflected by an increasing prevalence in clinical practice. The present review of the available literature on transgender, trans* , gender dysphoria or gender incongruence in youth reports results on the long-term results of medical interventions for the psychological we...
Frieda möchte gerne Oskar sein und tut alles dafür, damit Menschen in seiner Umgebung das (an-)erkennen. Eine Laune, eine Phase, ein Spiel? Könnte sein – vielleicht aber auch nicht. Oder: Maik ist körperlich nicht nur Junge, sondern auch Mädchen – ein Sonderfall, den man lieber nicht zum Thema macht? Eventuell genau die falsche Reaktion. Erzieher-/...
Introduction:
Studies about sexual functioning in trans persons have mainly focused on sexual functioning after genital gender-affirming surgery, have had small sample sizes, and have not explored the broad range of possible sexual dysfunctions. Measuring sexual functioning in trans persons during transitioning is important to determine the kind o...
Zusammenfassung
Einleitung Eine körpermedizinische Behandlung bei erwachsenen Transgender-Personen steht mit positiven Ergebnissen bezüglich der sexuellen Zufriedenheit in Zusammenhang sowie im Jugendalter mit einem verbesserten psychosozialen Wohlbefinden. Dennoch gibt es bisher nur eine Studie, die die sexuellen und romantischen Erfahrungen von T...
Alltagssprachlich wird für Personen, die ihre geschlechtsbezogene Identität nicht oder nicht vollständig im Einklang mit ihren körperlichen Geschlechtsmerkmalen erleben, häufig der inklusive Begriff trans* verwendet. Die Diskrepanz zwischen Geschlechtsempfinden und körperlichen Geschlechtsmerkmalen kann auch als Geschlechtsinkongruenz (GI) beschrie...
Recently, research attention for the sexual life of individuals with Gender Dysphoria (GD, also referred to as transgender individuals), is increasing. Research has shown that the prevalence rates of sexual dysfunction (including the experience of distress) in transgender persons having received Gender Confirming Interventions (GCI) were higher com...
Zusammenfassung
Einleitung Geschlechtsdysphorie (GD) bezeichnet einen Leidensdruck, der sich aus der Inkongruenz zwischen körperlichen Geschlechtsmerkmalen und dem Erleben des eigenen Geschlechts ergeben kann (Geschlechtsinkongruenz, GI). Die vorliegende Arbeit beschäftigt sich mit dem Zusammenspiel von medizinischer Behandlung und sozialer Unterst...
Persistent feelings of gender dysphoria (GD) are accompanied by distress and body dissatisfaction in most clinically referred adolescents and adults. Transition-related medical interventions (e.g., puberty suppression, hormones, or surgery) may alleviate body dissatisfaction. The aim of the present cross-sectional study was to compare multidimensio...
Zusammenfassung
Hintergrund Aufgrund von Minderheiten-Stress leiden trans* Personen häufiger als cis* Personen an psychischen Störungen, jedoch nicht unbedingt auch häufiger unter schädlichem Gebrauch von psychoaktiven Substanzen. Dennoch kann die Frage der bedarfsgerechten Versorgung besonders dann komplex und relevant werden, wenn Minderheitenstr...
International discussion on social and medically supported transition for young people with gender dysphoria has been controversial largely because there is insufficient scientific evidence for adequate predictions of the long-term psychosexual, psychosocial, and physical consequences. The few existing international studies on the developmental pat...
Am Mittwoch, den 22. November 2017 fand das interdisziplinäre Symposium
„Intersex-Kontroversen“ im Rahmen des gleichnamigen Projekts der
Hamburg Open Online University (HOOU) am Universitätsklinikum Hamburg-
Eppendorf (UKE) statt. Gemeinsam mit dem Direktor des Instituts für
Sexualforschung und Forensische Psychiatrie, Peer Briken, und der Nachwuch...
Background: Transgender adolescents who apply for treatment often experience a marked increase in body-related distress when entering puberty, accompanied by internalizing problems and poor peer relations. Although adolescence is a time of considerable psychosocial and physical change, generally associated with a decline in health-related quality o...
Das Thema Gendervarianz, Transgender oder Transsexualität hat in der Öffentlichkeit und in den Medien in den letzten Jahren deutlich zugenommen. Trans steht als Kurzform für die vielen Optionen dieser Entwicklung. Die Forschungen zur Prävalenz sind für das Jugendalter allerdings noch dürftig, da sich Jugendliche bezüglich ihrer Identität ausprobier...
The alteration of sex-specific body features and the establishment of a satisfactory body image are known to be particularly relevant for individuals with Gender Dysphoria (GD). The aim of the study was to first develop new scales and examine the psychometric properties of the Hamburg Body Drawing Scale (Appelt & Strauß 1988). For the second part o...
In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, an...
Given the increasing demand for counselling in gender dysphoria in childhood in Germany, there is a definite need for empirical data on characteristics and developmental trajectories of this clinical group. This study aimed to provide a first overview by assessing demographic characteristics and developmental trajectories of a group of gender varia...
