Volume 14 - Articles-1403                   MEJDS (2024) 14: 22 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mousavi M, Basharpoor S. Causal Modeling of Gender Identity/Gender Dysphoria Based on Autistic Traits and Alexithymia with Mediating Role of Suicidal Ideation in University Students. MEJDS 2024; 14 :22-22
URL: http://jdisabilstud.org/article-1-3056-en.html
1- PhD Student in Psychology, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2- Professor, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
Abstract:   (841 Views)

Abstract
Background & Objectives: In their minds and psyche, people with gender identity disorder see themselves as a different gender and believe that they were wrongly born as a man or a woman. One of the psychological problems faced by people with gender dysphoria is the occurrence of autistic behaviors and traits in them. People with gender dysphoria suffer from psychological issues such as alexia due to reasons such as the inconsistency of gender roles in these people with society's standards and the presence of autistic traits in them. Alexithymia is a multifaceted construct with a close and inverse relationship with emotional intelligence. Considering that people with gender dysphoria face many problems that lead to psychological and social consequences for them, it seems necessary to know the effective factors in these problems and study them. Therefore, the purpose of this research was to model the causality of gender identity/gender dysphoria based on autistic traits and alexithymia with the mediating role of suicidal thoughts.
Methods: The present study is correlational analytic using the structural equation modeling method. The statistical population of the research comprised all students of Mohaghegh Ardabili University, Ardabil City, Iran, in the academic year 2021–2022. Because the participants might not complete all the questionnaires, 250 questionnaires were distributed, of which 220 were fully completed and analyzed. The statistical sample was 220 people, according to the number of research variables, who were selected from among the statistical population. Sampling was done by the available method. The informed and voluntary consent of the participants to participate in the research was the inclusion criteria. The exclusion criteria included incomplete questionnaires and unwillingness to cooperate in the research. The research data were collected through an internet questionnaire and virtual networks. To collect data, Toronto Alexithymia Scale (TAS) (Bagby et al., 1994), Autistic Spectrum Questionnaire (AQ) (Baron–Cohen et al., 2001), Beck Scale for Suicidal Ideation (BSSI) (Beck et al., 1979), and Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ–AA) (Deogracias et al., 2007) were used. Descriptive statistics were used to measure mean, standard deviation, skewness, and kurtosis indicators. The Pearson correlation and structural equation modeling were used in the inferential part. The collected data were analyzed at a significance level 0.05 in SPSS24 and LISREL 8.8 software.
Results: Results indicated that the path coefficients between gender identity/gender dysphoria and autistic traits (β=0.33, p<0.001), alexithymia (β=0.47, p<0.001), and suicidal thoughts (β=0.27, p<0.001) were positive and significant. Also, indirect paths between gender identity/gender dysphoria and autistic traits (T–sobel=2.93, p<0.001) and alexithymia (T–sobel=2.01, p<0.001) through the mediating role of suicidal thoughts were significant. The goodness of fit indices supported the optimal fit of the research model with the collected data (χ2/df=2.10, NFI=0.92, GFI=0.88, CFI=0.93, and RMSEA=0.071).
Conclusion: According to the results, autistic traits, alexithymia, and suicidal thoughts have a direct effect on gender identity/gender dysphoria. This study is a crucial step to know the influential factors in the problems of people with gender dysphoria disorder.  

Full-Text [PDF 393 kb]   (486 Downloads)    
Type of Study: Original Research Article | Subject: Psychology

