Kj. Zucker et al., TRAITS OF SEPARATION ANXIETY IN BOYS WITH GENDER IDENTITY DISORDER, Journal of the American Academy of Child and Adolescent Psychiatry, 35(6), 1996, pp. 791-798
Objective: To assess the presence of traits of separation anxiety diso
rder in boys referred clinically for gender identity disorder. Method:
One hundred fifteen boys were referred to a specialty clinic for conc
erns about their gender identity development. They were divided into t
wo subgroups: one group met the complete diagnostic criteria for gende
r identity disorder; the other group did not meet the complete diagnos
tic criteria. The mothers of the boys were administered a structured i
nterview schedule pertaining to separation anxiety disorder according
to DSM-III criteria. Results: A conservative definition of separation
anxiety disorder showed no significant association with gender identit
y disorder; however, a liberal definition of separation anxiety disord
er showed that it occurred significantly more often in the subgroup of
boys who met the complete criteria for gender identity disorder than
in the subgroup who did not meet the complete criteria (64.4% versus 3
8.1%, respectively). Conclusions: Boys with gender identity disorder s
how a high rate of cooccurring traits of separation anxiety. Reasons f
or this linkage require additional empirical study.