Saskia Fahrenkrug

• University Medical Center Hamburg - Eppendorf

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...

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...

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...

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...

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...

Während in den vergangenen zwei Jahr-zehnten nun endlich die Homosexualität auch innerhalb der psychodynamischen Schulen entpathologisiert und als Normvariante begriffen wurde, scheint der Dis- kurs über transsexuelle Entwicklung zu stagnieren und angesichts von geplanten und bereits vollzogenen Gesetzesänderungen wie der Einführung des dritten Ges...

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...

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. 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...

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...

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...

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...

Emotional stimuli can cause airway constriction; however, it is uncertain whether a dimensional or categorical model of emotion can better describe airway changes. Also, little is known about the affective modulation of respiration and vagal activity, which can influence airway tone. We studied changes in oscillatory resistance (Ros), respiration,...