References
1. Griffin L, Clyde K, Byng R, Bewley S. Sex, gender and gender identity: a re-evaluation of the evidence. BJPsych Bulletin. 2021;45(5):291–9. [DOI]
2. Boe O. A possible explanation of the achievement of gender and gender identity. Procedia Soc Behav Sci. 2015;190:17–23. [DOI]
3. Zucker KJ. Adolescents with gender dysphoria: reflections on some contemporary clinical and research issues. Arch Sex Behav. 2019;48(7):1983–92. [DOI]
4. Mantashloo S, Shairi MR, Heydarinasab L, Izadi Dehnavi S. Comparison of depression, anxiety and body image in patients with gender dysphoric disorder and non patients. Journal of Health Breeze. 2016;4(3):42–50. [Persian] [Article]
5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. American Psychiatric Association; 2013.
6. Kaltiala-Heino R, Bergman H, Työläjärvi M, Frisen L. Gender dysphoria in adolescence: current perspectives. Adolesc Health Med Ther. 2018;9:31–41. [DOI]
7. Van Der Miesen AIR, De Vries ALC, Steensma TD, Hartman CA. Autistic symptoms in children and adolescents with gender dysphoria. J Autism Dev Disord. 2018;48(5):1537–48. [DOI]
8. VanderLaan DP, Postema L, Wood H, Singh D, Fantus S, Hyun J, et al. Do children with gender dysphoria have intense/obsessional interests? J Sex Res. 2015;52(2):213–9. [DOI]
9. Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E. The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord. 2001;31(1):5–17. [DOI]
10. Pasterski V, Gilligan L, Curtis R. Traits of autism spectrum disorders in adults with gender dysphoria. Arch Sex Behav. 2014;43(2):387–93. [DOI]
11. Di Ceglie D, Skagerberg EM, Baron-Cohen S, Auyeung B. Empathising and systemising in adolescents with gender dysphoria. Opticon1826. 2014;16(6):1–8. [DOI]
12. Valashany BT, Janghorbani M. Quality of life of men and women with gender identity disorder. Health Qual Life Outcomes. 2018;16(1):167. [DOI]
13. Mason D, Happé F. The role of alexithymia and autistic traits in predicting quality of life in an online sample. Res Autism Spectr Disord. 2022;90:101887. [DOI]
14. Wise TN, Osborne C, Strand J, Fagan PJ, Jr CWS. Alexithymia in patients attending a sexual disorders clinic. J Sex Marital Ther. 2002;28(5):445–50. [DOI]
15. Kinnaird E, Stewart C, Tchanturia K. Investigating alexithymia in autism: a systematic review and meta-analysis. Eur Psychiatry. 2019;55:80–9. [DOI]
16. Goerlich KS. The multifaceted nature of alexithymia – a neuroscientific perspective. Front Psychol. 2018 29;9:1614. [DOI]
17. Jobes DA, Joiner TE. Reflections on suicidal ideation. Crisis. 2019;40(4):227–30. [DOI]
18. García-Vega E, Camero A, Fernández M. Suicidal ideation and suicide attempts in persons with gender dysphoria. Psicothema. 2018;30(3):283–8. [DOI]
19. Biggs M. Puberty blockers and suicidality in adolescents suffering from gender dysphoria. Arch Sex Behav. 2020;49(7):2227–9. [DOI]
20. Mahmoodi H, Mohammad Bagheri F, Sufi S. Comparison of depression, suicidal ideation and social support between transsexual people with and without gender change. Iran J Forensic Med. 2019;25(2):131–8. [Persian] [Article]
21. Hooman H. structural equation modeling with LISREL application. Tehran: Samt Pub; 2014. [Persian]
22. Bagby RM, Parker JDA, Taylor GJ. The Twenty-Item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994;38(1):23–32. [DOI]
23. Besharat MA. Reliability and factorial validity of a Farsi version of The 20-Item Toronto Alexithymia Scale with a sample of Iranian students. Psychol Rep. 2007;101(1):209–20. [DOI]
24. Baron-Cohen S. Autism and Asperger syndrome. Oxford: Oxford University Press; 2008.
25. Nejati Safa A, Kazemi MR, Alaghband Rad J. Autistic features in adult population: evidence for continuity of autistic symptoms with normality. Advances in Cognitive Sciences. 2003;5(3):34–9. [Persian] [Article]
26. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The Scale of Suicide Ideation. Journal of Consulting and Clinical Psychology. 1979;47(2):343–52. [DOI]
27. Anisi J, Fathi Ashtiani A, Salimi SH, Ahmadi Kh. Validity and reliability of Beck Suicide Scale Ideation among Soldiers. Journal of Military Medicine. 2005;7(1):31–7. [Persian] [Article]
28. Deogracias JJ, Johnson LL, Meyer-Bahlburg HFL, Kessler SJ, Schober JM, Zucker KJ. The Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults. J Sex Res. 2007;44(4):370–9. [DOI]
29. Soltanizadeh M, Nemati N, Latifi Z. Psychometric properties of Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults in female adolescents. Journal of Research in Psychological Health. 2020;13(4):101–14. [Persian] [Article]
30. Meyers LS, Gamst GC, Guarino AJ. Applied multivariate research: design and interpretation. Sage publications; 2016.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb