Association between pre-treatment IQ and educational achievement after gender-affirming treatment including puberty suppression in transgender adolescents

Marijn Arnoldussen, Evelien C. Hooijman, Baudewijntje P. C. Kreukels, Annelou L. C. de Vries

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

Background: Concerns exist regarding effects of puberty suppression on neurodevelopment. Intelligence is strongly correlated with educational achievement in the general population. This study aimed to examine the association between pre-treatment intelligence and educational achievement after gender-affirming treatment including puberty suppression in transgender adolescents to contribute to the emerging understanding of the effect that gender-affirming treatment including puberty suppression may have on cognitive development. Methods: IQ was measured in 72 adolescents (45 trans boys, 27 trans girls) at clinical entry (mean age 12.78 years), educational achievement was evaluated after gender-affirming treatment (mean age 20.40 years). Results: IQ pre-treatment and educational achievement post-treatment were positively associated (Nagelkerke R = 0.71). Discussion: The association between IQ pre-treatment and educational achievement post-treatment in transgender adolescents who received gender-affirming medical treatment including puberty suppression appears to be similar to the general population. This may reflect that gender-affirming medical treatment including puberty suppression does not negatively affect the association between IQ and educational achievement.
Original languageEnglish
Pages (from-to)1069-1076
Number of pages8
JournalClinical child psychology and psychiatry
Volume27
Issue number4
Early online date2022
DOIs
Publication statusPublished - Oct 2022

Keywords

  • Gender dysphoria
  • educational achievement
  • gender incongruence
  • gender-affirming medical treatment
  • intelligence
  • puberty suppression
  • transgender adolescents

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