Abstract
This paper reports on the psychometric properties of a 16-item parent-report Gender Identity Questionnaire, originally developed by P. H. Elizabeth and R. Green (1984), to aid in the assessment of children with potential problems in their gender identity development. The questionnaire, which covered aspects of the core phenomenology of gender identity disorder (GID), was completed by parents of gender-referred children (N = 325) and controls (siblings, clinic-referred, and nonreferred;N = 504), who ranged in age from 2.5–12 years (mean age, 7.6 years). Factor-analysis indicated that a one-factor solution, containing 14 of the 16 items with factor loadings ≥.30, best fit the data, accounting for 43.7% of the variance. The gender-referred children had a significantly more deviant total score than did the controls, with a large effect size of 3.70. The GIQ total score had negligible age effects, indicating that the questionnaire has utility for assessing change over time. The gender-referred children who met the completeDSM criteria for GID had a significantly more deviant total score than did the children who were subthreshold for GID, although the latter group had a mean score that was closer to the threshold cases than to the controls. With a specificity rate set at 95% for the controls, the sensitivity rate for the probands was 86.8%. It is concluded that this parent-report gender identity questionnaire has excellent psychometric properties and can serve as a useful screening device for front-line clinicians, for whom more extensive, expensive, and time-consuming assessment procedures may be precluded.
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References
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity.Psychological Bulletin, 101, 213-232.
Alexander, G. M., & Hines, M. (1994). Gender labels and play styles: Their relative contribution to children's selection of playmates.Child Development, 65, 869-879.
American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
Bates, J. E., & Bentler, P. M. (1973). Play activities of normal and effeminate boys.Developmental Psychology, 9, 20-27.
Bates, J. E., Bentler, P. M., & Thompson, S. K. (1973). Measurement of deviant gender development in boys.Child Development, 44, 591-598.
Bates, J. E., Bentler, P. M., & Thompson, S. K. (1979). Gender-deviant boys compared with normal and clinical control boys.Journal of Abnormal Child Psychology, 7, 243-259.
Birkenfeld-Adams, A. S. (1999).Quality of attachment in young boys with gender identity disorder: A comparison to clinic and nonreferred control boys. Unpublished doctoral dissertation, York University, Downsview, Ontario.
Corbett, K. (1996). Homosexual boyhood: Notes on girlyboys.Gender and Psychoanalysis, 1, 429-461.
Doering, R. W. (1981).Parental reinforcement of gender-typed behaviors in boys with atypical gender identity. Unpublished doctoral dissertation, University of Toronto.
Doering, R. W., Zucker, K. J., Bradley, S. J., & MacIntyre, R. B. (1989). Effects of neutral toys on sex-typed play in children with gender identity disorder.Journal of Abnormal Child Psychology, 17, 563-574.
Duhig, A. M., Renk, K., Epstein, M. K., & Phares, V. (2000). Interparental agreement on internalizing, externalizing, and total behavior problems: A meta-analysis.Clinical Psychology: Science and Practice, 7, 435-453.
Elizabeth, P. H., & Green, R. (1984). Childhood sex-role behaviors: Similarities and differences in twins.Acta Geneticae Medicae et Gemellologiae, 33, 173-179.
Elizabeth, P. H., Meyer-Bahlburg, H. F. L., Janal, M. N., Ehrhardt, A. A., & Green, R. (1984, September).Do human twins show a "free-martin" like phenomenon? Poster session presented at the meeting of the International Academy of Sex Research, Cambridge, England.
Fridell, S. R. (2001).Sex-typed play behavior and peer relationships in boys with gender identity disorder. Unpublished doctoral dissertation, Ontario Institute for Studies in Education of the University of Toronto.
Green, R. (1976). One-hundred ten feminine and masculine boys: Behavioral contrasts and demographic similarities.Archives of Sexual Behavior, 5, 425-446.
Green, R. (1987).The "sissy boy syndrome" and the development of homosexuality. New Haven, CT: Yale University Press.
Green, R., & Fuller, M. (1973). Family doll play and female identity in preadolescent males.American Journal of Orthopsychiatry, 43, 123-127.
Green, R., Fuller, M., & Rutley, B. (1972). It-Scale for Children and Draw-a-Person test: 30 feminine vs. 25 masculine boys.Journal of Personality Assessment, 36, 349-352.
Green, R., Fuller, M., Rutley, B., & Hendler, J. (1972). Playroom toy preferences of fifteen masculine and fifteen feminine boys.Behaviour Research and Therapy, 3, 425-429.
Haldeman, D. C. (2000). Gender atypical youth: Clinical and social issues.School Psychology Review, 29, 192-200.
Hollingshead, A. B. (1975).Four-factor index of social status. Unpublished manuscript, Department of Sociology, Yale University, New Haven, CT.
Klein, A. R., & Bates, J. E. (1980). Gender-typing of game choices and qualities of boys' play behavior.Journal of Abnormal Child Psychology, 8, 201-212.
