{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T21:14:39Z","timestamp":1769116479432,"version":"3.49.0"},"reference-count":58,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":92,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"name":"Public Health Agency Northern Ireland Research and Development Fellowship"}],"content-domain":{"domain":["europsy-journal.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                    <jats:sec id=\"S0924933800006477_abst0005\" sec-type=\"other\">\n                        <jats:title>Background:<\/jats:title>\n                        <jats:p>The assessment and screening for personality disorders in\n                            individuals requesting gender affirming treatments may be an important\n                            aspect of predicting medical and surgical outcomes for this population,\n                            but there is no consensus on how best to do so.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec id=\"S0924933800006477_abst0010\" sec-type=\"other\">\n                        <jats:title>Aims:<\/jats:title>\n                        <jats:p>To review the diagnostic accuracy of psychometric tools used for the\n                            assessment of personality disorders in those requesting gender affirming\n                            treatments.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec id=\"S0924933800006477_abst0015\" sec-type=\"methods\">\n                        <jats:title>Method:<\/jats:title>\n                        <jats:p>A systematic review: Prospero CRD42017078783 [1].<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec id=\"S0924933800006477_abst0020\" sec-type=\"results\">\n                        <jats:title>Results:<\/jats:title>\n                        <jats:p>Many studies have focussed on the assessment of personality\n                            disorders in this population, but since 1979, only two have used an\n                            index and reference test.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec id=\"S0924933800006477_abst0025\" sec-type=\"conclusions\">\n                        <jats:title>Conclusion:<\/jats:title>\n                        <jats:p>There are no agreed reference standards for this population and\n                            psychometric tools continue to be scored on reference data from the\n                            cisgender (not transgender) population. We need robust evidence on this\n                            issue, as individuals may be denied access to gender affirming\n                            treatments based on psychometric tools without established reliability\n                            in this population.<\/jats:p>\n                    <\/jats:sec>","DOI":"10.1016\/j.eurpsy.2019.09.004","type":"journal-article","created":{"date-parts":[[2019,9,20]],"date-time":"2019-09-20T12:27:23Z","timestamp":1568982443000},"page":"60-67","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Accuracy of psychometric tools in the assessment of personality in\n                        adolescents and adults requesting gender-affirming treatments: A systematic\n                        review"],"prefix":"10.1017","volume":"62","author":[{"given":"Katrin","family":"Lehmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"Leavey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,1,1]]},"reference":[{"key":"S0924933800006477_bib0175","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2015151516"},{"key":"S0924933800006477_bib0015","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301241"},{"key":"S0924933800006477_bib0140","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(15)31175-5"},{"key":"S0924933800006477_bib0240","doi-asserted-by":"publisher","DOI":"10.1037\/a0037599"},{"key":"S0924933800006477_bib0290","unstructured":"[58] Beattie M. , Lenihan P. , Counselling skills for\n                            working with gender diversity and identity 2018 Jessica Kingsley\n                            Publishers, March 21."},{"key":"S0924933800006477_bib0225","doi-asserted-by":"publisher","DOI":"10.1207\/S15327752JPA7502_7"},{"key":"S0924933800006477_bib0030","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k3371"},{"key":"S0924933800006477_bib0230","unstructured":"[46] American Psychiatric Association , Diagnostic\n                            and statistical manual of mental disorders 1994 American Psychiatric\n                            Association."},{"key":"S0924933800006477_bib0130","doi-asserted-by":"publisher","DOI":"10.5042\/mhrj.2010.0730"},{"key":"S0924933800006477_bib0110","first-page":"90","article-title":"The frequency of personality disorders in patients with gender identity disorder","volume":"28","author":"Meybodi","year":"2014","journal-title":"Med J Islam Repub Iran"},{"key":"S0924933800006477_bib0160","first-page":"591","article-title":"Caveats in the neuropsychological assessment of African Americans","volume":"94","author":"Campbell","year":"2002","journal-title":"J Natl Med Assoc"},{"key":"S0924933800006477_bib0235","unstructured":"[47] Spiro A. , Butcher J.N. , Levenson R.M. , Aldwin\n                            C.M. , Bosse R. , Change and stability in personality: A 5-year study of\n                            the MMPI-2 in older men. 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