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Hunan resources week 10 dq 1 | HUMN 2005 – Social Influences on Behavior | Walden University

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APPLYING MOTIVATIONAL INTERVIEWING TO ORGANIZATIONS AND SOCIAL CHANGE

Motivational interviewing is a versatile tool that can be used in many different helping professions and organizational contexts where change is desired. Before integrating motivational interviewing in an organization, it is useful to consider what conditions must be in place to be successful. For instance, practitioners working for the organization must willing to set aside their role as an expert in order to use motivational interviewing effectively. Furthermore, the service users with whom they regularly work must be grappling with some sort of change.

In this Discussion, you will examine how to integrate motivational interviewing in a human services organization with which you are familiar. You also will consider how you would use the skills you learned in this course to promote positive personal and social change with your service users and within your community.

  • Review your Course Announcements for possible information related to this week’s Discussion and Assignment.
  • Review the Learning Resources on integrating motivational interviewing into human services organizations. Think about the conditions, considerations, and strategies for integrating motivational interviewing into different types of human services organizations.
  • Review the Learning Resources on motivational interviewing and social change. Pay particular attention to the definition of social change. In addition, consider how motivational interviewing has been used to effect positive social change (e.g., improve services for needy families and survivors of intimate partner violence).
  • Reflect on your current human services organization or one that you would like to work for in the future. Think about how you could integrate motivational interviewing into the organization.
  • Consider how you could use motivational interviewing to promote positive personal and social change with service users and within your community as a whole.

BY DAY 4

Now that you have practiced the OARS skills in motivational interviewing, explain how you could integrate motivational interviewing into your current human services organization. If you do not currently work in a human services organization, explain how you could integrate motivational interviewing into an organization where you would like to work. Then, explain how you will apply the skills learned in this course to promote positive personal and social change with your service users and within your community. Be specific and use examples to illustrate your explanation. 
References

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July 1, 2023
    

7

Thesis Statement and Annotated Bibliography

Destiny Johnson

Chamberlain University College of Nursing

PHIL 347: Critical Reasoning

Todd Buck

December 1, 2024

Thesis Statement and Annotated Bibliography

Thesis Statement

The prospect of administering puberty blockers, hormone treatment, and surgery for sex reassignment for young minors presents a problem of ethics of gender-related discomfort and possible risks in a future perspective. While puberty blocking substances might have reversible effects, the irreversible effects from hormone treatment and/or surgeries involves risks, such as regret, medical repercussions, and trauma. Due to the lack of sufficient data about long-term effects, these therapies should be done with extreme care considering the importance of mental health and informed consent to deliver secure, ethical, and personalized care.

Annotated Bibliography

Turban, J. L., King, D., Carswell, J. M., & Keuroghlian, A. S. (2020). Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. 
Pediatrics, 
145(2), e20191725. https://doi.org/10.1542/peds.2019-1725

The authors used data from a cross-sectional survey of 20, 619 transgender adults aged 18 to 36 years to test their hypothesis that there is an association between suppressing puberty during adolescence and mental health outcomes during adulthood. They used self-reported data on the history of use of puberty blockers during adolescence. Their hypothesis was not supported in transgender adults by finding a significant association between receiving pubertal suppression treatments during adolescence and lifetime suicidal ideation. The use of puberty suppressants for transgender adolescents desiring this treatments is linked to favorable mental health outcomes.

This source supports my thesis that puberty blocking substances might have reversible effects as they do not cause permanent changes, but hormone treatment and gender reassignment surgeries may have irreversible consequences, significantly, leading to lasting mental health impacts on minors, especially when they are adults. Although it reveals potential psychological benefits associated with these therapies, it raises concerns about long-term consequences.

