{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T13:40:16Z","timestamp":1739886016662,"version":"3.37.3"},"reference-count":30,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Endocrinolog\u00eda, Diabetes y Nutrici\u00f3n (English ed.)"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.endien.2025.101533","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T12:18:29Z","timestamp":1739881109000},"page":"101533","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological assessment and counseling remain important features of quality care: A descriptive study of individuals who did not start gender-affirming medical treatment in a gender identity unit in Spain"],"prefix":"10.1016","volume":"72","author":[{"given":"Pablo","family":"Exp\u00f3sito-Campos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelino","family":"G\u00f3mez Balaguer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Hurtado Murillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Pena Dubra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Francisco","family":"de Miguel Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Fern\u00e1ndez Collazo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Tadeo Morant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00e9s","family":"Modrego Pardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Morillas Ari\u00f1o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.endien.2025.101533_bib0155","article-title":"Characteristics of children and adolescents referred to specialist gender services: a systematic review","author":"Taylor","year":"2024","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.endien.2025.101533_bib0160","unstructured":"World Health Organization. International statistical classification of diseases and related health problems. 11th ed. https:\/\/icd.who.int\/."},{"key":"10.1016\/j.endien.2025.101533_bib0165","series-title":"Diagnostic and statistical manual of mental disorders. Text Revision","year":"2022"},{"key":"10.1016\/j.endien.2025.101533_bib0170","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jaac.2016.10.016","article-title":"Mental health and self-worth in socially transitioned transgender youth","volume":"56","author":"Durwood","year":"2017","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"10.1016\/j.endien.2025.101533_bib0175","doi-asserted-by":"crossref","first-page":"e20153223","DOI":"10.1542\/peds.2015-3223","article-title":"Mental health of transgender children who are supported in their identities","volume":"137","author":"Olson","year":"2016","journal-title":"Pediatrics"},{"key":"10.1016\/j.endien.2025.101533_bib0180","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s10508-023-02588-5","article-title":"Is social gender transition associated with mental health status in children and adolescents with gender dysphoria?","volume":"52","author":"Morandini","year":"2023","journal-title":"Arch Sex Behav"},{"key":"10.1016\/j.endien.2025.101533_bib0185","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/1359104520964530","article-title":"Not social transition status, but peer relations and family functioning predict psychological functioning in a German clinical sample of children with Gender Dysphoria","volume":"26","author":"Sievert","year":"2021","journal-title":"Clin Child Psychol Psychiatry"},{"key":"10.1016\/j.endien.2025.101533_bib0190","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1056\/NEJMoa2206297","article-title":"Psychosocial functioning in transgender youth after 2 years of hormones","volume":"388","author":"Chen","year":"2023","journal-title":"N Engl J Med"},{"key":"10.1016\/j.endien.2025.101533_bib0195","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1542\/peds.2013-2958","article-title":"Young adult psychological outcome after puberty suppression and gender reassignment","volume":"134","author":"de Vries","year":"2014","journal-title":"Pediatrics"},{"key":"10.1016\/j.endien.2025.101533_bib0200","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1016\/j.jsxm.2021.05.014","article-title":"Mental healthcare utilization of transgender youth before and after affirming treatment","volume":"18","author":"Hisle-Gorman","year":"2021","journal-title":"J Sex Med"},{"key":"10.1016\/j.endien.2025.101533_bib0205","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1192\/j.eurpsy.2023.2471","article-title":"Have the psychiatric needs of people seeking gender reassignment changed as their numbers increase? A register study in Finland","volume":"66","author":"Kaltiala","year":"2023","journal-title":"Eur Psychiatry"},{"key":"10.1016\/j.endien.2025.101533_bib0210","article-title":"Interventions to suppress puberty in adolescents experiencing gender dysphoria or incongruence: a systematic review","author":"Taylor","year":"2024","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.endien.2025.101533_bib0215","article-title":"Masculinising and feminising hormone interventions for adolescents experiencing gender dysphoria or incongruence: a systematic review","author":"Taylor","year":"2024","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.endien.2025.101533_bib0220","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1136\/bmj.p382","article-title":"Gender dysphoria in young people is rising\u2014and so is professional disagreement","volume":"380","author":"Block","year":"2023","journal-title":"BMJ"},{"key":"10.1016\/j.endien.2025.101533_bib0225","doi-asserted-by":"crossref","first-page":"2319","DOI":"10.1007\/s10508-018-1287-3","article-title":"Moral challenges in transgender care: a thematic analysis based on a focused ethnography","volume":"47","author":"Gerritse","year":"2018","journal-title":"Arch Sex Behav"},{"key":"10.1016\/j.endien.2025.101533_bib0230","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1007\/s00787-019-01394-6","article-title":"Re-evaluation of