Background. Investigations in the field of gender identity disorder (GID) have been mostly related to psychiatric comorbidity and severe psychiatric disorders, but have focused less on personality and personality disorders (PDs). Aims. The aim of the study was to assess the presence of PDs in persons with GID as compared to cisgendered (a cisgender person is a person who is content to remain the gender they were assigned at birth) heterosexuals, as well as to biological sex. Methods. The study sample consisted of 30 persons with GID and 30 cisgendered heterosexuals from the general population. The assessment of PDs was conducted by application of the self-administered Structured Clinical Interview for DSM-IV Axis II PDs (SCID-II). Results. Persons with GID compared to cisgender heterosexuals have higher presence of PDs, particularly Paranoid PD, avoidant PDs, and comorbid PDs. In addition, MtF (transwomen are people assigned male at birth who identify as women) persons are characterized by a more severe psychopathological profile. Conclusions. Assessment of PDs in persons with GID is of great importance as it comprises a key part of personalized treatment plan tailoring, as well as a prognostic factor for sex-reassignment surgery (SRS) outcome.
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机译：背景。性别认同障碍（GID）领域的研究主要与精神病合并症和严重的精神病有关，但很少关注人格和人格障碍（PDs）。目的这项研究的目的是评估与双性恋者（一个双性恋者是满足于保留其出生时所分配的性别的人），异性恋者相比，GID患者中PD的存在。方法。研究样本包括30例GID患者和30例来自普通人群的顺性异性恋者。通过对DSM-IV Axis II PD（SCID-II）进行自我管理的结构化临床访谈，对PD进行评估。结果。与cisgender异性恋者相比，GID患者的PD较高，尤其是偏执型PD，回避型PD和合并症PD。此外，MtF（女跨性别者是出生时被分配为男性的人，其身份是女性）的特征是精神病学特征更为严重。结论。对GID患者的PD评估非常重要，因为它包括个性化治疗计划定制的关键部分，以及性别再分配手术（SRS）结果的预后因素。
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