Evidence map›Paper›PMID 41030010›Full record

ArticleBJPsych open2025

Assessing gender dysphoria in Turkish adolescents: psychometric validation of the Utrecht Gender Dysphoria Scale-Gender Spectrum.

Sabide Duygu Uygun, Esra Yurumez, Yağmur Özgür-Karabıyıkoğlu, İrem Kar, Didem Behice Öztop

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Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Sabide Duygu UygunDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-1177-7256
Esra YurumezDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Ankara University, Ankara, Turkey.
Yağmur Özgür-KarabıyıkoğluDepartment of Child and Adolescent Psychiatry, Ankara Bilkent City Hospital, Ankara, Turkey.
İrem KarDepartment of Biostatistics, Faculty of Medicine, Ankara University, Ankara, Turkey.
Didem Behice ÖztopDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Ankara University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGender dysphoria is linked to various psychosocial challenges in adolescence, underscoring the need to identify and support youth experiencing gender-related distress. Although gender identity exists on a spectrum beyond the binary, no validated tool currently exists in Turkey that uses inclusive, gender-neutral language to assess it in adolescents.

aimsThis study aimed to evaluate the psychometric properties of the Turkish adaptation of the Utrecht Gender Dysphoria Scale-Gender Spectrum (UGDS-GS) among clinical- and community-based adolescents.

methodA total of 240 participants aged 12-23 years were included. The validity of UGDS-GS was assessed through content validity and confirmatory factor analysis. Reliability was measured using Cronbach's alpha and test-retest intraclass correlation coefficient (ICC). A sociodemographic data form, UGDS, UGDS-GS, Rosenberg Self-Esteem Scale (RSES) and Youth Self-Report (YSR) were utilised.

resultsFindings demonstrated strong content validity, with a content validity Index of 0.69, and robust construct validity, indicated by a comparative fit index of 0.993 and a root-mean-square error of approximation of 0.071 following the exclusion of three items. UGDS-GS effectively differentiated scores across demographic groups, showing significant variances based on assigned gender and age. The scale also exhibited excellent criterion validity, evidenced by an area under the curve of 0.947 in receiver operating characteristic analysis, with high sensitivity (80%) and specificity (95.9%) at an optimal cut-off value of 42.50. With a Cronbach's alpha of 0.935, UGDS-GS demonstrated strong internal consistency and substantial test-receiver operating characteristic retest reliability (ICC 0.884), alongside notable but weak correlations with several RSES subscales and low to moderate correlations with YSR scores.

conclusionsThese results affirm that tUGDS-GS is valuable and reliable in assessing gender dysphoria in Turkish adolescents. Further research is warranted to improve applicability in diverse contexts and populations.

Indexed as

adolescentsGender dysphoriapsychometric propertiesUtrecht Gender Dysphoria Scale–Gender Spectrum (UGDS-GS)validity and reliability

Identifiers

PMID41030010
PMCPMC12529317

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