Evidence map›Paper›PMID 30140984›Full record

ArticleJournal of autism and developmental disorders2018

"They Thought It Was an Obsession": Trajectories and Perspectives of Autistic Transgender and Gender-Diverse Adolescents.

John F Strang, Meredith D Powers, Megan Knauss, Ely Sibarium, Scott F Leibowitz, Lauren Kenworthy, Eleonora Sadikova, Shannon Wyss, Laura Willing, Reid Caplan and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of autism and developmental disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 146 citations in OpenAlex.

  1. Disability barriers autistic girls face in secondary education: A systematic review.Autism : the international journal of research and practice · 2025
    Pooled it
  2. Intersections of Autism and Sexual and Gender Diversity Among Young People in New Zealand.Autism : the international journal of research and practice · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Gender Identity Profiles in Autistic and Non-Autistic Cisgender and Gender Diverse Youth, and Their Caregivers.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  8. Review
  9. Article
  10. Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth.Research on child and adolescent psychopathology · 2025
    Review
  11. Article
  12. Article
  13. Chronic pain in transgender and gender-diverse youth: a biopsychosocial perspective.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Research methods at the intersection of gender diversity and autism: A scoping review.Autism : the international journal of research and practice · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 1 country.

John F StrangCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA. jstrang@childrensnational.org.
Meredith D PowersCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Megan KnaussCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Ely SibariumCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Scott F LeibowitzTHRIVE Program, Division of Psychiatry, Nationwide Children's Hospital, Columbus, OH, USA.
Lauren KenworthyCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Eleonora SadikovaCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Shannon WyssTransgender Leadership Initiative, AIDS United, Washington, DC, USA.
Laura WillingChildren's Research Institute, Children's National Health System, Washington, DC, USA.
Reid CaplanAutistic Self Advocacy Network, Washington, DC, USA.
Noor PervezAutistic Self Advocacy Network, Washington, DC, USA.
Joel Nowak, San Diego, CA, USA.
Dena GohariCenter for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Veronica Gomez-LoboChildren's Research Institute, Children's National Health System, Washington, DC, USA.
David CallChildren's Research Institute, Children's National Health System, Washington, DC, USA.
Laura G AnthonyDepartment of Psychiatry, Pediatric Mental Health Institute, Children's Hospital of Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
Children's National · USCenter for Autism and Related Disorders · USAIDS United · USChildren's Hospital Colorado · USCommunity Health Alliance · USMedStar Washington Hospital Center · USNationwide Children's Hospital · USUniversity of California, San Diego · US

Funding

Pediatric and Adolescent Gynecology Training ProgramZIAHD008985 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GOMEZ-LOBO, VERONICA · 2019 to 2021
$5.3M
Clinical and Translational Science Institute at Childrens National-Mentored Career Development CoreKL2TR001877 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2016 to 2020
$2.0M
NIH CTSA KL2TR001877
6 · The paper itself

Abstract

Despite research exploring autism in gender-diverse adolescents, no studies have elicited these individuals' perspectives. In-depth interviews with 22 well-characterized autistic gender-diverse adolescents revealed critical themes, including: recollections of pre-pubertal gender nonconformity; vivid experiences of gender dysphoria; a fear of social gender expression due to perceived animosity toward transgender people; and specific challenges that result from the interplay of gender diversity and neurodiversity. During the ~ 22 month study social gender affirmation increased in six participants and gender dysphoria attenuated in four participants. Given the ethical imperative to understand and prioritize the voiced perspectives and needs of autistic gender minority adolescents as well as the discovery of shared themes and experiences in this population, results should inform clinical research approaches and priorities.

Indexed as

ThinkingAdolescentAdolescent BehaviorAutistic DisorderChildFemaleGender DysphoriaHumansMaleObsessive BehaviorPerceptionTransgender PersonsYoung AdultAutism spectrum disorderAutisticGender-diverseGender dysphoriaGender minorityGender nonbinaryNeurodiversityTransgender

Identifiers

PMID30140984
OpenAlexW2888312950

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.