Biggs, M. (2022). The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence. 
Journal of Sex & Marital Therapy, 
49(4), 348–368. https://doi.org/10.1080/0092623X.2022.2121238

The authors use data from Dutch Protocol for Juvenile Transsexuals comprising 70 adolescents who had been introduced to puberty suppression, followed by cross-sex hormones and surgery to review the history of this intervention and supporting evidence. They found positive outcomes immediately after the surgery except for the death of one patient. Puberty blockers may temporarily alleviate juvenile transsexuals’ distress, but may lock them into further medical interventions in the long-term. The therapies may result in lethal physical effects, such as accrual bone mass and unknown effects on the patient’s emotional and cognitive development.

This source strongly supports my thesis that the use of puberty suppression treatments and gender reassignment surgeries my present long-term implications on the client due to the irreversible effects associated. The irreversible therapeutic effects may require clinicians to do careful assessments based on individual cases.

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. 
Pediatrics, 
134(4), 696–704.
https://doi.org/10.1542/peds.2013-2958

The researchers used data from a longitudinal study of 55 young transgender adults with a history of receiving puberty suppression during teen years to evaluate the effectiveness of these interventions. They evaluated the outcomes of the adolescents before starting puberty suppression, when they received the cross-sex hormones and at least after one year of undergoing gender reassignment surgery. They found significant alleviation of gender dysphoria and steady improvement in psychological functioning. The well-being of this group was similar or better than their counterparts from the general population. They found a positive correlation between postsurgical subjective well-being and enhancements in psychological well-being.

This source supports the thesis that the puberty suppression and gender reassignment therapies may relieve gender dysphoria and improve psychological functioning in the short-term, but careful considerations should be made when administrating these therapies in the contexts of safety, ethics and personalized care. It supports cautious care by suggesting a clinical protocol comprising a multidisciplinary team of physicians, mental health professionals, and surgeons, including puberty suppression, followed by gender reassignment and cross-sex hormones, in supporting gender dysphoric youths seeking such interventions to develop into well-functioning young adults.

van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2023). The Effect of Gender-Affirming Hormones on Gender Dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A Systematic Review. 
Transgender Health, 
8(1), 6–21. https://doi.org/10.1089/trgh.2020.0094

The researchers used data from a systematic review comprising observational studies (longitudinal and cross-sectional studies) published in English and in a peer-reviewed journal to assess the efficacy of gender-affirming hormone therapy (GAHT) in enhancing gender and body-related dysphoria, along with Quality of Life (QoL) and psychological well-being. They found that GAHT may body-related and subjective gender dysphoria, QoL and psychological well-being. However, they found most evidence, predominantly from cohort studies and cross-sectional studies to show low to moderate quality in body-related and subjective gender dysphoria improvements. The researchers reveal gaps in the quality measurement or assessment of gender dysphoria, as the primary goal of GAHT. They propose evaluation of the secondary outcomes, including QoL and mental health, as arguably the most critical outcomes of such treatments, providing accuracy of the efficacy of GAHT.

This source supports my thesis by highlighting gaps in evaluating the outcomes of gender-affirming therapies, including mental health and QoL due to low to moderate quality evidence existing to support gender dysphoria improvements. It makes it challenging to draw clear inferences and fails to mirror the external social factors, which have substantial impacts on dysphoria.

Ludvigsson, J. F., Adolfsson, J., Höistad, M., Rydelius, P. A., Kriström, B., & Landén, M. (2023). A systematic review of hormone treatment for children with gender dysphoria and recommendations for research. 
Acta Paediatrica (Oslo, Norway: 1992), 
112(11), 2279–2292. https://doi.org/10.1111/apa.16791

The researchers employed data from a systematic review comprising studies published in English focused on hormone therapy in children with gender dysphoria to evaluate the effects on psychosocial and mental health, body composition, cognition, and metabolic markers of hormone treatment in such children They found that in the few longitudinal studies included, the outcomes were hindered by small numbers and high attrition rates. As a result, it was difficult to evaluate the long-term effects of hormone therapy on the child’s psychosocial health. They also found that gonadotropin-releasing hormone analogues (GnRHa) treatment leads to delayed bone maturity and gaining bone density, which, however, they found to partially recover during cross-sex hormone treatment (CSHT) when studied when patients reached 22 years.

This source supports my thesis by emphasizing the cautious approach to the use of puberty suppression and gender-reaffirming treatments by revealing that the long-term effects of hormone therapy on somatic and psychosocial are largely unknown based on existing literature. The only evidence revealed are the effects of GnRHa, including delayed bone maturity and bone mineral density gain, hence, the need to ensure the safety of such treatments before administering them.

Overall, the existing evidence on the use of puberty suppressants and gender-reassignment surgeries appears to be limited on the long-term impacts of such treatments on patients’ psychosocial well-being, mental health and QoL The reviewed studies suggest the need for cautious, individualized approach to the administration of such therapies, stressing informed consent, mental evaluation and the need for more robust longitudinal studies.

References

Biggs, M. (2022). The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence. 
Journal of Sex & Marital Therapy, 
49(4), 348–368. https://doi.org/10.1080/0092623X.2022.2121238

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. 
Pediatrics, 
134(4), 696–704.
https://doi.org/10.1542/peds.2013-2958

Ludvigsson, J. F., Adolfsson, J., Höistad, M., Rydelius, P. A., Kriström, B., & Landén, M. (2023). A systematic review of hormone treatment for children with gender dysphoria and recommendations for research. 
Acta Paediatrica (Oslo, Norway: 1992), 
112(11), 2279–2292. https://doi.org/10.1111/apa.16791

Turban, J. L., King, D., Carswell, J. M., & Keuroghlian, A. S. (2020). Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. 
Pediatrics, 
145(2), e20191725. https://doi.org/10.1542/peds.2019-1725

van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2023). The Effect of Gender-Affirming Hormones on Gender Dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A Systematic Review. 
Transgender Health, 
8(1), 6–21. https://doi.org/10.1089/trgh.2020.0094

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July 1, 2023
    

7

Thesis Statement and Annotated Bibliography

Destiny Johnson

Chamberlain University College of Nursing

PHIL 347: Critical Reasoning

Todd Buck

December 1, 2024

Thesis Statement and Annotated Bibliography

Thesis Statement

The prospect of administering puberty blockers, hormone treatment, and surgery for sex reassignment for young minors presents a problem of ethics of gender-related discomfort and possible risks in a future perspective. While puberty blocking substances might have reversible effects, the irreversible effects from hormone treatment and/or surgeries involves risks, such as regret, medical repercussions, and trauma. Due to the lack of sufficient data about long-term effects, these therapies should be done with extreme care considering the importance of mental health and informed consent to deliver secure, ethical, and personalized care.

Annotated Bibliography

Turban, J. L., King, D., Carswell, J. M., & Keuroghlian, A. S. (2020). Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. 
Pediatrics, 
145(2), e20191725. https://doi.org/10.1542/peds.2019-1725

The authors used data from a cross-sectional survey of 20, 619 transgender adults aged 18 to 36 years to test their hypothesis that there is an association between suppressing puberty during adolescence and mental health outcomes during adulthood. They used self-reported data on the history of use of puberty blockers during adolescence. Their hypothesis was not supported in transgender adults by finding a significant association between receiving pubertal suppression treatments during adolescence and lifetime suicidal ideation. The use of puberty suppressants for transgender adolescents desiring this treatments is linked to favorable mental health outcomes.

This source supports my thesis that puberty blocking substances might have reversible effects as they do not cause permanent changes, but hormone treatment and gender reassignment surgeries may have irreversible consequences, significantly, leading to lasting mental health impacts on minors, especially when they are adults. Although it reveals potential psychological benefits associated with these therapies, it raises concerns about long-term consequences.

Biggs, M. (2022). The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence. 
Journal of Sex & Marital Therapy, 
49(4), 348–368. https://doi.org/10.1080/0092623X.2022.2121238

The authors use data from Dutch Protocol for Juvenile Transsexuals comprising 70 adolescents who had been introduced to puberty suppression, followed by cross-sex hormones and surgery to review the history of this intervention and supporting evidence. They found positive outcomes immediately after the surgery except for the death of one patient. Puberty blockers may temporarily alleviate juvenile transsexuals’ distress, but may lock them into further medical interventions in the long-term. The therapies may result in lethal physical effects, such as accrual bone mass and unknown effects on the patient’s emotional and cognitive development.

This source strongly supports my thesis that the use of puberty suppression treatments and gender reassignment surgeries my present long-term implications on the client due to the irreversible effects associated. The irreversible therapeutic effects may require clinicians to do careful assessments based on individual cases.

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. 
Pediatrics, 
134(4), 696–704.
https://doi.org/10.1542/peds.2013-2958

The researchers used data from a longitudinal study of 55 young transgender adults with a history of receiving puberty suppression during teen years to evaluate the effectiveness of these interventions. They evaluated the outcomes of the adolescents before starting puberty suppression, when they received the cross-sex hormones and at least after one year of undergoing gender reassignment surgery. They found significant alleviation of gender dysphoria and steady improvement in psychological functioning. The well-being of this group was similar or better than their counterparts from the general population. They found a positive correlation between postsurgical subjective well-being and enhancements in psychological well-being.

This source supports the thesis that the puberty suppression and gender reassignment therapies may relieve gender dysphoria and improve psychological functioning in the short-term, but careful considerations should be made when administrating these therapies in the contexts of safety, ethics and personalized care. It supports cautious care by suggesting a clinical protocol comprising a multidisciplinary team of physicians, mental health professionals, and surgeons, including puberty suppression, followed by gender reassignment and cross-sex hormones, in supporting gender dysphoric youths seeking such interventions to develop into well-functioning young adults.

van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2023). The Effect of Gender-Affirming Hormones on Gender Dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A Systematic Review. 
Transgender Health, 
8(1), 6–21. https://doi.org/10.1089/trgh.2020.0094

The researchers used data from a systematic review comprising observational studies (longitudinal and cross-sectional studies) published in English and in a peer-reviewed journal to assess the efficacy of gender-affirming hormone therapy (GAHT) in enhancing gender and body-related dysphoria, along with Quality of Life (QoL) and psychological well-being. They found that GAHT may body-related and subjective gender dysphoria, QoL and psychological well-being. However, they found most evidence, predominantly from cohort studies and cross-sectional studies to show low to moderate quality in body-related and subjective gender dysphoria improvements. The researchers reveal gaps in the quality measurement or assessment of gender dysphoria, as the primary goal of GAHT. They propose evaluation of the secondary outcomes, including QoL and mental health, as arguably the most critical outcomes of such treatments, providing accuracy of the efficacy of GAHT.

This source supports my thesis by highlighting gaps in evaluating the outcomes of gender-affirming therapies, including mental health and QoL due to low to moderate quality evidence existing to support gender dysphoria improvements. It makes it challenging to draw clear inferences and fails to mirror the external social factors, which have substantial impacts on dysphoria.

Ludvigsson, J. F., Adolfsson, J., Höistad, M., Rydelius, P. A., Kriström, B., & Landén, M. (2023). A systematic review of hormone treatment for children with gender dysphoria and recommendations for research. 
Acta Paediatrica (Oslo, Norway: 1992), 
112(11), 2279–2292. https://doi.org/10.1111/apa.16791

The researchers employed data from a systematic review comprising studies published in English focused on hormone therapy in children with gender dysphoria to evaluate the effects on psychosocial and mental health, body composition, cognition, and metabolic markers of hormone treatment in such children They found that in the few longitudinal studies included, the outcomes were hindered by small numbers and high attrition rates. As a result, it was difficult to evaluate the long-term effects of hormone therapy on the child’s psychosocial health. They also found that gonadotropin-releasing hormone analogues (GnRHa) treatment leads to delayed bone maturity and gaining bone density, which, however, they found to partially recover during cross-sex hormone treatment (CSHT) when studied when patients reached 22 years.

This source supports my thesis by emphasizing the cautious approach to the use of puberty suppression and gender-reaffirming treatments by revealing that the long-term effects of hormone therapy on somatic and psychosocial are largely unknown based on existing literature. The only evidence revealed are the effects of GnRHa, including delayed bone maturity and bone mineral density gain, hence, the need to ensure the safety of such treatments before administering them.

Overall, the existing evidence on the use of puberty suppressants and gender-reassignment surgeries appears to be limited on the long-term impacts of such treatments on patients’ psychosocial well-being, mental health and QoL The reviewed studies suggest the need for cautious, individualized approach to the administration of such therapies, stressing informed consent, mental evaluation and the need for more robust longitudinal studies.

References

Biggs, M. (2022). The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence. 
Journal of Sex & Marital Therapy, 
49(4), 348–368. https://doi.org/10.1080/0092623X.2022.2121238

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. 
Pediatrics, 
134(4), 696–704.
https://doi.org/10.1542/peds.2013-2958

Ludvigsson, J. F., Adolfsson, J., Höistad, M., Rydelius, P. A., Kriström, B., & Landén, M. (2023). A systematic review of hormone treatment for children with gender dysphoria and recommendations for research. 
Acta Paediatrica (Oslo, Norway: 1992), 
112(11), 2279–2292. https://doi.org/10.1111/apa.16791

Turban, J. L., King, D., Carswell, J. M., & Keuroghlian, A. S. (2020). Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. 
Pediatrics, 
145(2), e20191725. https://doi.org/10.1542/peds.2019-1725

van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2023). The Effect of Gender-Affirming Hormones on Gender Dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A Systematic Review. 
Transgender Health, 
8(1), 6–21. https://doi.org/10.1089/trgh.2020.0094

default image
July 1, 2023
    

7

Thesis Statement and Annotated Bibliography

Destiny Johnson

Chamberlain University College of Nursing

PHIL 347: Critical Reasoning

Todd Buck

December 1, 2024

Thesis Statement and Annotated Bibliography

Thesis Statement

The prospect of administering puberty blockers, hormone treatment, and surgery for sex reassignment for young minors presents a problem of ethics of gender-related discomfort and possible risks in a future perspective. While puberty blocking substances might have reversible effects, the irreversible effects from hormone treatment and/or surgeries involves risks, such as regret, medical repercussions, and trauma. Due to the lack of sufficient data about long-term effects, these therapies should be done with extreme care considering the importance of mental health and informed consent to deliver secure, ethical, and personalized care.

Annotated Bibliography

Turban, J. L., King, D., Carswell, J. M., & Keuroghlian, A. S. (2020). Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. 
Pediatrics, 
145(2), e20191725. https://doi.org/10.1542/peds.2019-1725

The authors used data from a cross-sectional survey of 20, 619 transgender adults aged 18 to 36 years to test their hypothesis that there is an association between suppressing puberty during adolescence and mental health outcomes during adulthood. They used self-reported data on the history of use of puberty blockers during adolescence. Their hypothesis was not supported in transgender adults by finding a significant association between receiving pubertal suppression treatments during adolescence and lifetime suicidal ideation. The use of puberty suppressants for transgender adolescents desiring this treatments is linked to favorable mental health outcomes.

This source supports my thesis that puberty blocking substances might have reversible effects as they do not cause permanent changes, but hormone treatment and gender reassignment surgeries may have irreversible consequences, significantly, leading to lasting mental health impacts on minors, especially when they are adults. Although it reveals potential psychological benefits associated with these therapies, it raises concerns about long-term consequences.

Biggs, M. (2022). The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence. 
Journal of Sex & Marital Therapy, 
49(4), 348–368. https://doi.org/10.1080/0092623X.2022.2121238

The authors use data from Dutch Protocol for Juvenile Transsexuals comprising 70 adolescents who had been introduced to puberty suppression, followed by cross-sex hormones and surgery to review the history of this intervention and supporting evidence. They found positive outcomes immediately after the surgery except for the death of one patient. Puberty blockers may temporarily alleviate juvenile transsexuals’ distress, but may lock them into further medical interventions in the long-term. The therapies may result in lethal physical effects, such as accrual bone mass and unknown effects on the patient’s emotional and cognitive development.

This source strongly supports my thesis that the use of puberty suppression treatments and gender reassignment surgeries my present long-term implications on the client due to the irreversible effects associated. The irreversible therapeutic effects may require clinicians to do careful assessments based on individual cases.

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. 
Pediatrics, 
134(4), 696–704.
https://doi.org/10.1542/peds.2013-2958

The researchers used data from a longitudinal study of 55 young transgender adults with a history of receiving puberty suppression during teen years to evaluate the effectiveness of these interventions. They evaluated the outcomes of the adolescents before starting puberty suppression, when they received the cross-sex hormones and at least after one year of undergoing gender reassignment surgery. They found significant alleviation of gender dysphoria and steady improvement in psychological functioning. The well-being of this group was similar or better than their counterparts from the general population. They found a positive correlation between postsurgical subjective well-being and enhancements in psychological well-being.

This source supports the thesis that the puberty suppression and gender reassignment therapies may relieve gender dysphoria and improve psychological functioning in the short-term, but careful considerations should be made when administrating these therapies in the contexts of safety, ethics and personalized care. It supports cautious care by suggesting a clinical protocol comprising a multidisciplinary team of physicians, mental health professionals, and surgeons, including puberty suppression, followed by gender reassignment and cross-sex hormones, in supporting gender dysphoric youths seeking such interventions to develop into well-functioning young adults.

van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2023). The Effect of Gender-Affirming Hormones on Gender Dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A Systematic Review. 
Transgender Health, 
8(1), 6–21. https://doi.org/10.1089/trgh.2020.0094

The researchers used data from a systematic review comprising observational studies (longitudinal and cross-sectional studies) published in English and in a peer-reviewed journal to assess the efficacy of gender-affirming hormone therapy (GAHT) in enhancing gender and body-related dysphoria, along with Quality of Life (QoL) and psychological well-being. They found that GAHT may body-related and subjective gender dysphoria, QoL and psychological well-being. However, they found most evidence, predominantly from cohort studies and cross-sectional studies to show low to moderate quality in body-related and subjective gender dysphoria improvements. The researchers reveal gaps in the quality measurement or assessment of gender dysphoria, as the primary goal of GAHT. They propose evaluation of the secondary outcomes, including QoL and mental health, as arguably the most critical outcomes of such treatments, providing accuracy of the efficacy of GAHT.

This source supports my thesis by highlighting gaps in evaluating the outcomes of gender-affirming therapies, including mental health and QoL due to low to moderate quality evidence existing to support gender dysphoria improvements. It makes it challenging to draw clear inferences and fails to mirror the external social factors, which have substantial impacts on dysphoria.

Ludvigsson, J. F., Adolfsson, J., Höistad, M., Rydelius, P. A., Kriström, B., & Landén, M. (2023). A systematic review of hormone treatment for children with gender dysphoria and recommendations for research. 
Acta Paediatrica (Oslo, Norway: 1992), 
112(11), 2279–2292. https://doi.org/10.1111/apa.16791

The researchers employed data from a systematic review comprising studies published in English focused on hormone therapy in children with gender dysphoria to evaluate the effects on psychosocial and mental health, body composition, cognition, and metabolic markers of hormone treatment in such children They found that in the few longitudinal studies included, the outcomes were hindered by small numbers and high attrition rates. As a result, it was difficult to evaluate the long-term effects of hormone therapy on the child’s psychosocial health. They also found that gonadotropin-releasing hormone analogues (GnRHa) treatment leads to delayed bone maturity and gaining bone density, which, however, they found to partially recover during cross-sex hormone treatment (CSHT) when studied when patients reached 22 years.

