Evidence map›Paper›PMID 34376079›Full record

ArticleAutism : the international journal of research and practice2022

The lived experience of gender dysphoria in autistic adults: An interpretative phenomenological analysis.

Kate Cooper, William Mandy, Catherine Butler, Ailsa Russell

Open access · hybridAbstract read
In one paragraph

Article in Autism : the international journal of research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Beyond the Outburst: Charting a New Frontier for Understanding and Treating Irritability in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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
  14. Article
  15. Article
  16. Review
  17. The Spectrum of Sex and Gender.Archives of sexual behavior · 2025
    Article
  18. Menstruation among autistic adults: An occupational perspective.The British journal of occupational therapy · 2025
    Article
  19. Deliberate and Self-Conscious Adaptation of Eye-Contact by Autistic Adults.Journal of autism and developmental disorders · 2025
    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

4 authors at 2 institutions in 1 country.

Kate CooperUniversity of Bath, UK.ORCID 0000-0002-8216-5567
William MandyUniversity College London, UK.ORCID 0000-0002-3564-5808
Catherine ButlerUniversity of Bath, UK.
Ailsa RussellUniversity of Bath, UK.ORCID 0000-0002-8443-9381
University of Bath · GBUniversity College London · GB

Funding

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

Abstract

lay abstractAutistic people are more likely to be transgender, which means having a gender identity different to one's sex assigned at birth. Some transgender people experience distress about their gender and sex assigned at birth not matching which is called gender dysphoria. Research has focused on finding out why autistic people are more likely to have gender dysphoria, and less on what the experience of gender dysphoria is like for autistic people. We interviewed 21 autistic adults about their experience of incongruence between their gender identity and sex assigned at birth, and any associated distress. We carefully read the transcripts of the interviews, focusing on how participants understood their experiences. We found a range of themes from the interviews. Participants were distressed because their bodies did not match their gender identities. Participants told us they had to work hard to understand themselves and who they were, and to manage having multiple different needs such as mental health needs. It was upsetting for participants to experience discrimination because of being autistic and/or transgender. Some participants said it was more difficult to get transgender healthcare as an autistic person. Some participants thought being autistic had helped them understand their gender identity more than non-autistic people. Other participants found it was challenging to be both autistic and transgender. For example, most participants wanted to change their bodies to match their gender identity, but some participants were nervous about making changes to themselves and their routine due to being autistic. We conclude that autism can in some ways be helpful and other ways contribute to challenges for transgender autistic people.

Indexed as

Autism Spectrum DisorderAutistic DisorderGender DysphoriaTransgender PersonsAdolescentAdultFemaleGender IdentityHumansMaleMiddle AgedYoung Adultautism spectrum disordersgender diversitygender dysphoriatransgender healthcaretransgender identities

Identifiers

PMID34376079
PMCPMC9014767
OpenAlexW3184285365

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.