{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:24:25Z","timestamp":1785839065979,"version":"3.56.0"},"reference-count":33,"publisher":"Hogrefe Publishing Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p> Aktuell wird eine Diskussion \u00fcber die Behandlungsrichtlinien f\u00fcr transidente Kinder und Jugendliche gef\u00fchrt. Der vorliegende Artikel gibt zun\u00e4chst eine \u00dcbersicht \u00fcber die verschiedenen Behandlungsma\u00dfnahmen. Daneben wurden in einer eigenen Untersuchung Patienten aus der Frankfurter Spezialsprechstunde katamnestisch nachuntersucht. Von erfassten 84 Patienten, deren Erstvorstellung mindestens 3 Jahre zur\u00fccklag, sandten 37 Patienten ausgef\u00fcllte Frageb\u00f6gen zur\u00fcck, weitere 33 Patienten waren zu einer kurzen Befragung bereit. Erfragt wurden Behandlungsschritte, Rollenverhalten, Verhaltensauff\u00e4lligkeiten und Psychotherapieerfahrungen. Es wurde untersucht, ob es Unterschiede in den erfassten Verhaltensauff\u00e4lligkeiten gibt zwischen Patienten mit und ohne Rollenwechsel und mit viel und wenig Psychotherapie. 22 Patienten hatten sich f\u00fcr einen vollst\u00e4ndigen Rollenwechsel entschieden und einige davon auch bereits eine Hormontherapie begonnen und sich einer operativen Geschlechtsangleichung unterzogen. Die \u00fcberwiegende Mehrzahl der Teilnehmer \u00e4u\u00dferte sich zufrieden mit dem Behandlungsergebnis. Bei allen nachuntersuchten Patienten unabh\u00e4ngig vom Rollenwechsel und Psychotherapieumfang kam es zu einem R\u00fcckgang psychopathologischer Auff\u00e4lligkeiten. Insgesamt war das Ausma\u00df der Verhaltensprobleme aber auff\u00e4llig gering. Die vorliegenden Untersuchungsergebnisse st\u00fctzen das bisherige therapeutische Vorgehen. Bei psychopathologisch wenig auff\u00e4lligen Patienten erscheint auch eine niederfrequente l\u00e4ngerfristige therapeutische Begleitung ausreichend, um Sicherheit bei der Entscheidungsfindung f\u00fcr hormonelle und operative Behandlung zu erreichen. <\/jats:p>","DOI":"10.1024\/1422-4917\/a000332","type":"journal-article","created":{"date-parts":[[2014,12,24]],"date-time":"2014-12-24T02:34:58Z","timestamp":1419388498000},"page":"47-55","source":"Crossref","is-referenced-by-count":6,"title":["Transidentit\u00e4t im Kindes- und Jugendalter"],"prefix":"10.1024","volume":"43","author":[{"given":"Bernd","family":"Meyenburg","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, J. W. 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