This source supports my thesis by emphasizing the cautious approach to the use of puberty suppression and gender-reaffirming treatments by revealing that the long-term effects of hormone therapy on somatic and psychosocial are largely unknown based on existing literature. The only evidence revealed are the effects of GnRHa, including delayed bone maturity and bone mineral density gain, hence, the need to ensure the safety of such treatments before administering them.

Overall, the existing evidence on the use of puberty suppressants and gender-reassignment surgeries appears to be limited on the long-term impacts of such treatments on patients’ psychosocial well-being, mental health and QoL The reviewed studies suggest the need for cautious, individualized approach to the administration of such therapies, stressing informed consent, mental evaluation and the need for more robust longitudinal studies.

References

Biggs, M. (2022). The Dutch Protocol for Juvenile Transsexuals: Origins and Evidence. 
Journal of Sex & Marital Therapy, 
49(4), 348–368. https://doi.org/10.1080/0092623X.2022.2121238

de Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. 
Pediatrics, 
134(4), 696–704.
https://doi.org/10.1542/peds.2013-2958

Ludvigsson, J. F., Adolfsson, J., Höistad, M., Rydelius, P. A., Kriström, B., & Landén, M. (2023). A systematic review of hormone treatment for children with gender dysphoria and recommendations for research. 
Acta Paediatrica (Oslo, Norway: 1992), 
112(11), 2279–2292. https://doi.org/10.1111/apa.16791

Turban, J. L., King, D., Carswell, J. M., & Keuroghlian, A. S. (2020). Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. 
Pediatrics, 
145(2), e20191725. https://doi.org/10.1542/peds.2019-1725

van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2023). The Effect of Gender-Affirming Hormones on Gender Dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A Systematic Review. 
Transgender Health, 
8(1), 6–21. https://doi.org/10.1089/trgh.2020.0094

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Made 100% on both the outline and the paper. Quick turnaround time and my writer responded within 30 min or less. Any edits my instructor needed, my writer was patient and worked diligently to accomplish the task. Would recommend my writer to anyone!

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Customer #14472
International Trade, 8 pages
Essay (any type)
August 5, 2021
    

You are making my life so much easier! I am a single mom that works and goes to school. You guys are helping me with my projects so I can have more free time with my son.

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customer #13832
Tourism, 3 pages
Annotated Bibliography
August 5, 2021
    

I was sure it can fit in a single page but the next time I will add one more page because I am impressed with your professionalism and quality. Will use many more times till I graduate.

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customer #12008
Management, 7 pages
Essay (any type)
August 5, 2021
    

Simple registration and quality services. I just ordered one paper, and it was good enough to pass the exam. That is what I need the most. Good job.

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customer #16257
Communication, 4 pages
Research Proposal
August 5, 2021
    

I couldn’t finish my freaking essay, and I was very desperate. A friend of mine sent me a link, and that is how I found out about you guys. Thank you for professional tips and editing. Now, I understand how to write it properly.

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customer #17128
Law, 5 pages
Reflection
August 5, 2021
    

I’m so grateful to you since you managed to complete my term paper in one day! You are definitely the best company ever!

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customer #16528
Public Relations, 7 pages
Essay (any type)
August 5, 2021
    

I am sure on your ability to provide any type of paper I will order. I wish I could develop that skill your writers have to be able to have a flow of ideas and excellent sequencing of thoughts in writing.

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customer #19552
Medicine, 5 pages
Coursework
August 5, 2021
    

I ordered a thesis paper and was satisfied. All the guys were polite and highly professional, even when I wrote to them several times per day. Thanks for your passion!

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customer #20376
Nursing, 6 pages
Discussion Essay
August 5, 2021
    

I turned to the service twice, and my papers always were beyond the expectations. To tell the truth, I was ready to find some grammar errors or something like that. However, everything was neat and tidy.

