Áreas de la entrevista para la evaluación psicológica de personas transexuales

El tratamiento de la transexualidad es en gran medida irreversible. Por ello es necesaria una cuidadosa evaluación psicológica previa. Sin embargo, al ser un fenómeno emergente, se han desarrollado pocas pautas de evaluación. Por ello, se hace necesario tener al menos una orientación acerca de qué áreas evaluar. El objetivo de este estudio es proponer una serie de áreas a incluir en la entrevista para la evaluación psicológica de personas transexuales. Para ello se lleva a cabo una revisión de la literatura existente relacionada con el tema. Se revisan tantos las áreas de evaluación habituales en Psicología Clínica como los aspectos normalmente considerados en la evaluación de personas transexuales. Como conclusiones se proponen una serie de áreas a incluir en la entrevista para la evaluación psicológica de personas transexuales

The relationship between tics, OC, ADHD and autism symptoms: A cross- disorder symptom analysis in Gilles de la Tourette syndrome patients and family-members

Gilles de la Tourette's syndrome (GTS) is a disorder in which obsessive-compulsive (OC), Attention Deficit Hyperactivity Disorder (ADHD) and autism symptoms occur in up to 60% of patients, suggesting shared etiology. We explored the phenotypic structure of tic, OC, ADHD, and autism symptoms as measured by the YGTSS,Y-BOCS,CAARS and AQ, in 225 GTS patients and 371 family members. First, Confirmatory Factor Analyses (CFA) were performed on the symptom structure of each separate symptom scale. Second, the symptom dimensions derived from each scale were combined in one model, and correlations between them were calculated. Using the correlation matrix, Exploratory Factor Analyses (EFA) were performed on the symptom dimensions across the scales. EFA revealed a five factor structure: tic/aggression/symmetry; OC symptoms/compulsive tics/ numbers and patterns; ADHD symptoms; autism symptoms; and hoarding/inattention symptoms. The results are partly in line with the traditional categorical boundaries of the symptom scales used, and partly reveal a symptom structure that cuts through the diagnostic categories. This phenotypic structure might more closely reflect underlying etiologies than a structure that classically describes GTS patients according to absence or presence of comorbid OCD, ADHD and autism, and might inform both future genetic and treatment studies