Fonctions exécutives chez les jeunes transgenres : relations avec les symptômes d'anxiété, le trouble du spectre de l'autisme et le statut du traitement médical d'affirmation de genre

Titre original en anglais : Transgender Youth Executive Functioning: Relationships with Anxiety Symptoms, Autism Spectrum Disorder, and Gender-Affirming Medical Treatment Status

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Strang, J. F., Chen, D., Nelson, E., Leibowitz, S. F., Nahata, L., Anthony, L. G., Song, A., Grannis, C., Graham, E. K., Henise, S., Vilain, E., Sadikova, E., Freeman, A., Pugliese, C., Khawaja, A., Maisashvili, T., Mancilla, M., & Kenworthy, L. (2021). Transgender Youth Executive Functioning: Relationships with Anxiety Symptoms, Autism Spectrum Disorder, and Gender-Affirming Medical Treatment Status. Child Psychiatry & Human Development, 53(6), 1252-1265. https://doi.org/10.1007/s10578-021-01195-6

Date de publication: 19/06/2021 Ajout dans AutiHub: 29/08/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
18
Auteur·ices de la publication identifié·es comme autistes
1 / 18 (5,6 %)
  1. John F. Strang
  2. Diane Chen
  3. Eric Nelson
  4. Scott F. Leibowitz
  5. Leena Nahata
  6. Laura G. Anthony
  1. Amber Song
  2. Connor Grannis
  3. Elizabeth K. Graham *
  4. Shane Henise
  5. Eric Vilain
  6. Eleonora Sadikova
  1. Andrew Freeman
  2. Cara Pugliese
  3. Ayesha Khawaja
  4. Tekla Maisashvili
  5. Michael Mancilla
  6. Lauren Kenworthy

Résumé

La fonction exécutive (FE) sous-tend de vastes résultats en matière de santé et d'adaptation. Pour les jeunes transgenres, le discernement de genre et l'affirmation de genre exigent des FE. Pourtant, les facteurs associés aux FE des jeunes transgenres sont inconnus. Nous examinons les prédicteurs hypothétiques des FE : des conditions surreprésentées chez les jeunes transgenres (symptômes d'anxiété et de dépression, trouble du spectre de l'autisme [TSA]) et les soins d'affirmation de genre. Cent vingt-quatre jeunes transgenres âgés de 11 à 21 ans ont participé. Les parents/personnes s'occupant des jeunes ont rempli des mesures de déclaration sur les FE et la santé mentale. Des diagnostics de TSA et les antécédents de médicaments d'affirmation de genre ont été recueillis. Vingt et un pour cent des jeunes transgenres non autistes et 69 % des jeunes transgenres autistes présentaient des problèmes de FE cliniquement élevés. L'appartenance au groupe de traitement hormonal d'affirmation de genre était associée à de meilleures FE. Le TSA, les symptômes d'anxiété et l'appartenance au groupe de suppression pubertaire de longue durée étaient associés à de moins bonnes FE. Compte tenu de l'importance des compétences de FE pour de multiples résultats, ainsi que des exigences uniques et supplémentaires en matière de FE propres aux expériences des jeunes transgenres, le suivi des compétences de FE — et, lorsque cela est approprié, des soutiens — devrait être envisagé pour les jeunes transgenres.

Executive function (EF) underlies broad health and adaptive outcomes. For transgender youth, navigating gender discernment and gender affirmation demand EF. Yet, factors associated with transgender youth EF are unknown. We investigate hypothesized predictors of EF: over-represented conditions among transgender youth (anxiety and depression symptoms, autism spectrum disorder [ASD]) and gender-affirming care. One-hundred twenty-four transgender 11-21-year-olds participated. Parents/caregivers completed EF and mental health report measures. ASD diagnostics and gender-affirming medication histories were collected. 21 % of non-autistic and 69 % of autistic transgender youth had clinically elevated EF problems. Membership in the gender-affirming hormone treatment group was associated with better EF. ASD, anxiety symptoms, and membership in the long-duration pubertal suppression group were associated with poorer EF. Given the importance of EF skills for multiple outcomes, and the unique and additional EF demands specific to transgender youths' experiences, EF skill monitoring-and when appropriate, supports-should be considered for transgender youth.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 12/09/2026 18:16.

Références citées
110
Avec un DOI
96
Sans DOI, à partir du texte brut de la bibliographie
12
3 / 110 (2,7 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
6 / 110 (5,5 %)
Références avec noms d’auteurices détectés
106 / 110 (96,4 %)
Sans nom d’auteurice détecté
4
Sans titre structuré
6
Sans identifiant stable
12
Références avec noms bruts d’auteurices restant à vérifier
4
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
509
À partir du DOI ou de métadonnées externes
509
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
4
85 / 509 (16,7 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 424 / 509 (83,3 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
6 / 509 (1,2 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 6 / 85 (7,1 %). Personnes distinctes identifiées comme autistes : 5 / 448 (1,1 %).
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