the Dutch approach: are recently referred transgender youth different compared to earlier referrals?","volume":"29","author":"Arnoldussen","year":"2020","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"10.1016\/j.endien.2025.101533_bib0235","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1093\/jsxmed\/qdac029","article-title":"Children and adolescents in the Amsterdam Cohort of Gender Dysphoria: trends in diagnostic- and treatment trajectories during the first 20 years of the Dutch Protocol","volume":"20","author":"van der Loos","year":"2023","journal-title":"J Sex Med"},{"key":"10.1016\/j.endien.2025.101533_bib0240","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.jsxm.2020.12.010","article-title":"Individual treatment progress predicts satisfaction with transition-related care for youth with gender dysphoria: a prospective clinical cohort study","volume":"18","author":"Nieder","year":"2021","journal-title":"J Sex Med"},{"key":"10.1016\/j.endien.2025.101533_bib0245","doi-asserted-by":"crossref","DOI":"10.1136\/archdischild-2022-324302","article-title":"Discharge outcome analysis of 1089 transgender young people referred to paediatric endocrine clinics in England 2008\u20132021","author":"Butler","year":"2022","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.endien.2025.101533_bib0250","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1001\/jamapediatrics.2024.0077","article-title":"Reidentification with birth-registered sex in a Western Australian pediatric gender clinic cohort","volume":"178","author":"Cavve","year":"2024","journal-title":"JAMA Pediatr"},{"key":"10.1016\/j.endien.2025.101533_bib0255","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1080\/26895269.2022.2100644","article-title":"Standards of care for the health of transgender and gender diverse people, version 8","volume":"23","author":"Coleman","year":"2022","journal-title":"Int J Transgender Health"},{"key":"10.1016\/j.endien.2025.101533_bib0260","article-title":"Supporting autonomy in young people with gender dysphoria: psychotherapy is not conversion therapy","author":"D\u2019Angelo","year":"2023","journal-title":"J Med Ethics"},{"key":"10.1016\/j.endien.2025.101533_bib0265","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1037\/amp0000545","article-title":"Transnormativity in the psy disciplines: constructing pathology in the Diagnostic and Statistical Manual of Mental Disorders and Standards of Care","volume":"74","author":"Riggs","year":"2019","journal-title":"Am Psychol"},{"key":"10.1016\/j.endien.2025.101533_bib0270","first-page":"165","article-title":"Affirmative practice with transgender and gender nonconforming youth: expanding the model","volume":"3","author":"Edwards-Leeper","year":"2016","journal-title":"Psychol Sex Orient Gend Divers"},{"key":"10.1016\/j.endien.2025.101533_bib0275","article-title":"Fluidity in gender identity and sexual orientation identity in transgender and nonbinary youth","author":"Katz-Wise","year":"2023","journal-title":"J Sex Res"},{"key":"10.1016\/j.endien.2025.101533_bib0280","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.jadohealth.2022.10.020","article-title":"Shifts in gender-related medical requests by transgender and gender-diverse adolescents","volume":"72","author":"Cohen","year":"2023","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.endien.2025.101533_bib0285","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1001\/jamapediatrics.2023.3873","article-title":"Childhood and adolescence gender role nonconformity and gender and sexuality diversity in young adulthood","volume":"177","author":"Marino","year":"2023","journal-title":"JAMA Pediatr"},{"key":"10.1016\/j.endien.2025.101533_bib0290","doi-asserted-by":"crossref","first-page":"e0293868","DOI":"10.1371\/journal.pone.0293868","article-title":"Exploring the gender care experiences and perspectives of individuals who discontinued their transition or detransitioned in Canada","volume":"18","author":"MacKinnon","year":"2023","journal-title":"PLOS ONE"},{"key":"10.1016\/j.endien.2025.101533_bib0295","first-page":"e1","article-title":"Nuevos modelos de atenci\u00f3n sanitaria para las personas transg\u00e9nero: demandas, controversias y reflexiones","volume":"94","author":"G\u00f3mez-Gil","year":"2020","journal-title":"Rev Esp Salud P\u00fablica"},{"key":"10.1016\/j.endien.2025.101533_bib0300","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1093\/jsxmed\/qdac034","article-title":"Evolution and trends in referrals to a specialist gender identity unit in Spain over 10 years (2012\u20132021)","volume":"20","author":"Exp\u00f3sito-Campos","year":"2023","journal-title":"J Sex Med"}],"container-title":["Endocrinolog\u00eda, Diabetes y Nutrici\u00f3n (English ed.)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2530018025000150?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2530018025000150?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T13:04:04Z","timestamp":1739883844000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2530018025000150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["S2530018025000150"],"URL":"https:\/\/doi.org\/10.1016\/j.endien.2025.101533","relation":{},"ISSN":["2530-0180"],"issn-type":[{"value":"2530-0180","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Psychological assessment and counseling remain important features of quality care: A descriptive study of individuals who did not start gender-affirming medical treatment in a gender identity unit in Spain","name":"articletitle","label":"Article Title"},{"value":"Endocrinolog\u00eda, Diabetes y Nutrici\u00f3n (English ed.)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.endien.2025.101533","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier Espa\u00f1a, S.L.U. on behalf of SEEN and SED.","name":"copyright","label":"Copyright"}],"article-number":"101533"}}