Evidence map›Paper›PMID 32629301›Full record

SynthesisClinical psychology review2020

The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis.

Kate Cooper, Ailsa Russell, William Mandy, Catherine Butler

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical psychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. An urgent need for early diagnosis and universal health care: insights from a series of interviews with parents of children living with congenital adrenal hyperplasia in Indonesia.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
    Article
  18. Article
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  20. What is the Best Approach to Removing the Social Stigma from the Diagnosis of Gender Dysphoria?Health care analysis : HCA : journal of health philosophy and policy · 2025
    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

4 authors.

Kate CooperCentre for Applied Autism Research, Department of Psychology, University of Bath, BA2 7AY, UK. Electronic address: k.cooper@bath.ac.uk.
Ailsa RussellCentre for Applied Autism Research, Department of Psychology, University of Bath, BA2 7AY, UK.
William MandyUCL Research Department of Clinical, Educational, and Health Psychology, Gower Street, London WC1E 6BT, UK.
Catherine ButlerDepartment of Psychology, University of Bath, BA2 7AY, UK.

Funding

Department of Health ICA-CDRF-2018-04-ST2-047
6 · The paper itself

Abstract

Gender dysphoria is distress due to a discrepancy between one's assigned gender and gender identity. Adults who wish to access gender clinics are assessed to ensure they meet the diagnostic criteria for gender dysphoria. Therefore, the definition of gender dysphoria has a significant impact on the lives of individuals who wish to undergo physical gender transition. This systematic review aimed to identify and synthesize all existing qualitative research literature about the lived experience of gender dysphoria in adults. A pre-planned systematic search identified 1491 papers, with 20 of those meeting full inclusion criteria, and a quality assessment of each paper was conducted. Data pertaining to the lived experience of gender dysphoria were extracted from each paper and a meta-ethnographic synthesis was conducted. Four overarching concepts were identified; distress due to dissonance of assigned and experienced gender; interface of assigned gender, gender identity and society; social consequences of gender identity; internal processing of rejection, and transphobia. A key finding was the reciprocal relationship between an individual's feelings about their gender and societal responses to transgender people. Other subthemes contributing to distress were misgendering, mismatch between gender identity and societal expectations, and hypervigilance for transphobia.

Indexed as

AdultFemaleGender DysphoriaGender IdentityHumansMaleQualitative ResearchTransgender PersonsGender diversityGender dysphoriaMental healthPsychological distressTransgender

Identifiers

PMID32629301
PMCPMC7441311

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.