Pim Koolwijk, Ester de Jonge, Remo Mombarg, Teun Remmers, Dave Van Kann, Ingrid van Aart, Geert Savelsbergh, Sanne de Vries
Changes in Motor Competence of 4-8-Year-Old Children: A Longitudinal Study
International journal of environmental research and public health
elevated cooccurrence autism trans individuals recent metaanalyses suggesting 11 trans individuals autistic presence autism trans young people create clinical challenges adding complexity presentation assessment management presenting gender clinics although many trans young people display traits autism traits relate nature gender diversity unclear study compared gender identity gender expression gender dysphoria gd trans young people without autistic traits baseline data cohort study trans children adolescents first attended royal childrens hospital gender service victoria australia february 2017 january 2020 analysed crosssectionally autistic traits assessed via social responsiveness scale2 gender assessed using tools measure gender identity social transition gd body dissatisfaction voice dysphoria chest dysphoria 522 participants included 239 458 exhibited autistic traits srs total tscore 60 without autistic traits similar age mean sd age 140 29 131 36 years respectively gender identity majority 737 n 174 705 n 198 respectively identified binary way higher rates social transition specifically changing pronouns noted autistic traits difference proportion 117 95 confidence interval ci 24211 p 0014 gd high groups 95 displaying clinically relevant levels gd chest dysphoria similar groups voice dysphoria higher autistic traits standardised mean difference smd 03 95 confidence interval ci 0105 p 000087 dissatisfaction secondary gendered characteristics smd 03 ci 0105 p 00011 hormonally unresponsive body characteristics smd 02 ci 0104 p 0016 higher trans young people autistic traits similarly high severity gd without autistic traits reinforces importance trans young people without autistic traits availed opportunities access genderaffirming care subtle differences identified groups areas gender diversity suggest trans young people autistic traits may distinct needs genderaffirming care may need tailored accordingly royal childrens hospital foundation hugh dt williamson foundation australian national health medical research councilclinical trials cohort studies scheme gnt 2006529