depression, anxiety, and aggression disorders in patients with gender identity disorder based on personality type: a cross-sectional study

Background: any deviation from the normal trajectory of gender identity formation creates a basis for incompatibilities, a specific and severe form of which is gender identity disorder (gid). gender identity disorder affects an individual’s development, growth, and overall performance. objectives: this study aimed to investigate the prevalence of depression, anxiety, and aggression among individuals with gid, based on their personality type (type a or type b), referred to the forensic medicine department of ilam city in 2020. methods: in this cross-sectional study, all patients diagnosed with gid and referred to the forensic medicine department for gender reassignment were included. all participants received psychological counseling from a psychiatrist. to determine levels of depression, anxiety, personality type, and aggression, beck’s depression and anxiety inventory, the aggression questionnaire (agq), and spencer’s type a or b personality type questionnaire were used, respectively. data were analyzed using t-tests, fisher’s exact test, and linear regression through stata 12 software. results: the findings revealed that the mean ± sd total scores for depression and anxiety were 15.2 ± 9.2 and 21.4 ± 13.2, respectively. among the patients, 21 (52%) exhibited no or very low depressive symptoms, three (8%) had mild symptoms, 12 (30%) had moderate symptoms, and four (10%) had severe depressive symptoms. regarding anxiety, seven (17.5%) had no or very low symptoms, seven (17.5%) had mild symptoms, 12 (30%) had moderate symptoms, and 14 (35%) had severe symptoms. among patients with personality types b and a, 11 (64.1%) and 10 (45.5%) individuals, respectively, had no depressive symptoms, while six (33.3%) and one (4.6%), respectively, exhibited no anxiety symptoms. the linear regression model indicated that aggression levels in type a personalities were approximately 6.23 points higher than those in type b personalities (p = 0.03). conclusions: individuals with gid who have a type a personality are more susceptible to mental health disorders compared to those with a type b personality. additionally, aggression levels in individuals with gid can be partially predicted based on personality type.