Abstract

Objective

Neuropsychological evaluations in a geriatric population have an assortment of challenges due to increased risk in the population for chronic/acute medical conditions, varied psychiatric disorders, and chronic negative lifestyle behaviors, all which impact one’s cognitive functioning. One relatively new challenge is conducting cognitive evaluations within an elderly transgender population. There is a considerable lack of specific normative data in neuropsychological evaluations for transgender individuals due to the prevalence of binary gender categorization in current scoring protocols. However, a reasonable question is whether gender is such a significant normative factor, as the field of neuropsychology once thought?

Method

The current article reports on these issues in the context of a case of an 85-year-old transgender female who was referred to an outpatient neuropsychology service due to cognitive and functional declines.

Results

Her performance on the neuropsychological evaluation indicated significant decline across many of the cognitive domains measured. When using binary male and female normative data, scores did not statistically differ across the majority of the domains.

Conclusions

Overall, it was difficult to determine nuanced gender differences due to the patient’s marked cognitive impairment. Potentially, differences may be more obvious in a less impaired individual.

中文翻译：

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当我们忘记自己的叙述时会发生什么：跨性别痴呆症案例研究

摘要

客观的

由于慢性/急性疾病、各种精神疾病和慢性消极生活方式行为的风险增加，老年人群的神经心理学评估面临着各种各样的挑战，所有这些都会影响一个人的认知功能。一项相对较新的挑战是在老年跨性别人群中进行认知评估。由于当前评分协议中普遍存在二元性别分类，因此在跨性别个体的神经心理学评估中相当缺乏具体的规范数据。然而，一个合理的问题是，性别是否像神经心理学领域曾经认为的那样是一个如此重要的规范因素？

方法

目前的文章以一名 85 岁的跨性别女性的案例为背景报告了这些问题，该女性因认知和功能下降而被转诊至门诊神经心理学服务。

结果

她在神经心理学评估中的表现表明，她在测量的许多认知领域都出现了显着下降。当使用二元男性和女性规范数据时，大多数领域的分数在统计上没有差异。

结论

总的来说，由于患者明显的认知障碍，很难确定细微的性别差异。潜在的差异可能在受损较轻的个体中更为明显。