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Personality Disorders and Personality Profiles in a Sample of Transgender Individuals Requesting Gender-Affirming Treatments

Author

Listed:
  • Annalisa Anzani

    (Department of Psychology, University of Milano–Bicocca, 20126 Milan, Italy
    CREST, Centro per lo studio e la terapia dei disturbi di personalità, 20145 Milan, Italy)

  • Chiara De Panfilis

    (Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy)

  • Cristiano Scandurra

    (Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, 80131 Naples, Italy)

  • Antonio Prunas

    (Department of Psychology, University of Milano–Bicocca, 20126 Milan, Italy
    CREST, Centro per lo studio e la terapia dei disturbi di personalità, 20145 Milan, Italy)

Abstract

The study aims to explore the personality patterns of a group of transgender individuals who accessed an Italian gender clinic to undergo gender affirming treatments, by evaluating both dimensional personality domains proposed by the Alternative Model of Personality Disorders and categorical DSM-IV personality disorder (PD) diagnoses. Eighty-seven participants (40 transgender women and 47 transgender men) completed the Personality Inventory for DSM-5 and the Structured Clinical Interview for DSM-IV Axis II personality disorders. Scores obtained were compared to those of the normative samples of cisgender women and men. Results indicated that transgender women scored lower than cisgender women on two main domains (Negative Affectivity and Psychoticism) and on seven facets. As for transgender men, lower scores than cisgender men were found on Antagonism and on five facets. Transgender men scored higher than cisgender men on Depressivity. Nearly 50% of participants showed at least one PD diagnosis, with no gender differences in prevalence. Borderline PD was the most frequent diagnosis in the overall sample. Self-report measures provide a less maladaptive profile of personality functioning than the clinician-based categorical assessment. Results are interpreted in the light of the Minority Stress Model and support the need for a multi-method assessment of personality in medicalized transgender people.

Suggested Citation

  • Annalisa Anzani & Chiara De Panfilis & Cristiano Scandurra & Antonio Prunas, 2020. "Personality Disorders and Personality Profiles in a Sample of Transgender Individuals Requesting Gender-Affirming Treatments," IJERPH, MDPI, vol. 17(5), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1521-:d:325702
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    References listed on IDEAS

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    1. Cristiano Scandurra & Vincenzo Bochicchio & Anna Lisa Amodeo & Concetta Esposito & Paolo Valerio & Nelson Mauro Maldonato & Dario Bacchini & Roberto Vitelli, 2018. "Internalized Transphobia, Resilience, and Mental Health: Applying the Psychological Mediation Framework to Italian Transgender Individuals," IJERPH, MDPI, vol. 15(3), pages 1-19, March.
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    Cited by:

    1. Cristiano Scandurra & Agostino Carbone & Roberto Baiocco & Selene Mezzalira & Nelson Mauro Maldonato & Vincenzo Bochicchio, 2021. "Gender Identity Milestones, Minority Stress and Mental Health in Three Generational Cohorts of Italian Binary and Nonbinary Transgender People," IJERPH, MDPI, vol. 18(17), pages 1-14, August.

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