Reproductive endocrinology

Psychosocial Functioning in Transgender Youth after 2 Years of Hormones

N Engl J MedPublished Prospective cohort study

An erratum to this article was published (N Engl J Med, 19 Oct 2023 ↗)

Authors' conclusion

In this 2-year study involving transgender and nonbinary youth, GAH improved appearance congruence and psychosocial functioning.

Study context

Population
Transgender and nonbinary youth aged 12 to 20 years (mean 16±1.9) initiating gender-affirming hormones (GAH) (testosterone or estradiol), United States; 60.3% transmasculine, 7.9% prior pubertal suppression
Participants
315 participants
Outcome
Trajectories of appearance congruence, depression, anxiety, positive affect and life satisfaction
Follow-up
Baseline and 6, 12, 18 and 24 months after GAH initiation
Methodological detailsfour-site, observational, latent growth curve modeling
  • Four-site
  • Observational
  • Latent growth curve modeling

Main finding

As reported in the abstract

Psychosocial functioning · 2 years
  • Appearance congruence, positive affect and life satisfaction increased
  • Depression and anxiety symptoms decreased
  • Increases in appearance congruence associated with concurrent increases in positive affect and life satisfaction and decreases in depression and anxiety symptoms

Observational data: associations, not effects.

Safety

Participants

Suicidal ideation (most common adverse event)
11 (3.5%)
Death by suicide
2

Original publication

Psychosocial Functioning in Transgender Youth after 2 Years of Hormones. N Engl J Med. Published 19 January 2023. doi:10.1056/nejmoa2206297

Composed by AI from the published abstract and checked against it. How Briefs are made →

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