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customer #18529
Marketing, 1 page
August 5, 2021

My friend recommended Doctor My Essay to me. It is convenient! Now we both turn to the service periodically coz wanna save some time and use it more effectively. I know that while I’m developing my startup, an expert is working on paper. Time management in work!

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Research Paper
August 5, 2021
    

I write all paper works by myself but have some problems with literacy. Actually, I have enormous problems because English is not my native language. However, with proofreading from Doctor My Essay, I can relax and don’t be ashamed of mistakes.

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customer #12924
Business, 7 pages
Argumentative Essay
August 5, 2021
    

Your ability to write concisely is a finding. The paper has a solid argument. It’s clear that the writer understood central claim about the topic. He also presented original ideas to consider.

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customer #19304
Management, 3 pages
Coursework
August 5, 2021
    

That paper got the highest grade in my class and the professor thinks I’m the smartest student. Lol.

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customer #12387
Accounting, 6 pages
Essay (any type)
August 5, 2021
    

I was convinced that paper writing services are the fiction for naive students. But when it came to my research paper that was to be composed in 72 hours, I had no other options. I made the right choice when I ordered it from you!

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customer #12924
Ethics, 4 pages
Business Plan
August 5, 2021
    

I was also satisfied with the service. Usually, I write everything by myself, but this time ( I have no idea how it happens!) I missed the deadline. My writer was very responsible, wrote the essay quickly, and kept the instructions. Nice to know that such experts exist!

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customer #15677
Marketing, 10 pages
Annotated Bibliography
August 5, 2021
    

It is really affordable! The prices start from 9$, which is an excellent proposal on the market. Recently I worked with another service that took much more money and provided lower quality papers.

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customer #11234
Sociology, 9 pages
Research proposal
August 5, 2021
    

I am absolutely satisfied. I am first timer here. Revision was made quickly, and the author met my expectations. Thanks a lot. Paper is phenomenal.

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customer #15327
Economics, 5 pages
Essay (any type)
August 5, 2021
    

Having heard a lot of negative reviews about such services, I was a bit skeptical. However, our cooperation with Doctor My Essay was without pitfalls. I made two comments about the final work, and they re-wrote some parts very promptly. I am satisfied and will turn to them in the future.

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customer #17823
Human Resource Management, 2 pages
Research paper
August 5, 2021
    

It was my first experience in online ordering, and I was a bit nervous. However, this was for nothing. I’ve got a high mark!

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customer #12372
Public Relations, 3 pages
Dissertation
August 5, 2021
    

I understand that buying essays is a doubtful thing. You don’t put effort, don’t represent your ideas… However, I don’t perceive Doctor My Essay as a standard service. They don’t sell papers. They share high expertise!

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customer #12376
Journal article, 20 pages
Coursework
August 5, 2021
    

According to my previous experience, this service is really the best. They support the client and have competitive writers. I give them a perfect score!

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customer #19266
Political Science, 6 pages
Admission Essay
August 5, 2021
    

Nice service! It is cool that you can use the calculator on the main page and understand the price policy. For me, it is a huge plus!

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customer #11437
Tourism, 1 page
Discussion Essay
August 5, 2021
    

Thanks to God I found this service! If I didn’t send my research to the teacher on time, he would eat me. I tell you! However, with doctor my essay service, I met the deadline, and I am still alive.

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customer #12692
Philosophy, 5 pages
Report
August 5, 2021
    

Your service is excellent! Convenient and not expensive. Thanks for that!

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customer #10923
Psychology, 4 pages
Essay (any type)
August 5, 2021
    

If you have problems with time management, just like me, you need to cooperate with Doctor My Essay. Once you registered and made the order, you understand how easier it makes your life! Everything is online: ordering, communication… You can control the process everywhere and be sure that an expert will provide a high-level paper.

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customer #17823
Business, 8 pages

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

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Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

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Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

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