Autism spectrum disorders in gender dysphoric children and adolescents

J Autism Dev Disord. 2010 Aug;40(8):930-6. doi: 10.1007/s10803-010-0935-9.


Only case reports have described the co-occurrence of gender identity disorder (GID) and autism spectrum disorders (ASD). This study examined this co-occurrence using a systematic approach. Children and adolescents (115 boys and 89 girls, mean age 10.8, SD = 3.58) referred to a gender identity clinic received a standardized assessment during which a GID diagnosis was made and ASD suspected cases were identified. The Dutch version of the Diagnostic Interview for Social and Communication Disorders (10th rev., DISCO-10) was administered to ascertain ASD classifications. The incidence of ASD in this sample of children and adolescents was 7.8% (n = 16). Clinicians should be aware of co-occurring ASD and GID and the challenges it generates in clinical management.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child Development Disorders, Pervasive / complications*
  • Child Development Disorders, Pervasive / psychology
  • Female
  • Gender Identity
  • Humans
  • Male
  • Psychiatric Status Rating Scales
  • Transsexualism / complications*
  • Transsexualism / psychology