Considerations for Expanding Research and Clinical Care for the Neurodivergent Gender Diverse Population

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Rosenau, K. A., Baroni, E., Keenan, E. G., & Massolo, M. L. (2023). Considerations for Expanding Research and Clinical Care for the Neurodivergent Gender Diverse Population. Cureus, 15(12), e51060-e51060. https://doi.org/10.7759/cureus.51060

Publication date: 25 Dec 2023 Added to AutiHub: 9 Aug 2026 Type: Article Article language: English
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Authors

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4
Publication authors identified as autistic
1 / 4 (25.0%)
  1. Kashia A Rosenau
  2. Erin Baroni
  3. Elliot Gavin Keenan *
  4. Maria L Massolo

Abstract

Little is currently known about the relationship between gender diversity and neurodiversity, although a growing body of researchers and clinicians are searching for more information to better serve this population. Gender-diverse individuals are three to six times more likely than cisgender individuals to identify as autistic or to report possible undiagnosed autism or autistic traits. Many gender-diverse individuals experience a shortage of gender-affirming medical care and are disproportionately impacted by barriers to mental health services. Similarly, autistic individuals report that the most common barrier to care is a lack of knowledgeable providers and/or resistance from providers to tailor care toward their specific needs. Two key areas in need of further research are 1) clinical approaches to gender-affirming medical and mental health care for neurodivergent patients and 2) the prevention and treatment of suicidality in gender-diverse neurodivergent individuals. Increasing collaborations amongst gender-diverse neurodivergent individuals, researchers, and clinicians are needed in order to further research and clinical practice to most directly and effectively improve physical and mental health care for the gender-diverse neurodivergent patient population.

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Total cited references integrated for this publication.
Cited references with an identified autistic author
4 / 19 (21.1%)
Cited author occurrences identified as autistic
15 / 160 (9.4%)
Among occurrences linked to AutiHub author records: 15 / 114 (13.2%). Distinct cited authors identified as autistic: 12 / 133 (9.0%).
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Distinct linked cited authors: 87 / 133 (65.4%)
Linked cited-author occurrences not identified as autistic
99 / 114 (86.8%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 99 / 160 (61.9%). Distinct linked cited authors not identified as autistic: 75 / 87 (86.2%).
  1. A. Suzanne Boyd (2014). Community-Based Participatory Research . Encyclopedia of Human Services and Diversity. SAGE Publications, Inc..
    Type: Other DOI: 10.4135/9781483346663.n119 OpenAlex: https://openalex.org/W234027312
    OpenAlex
  2. Varun Warrier , David M. Greenberg , Elizabeth M Weir , Clara Buckingham , Paula Smith , Meng-Chuan Lai et al. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals . Nature Communications, 11(1), 3959-3959. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/s41467-020-17794-1 OpenAlex: https://openalex.org/W3048303946
    Crossref OpenAlex OpenCitations
  3. John F. Strang , Laura G. Anthony , Amber Y. Song , Meng-Chuan Lai , Megan Knauss , Eleonora Sadikova et al. (2023). In Addition to Stigma: Cognitive and Autism-Related Predictors of Mental Health in Transgender Adolescents . Journal of Clinical Child & Adolescent Psychology, 52(2), 212-229. Informa UK Limited.
    Type: Article DOI: 10.1080/15374416.2021.1916940 OpenAlex: https://openalex.org/W3167599807
    Crossref OpenAlex OpenCitations
  4. David W. Evans , Kristin Canavera , F. Lee Kleinpeter. , Elise Maccubbin , Ken Taga (2005). The Fears, Phobias and Anxieties of Children with Autism Spectrum Disorders and Down Syndrome: Comparisons with Developmentally and Chronologically Age Matched Children . Child Psychiatry and Human Development, 36(1), 3-26. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10578-004-3619-x OpenAlex: https://openalex.org/W2033666473
    Crossref OpenAlex OpenCitations
  5. Lisa D. Hawke , Em Hayes , Karleigh Darnay , Joanna Henderson (2021). Mental health among transgender and gender diverse youth: An exploration of effects during the COVID-19 pandemic. Psychology of Sexual Orientation and Gender Diversity, 8(2), 180-187. American Psychological Association (APA).
    Type: Article DOI: 10.1037/sgd0000467 OpenAlex: https://openalex.org/W3126935622
    Crossref OpenAlex OpenCitations
  6. Eric P. Hazen , Jennifer L. Stornelli , Julia A. O’Rourke , Karmen Koesterer , Christopher J. McDougle (2014). Sensory Symptoms in Autism Spectrum Disorders . Harvard Review of Psychiatry, 22(2), 112-124. Ovid Technologies (Wolters Kluwer Health).
    Type: Article DOI: 10.1097/01.hrp.0000445143.08773.58 OpenAlex: https://openalex.org/W2089516943
    Crossref OpenAlex OpenCitations
  7. Dawn Adams , Kate Young (2021). A Systematic Review of the Perceived Barriers and Facilitators to Accessing Psychological Treatment for Mental Health Problems in Individuals on the Autism Spectrum . Review Journal of Autism and Developmental Disorders, 8(4), 436-453. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s40489-020-00226-7 OpenAlex: https://openalex.org/W3094212365
    Crossref OpenAlex OpenCitations
  9. Augustus Klein , Sarit A. Golub (2016). Family Rejection as a Predictor of Suicide Attempts and Substance Misuse Among Transgender and Gender Nonconforming Adults . LGBT Health, 3(3), 193-199. SAGE Publications.
    Type: Article DOI: 10.1089/lgbt.2015.0111 OpenAlex: https://openalex.org/W2336605558
    Crossref OpenAlex OpenCitations
  10. Leena Nahata , Gwendolyn P. Quinn , Nicole M. Caltabellotta , Amy C. Tishelman (2017). Mental Health Concerns and Insurance Denials Among Transgender Adolescents . LGBT Health, 4(3), 188-193. SAGE Publications.
    Type: Article DOI: 10.1089/lgbt.2016.0151 OpenAlex: https://openalex.org/W2612961058
    Crossref OpenAlex OpenCitations
  12. Reubs J. Walsh , Lydia Krabbendam , Jeroen Dewinter , Sander Begeer (2018). Brief Report: Gender Identity Differences in Autistic Adults: Associations with Perceptual and Socio-cognitive Profiles . Journal of Autism and Developmental Disorders, 48(12), 4070-4078. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-018-3702-y OpenAlex: https://openalex.org/W2887528816
    Crossref OpenAlex OpenCitations
  13. L. O'Halloran , P. Coey , Colin Wilson (2022). Suicidality in autistic youth: A systematic review and meta-analysis . Clinical Psychology Review, 93, 102144. Elsevier BV.
    Type: Article DOI: 10.1016/j.cpr.2022.102144 OpenAlex: https://openalex.org/W4221063598
    Crossref OpenAlex OpenCitations
  14. John F. Strang , Meredith D. Powers , Megan Knauss , Ely Sibarium , Scott Leibowitz , Lauren Kenworthy et al. (2018). “They Thought It Was an Obsession”: Trajectories and Perspectives of Autistic Transgender and Gender-Diverse Adolescents . Journal of Autism and Developmental Disorders, 48(12), 4039-4055. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-018-3723-6 OpenAlex: https://openalex.org/W2888312950
    AutiHub · Autistic Scholars Crossref OpenAlex OpenCitations
  15. Brian C. Thoma , Rachel H. Salk , Sophia Choukas-Bradley , Tina R. Goldstein , Michele D. Levine , Michael P. Marshal (2019). Suicidality Disparities Between Transgender and Cisgender Adolescents . Pediatrics, 144(5). American Academy of Pediatrics (AAP).
    Type: Article DOI: 10.1542/peds.2019-1183 OpenAlex: https://openalex.org/W2981114281
    Crossref OpenAlex OpenCitations
  16. Barbara A. Israel , Amy J. Schulz , Chris M. Coombe , Edith A. Parker , Angela G. Reyes , Zachary Rowe et al. (2019). Community-Based Participatory Research . In Urban Health (pp. 272-282). Oxford University PressNew York.
    Type: Book chapter DOI: 10.1093/oso/9780190915858.003.0029 OpenAlex: https://openalex.org/W2944919532
    OpenAlex
  17. (2021). Start Here: A Guide for Parents of Autistic Kids .
    Type: Other
    Crossref
  19. Wallerstein N (2018). On community-based participatory research .
    Type: Other
    Crossref