Kuksis, M. R. (1992).Intercorrelations among risk, vulnerability, and protective factors in child psychopathology. Unpublished doctoral dissertation, York University, Downsview, Ontario.
Lothstein, L. M. (1992). Clinical management of gender dysphoria in young boys: Genital mutilation andDSM IV implications.Journal of Psychology and Human Sexuality, 5(4), 87-106.
Maing, D. M. (1991).Patterns of psychopathology in sexually abused girls. Unpublished doctoral dissertation, University of Windsor.
Meyer-Bahlburg, H. F. L., Feldman, J. F., & Ehrhardt, A. A. (1985). Questionnaires for the assessment of atypical gender role behavior: A methodological study.Journal of the American Academy of Child Psychiatry, 24, 695-701.
Meyer-Bahlburg, H. F. L., Sandberg, D. E., Dolezal, C. L., & Yager, T. J. (1994). Gender-related assessment of childhood play.Journal of Abnormal Child Psychology, 22, 643-660.
Meyer-Bahlburg, H. F. L., Sandberg, D. E., Yager, T. J., Dolezal, C. L., & Ehrhardt, A. A. (1994). Questionnaire scales for the assessment of atypical gender development in girls and boys.Journal of Psychology and Human Sexuality, 6(4), 19-39.
Mitchell, J. N. (1991).Maternal influences on gender identity disorder in boys: Searching for specificity. Unpublished doctoral dissertation, York University, Downsview, Ontario.
Rekers, G. A. (1975). Stimulus control over sex-typed play in cross-gender identified boys.Journal of Experimental Child Psychology, 20, 136-148.
Rekers, G. A., & Yates, C. E. (1976). Sex-typed play in feminoid boys versus normal boys and girls.Journal of Abnormal Child Psychology, 4, 1-8.
Richardson, J. (1996). Setting limits on gender health.Harvard Review of Psychiatry, 4, 49-53.
Sandberg, D. E., & Meyer-Bahlburg, H. F. L. (1994). Variability in middle childhood play behavior: Effects of gender, age, and family background.Archives of Sexual Behavior, 23, 645-663.
Sandberg, D. E., Meyer-Bahlburg, H. F. L., Ehrhardt, A. A., & Yager, T. J. (1993). The prevalence of gender-atypical behavior in elementary school children.Journal of the American Academy of Child and Adolescent Psychiatry, 32, 306-314.
Skilbeck, W. M., Bates, J. E., & Bentler, P. M. (1975). Human figure drawings of gender-problem and school-problem boys.Journal of Abnormal Child Psychology, 3, 191-199.
Tuber, S., & Coates, S. (1985). Interpersonal phenomena in the Rorschachs of extremely feminine boys.Psychoanalytic Psychology, 2, 251-265.
Zucker, K. J. (1992). Gender identity disorder. In S. R. Hooper, G. W. Hynd, & R. E. Mattison (Ed.),Child psychopathology: Diagnostic criteria and clinical assessment (pp. 305-342). Hillsdale, NJ: Erlbaum.
Zucker, K. J., & Bradley, S. J. (1995).Gender identity disorder and psychosexual problems in children and adolescents. New York: Guilford Press.
Zucker, K. J., Bradley, S. J., Lowry Sullivan, C. B., Kuksis, M., Birkenfeld-Adams, A., & Mitchell, J. N. (1993). A gender identity interview for children.Journal of Personality Assessment, 61, 443-456.
Zucker, K. J., Doering, R. W., Bradley, S. J., & Finegan, J. K. (1982). Sex-typed play in gender-disturbed children: A comparison to sibling and psychiatric controls.Archives of Sexual Behavior, 11, 309-321.
Zucker, K. J., Finegan, J. K., Doering, R. W., & Bradley, S. J. (1983). Human figure drawings of gender-problem children: A comparison to sibling, psychiatric, and normal controls.Journal of Abnormal Child Psychology, 11, 287-298.
Zucker, K. J., Finegan, J. K., Doering, R. W., & Bradley, S. J. (1984). Two subgroups of gender-problem children.Archives of Sexual Behavior, 13, 27-39.
Zucker, K. J., Lozinski, J. A., Bradley, S. J., & Doering, R. W. (1992). Sex-typed responses in the Rorschach protocols of children with gender identity disorder.Journal of Personality Assessment, 58, 295-310.
Zuger, B., & Taylor, P. (1969). Effeminate behavior present in boys from early childhood. II. Comparison with similar symptoms in non-effeminate boys.Pediatrics, 44, 375-380.
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Johnson, L.L., Bradley, S.J., Birkenfeld-Adams, A.S. et al. A Parent-Report Gender Identity Questionnaire for Children. Arch Sex Behav 33, 105–116 (2004). https://doi.org/10.1023/B:ASEB.0000014325.68094.f3
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DOI: https://doi.org/10.1023/B:ASEB.0000014325.68094.f3