Gender incongruence: a comparative study using ICD-10 and DSM-5 diagnostic criteria Academic Article uri icon

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  • OBJECTIVE: To compare the presence of criteria listed in the DSM-5 and ICD-10 diagnostic manuals in a Brazilian sample of transgender persons seeking health services specifically for physical transition. METHODS: This multicenter cross-sectional study included a sample of 103 subjects who sought services for gender identity disorder in two main reference centers in Brazil. The method involved a structured interview encompassing the diagnostic criteria in the two manuals. RESULTS: The results revealed that despite theoretical disagreement about the criteria, the manuals overlap regarding diagnosis confirmation; the DSM-5 was more inclusive (97.1%) than the ICD-10 (93.2%) in this population. CONCLUSIONS: Although there is no consensus on diagnostic criteria on transgenderism in the diversity of social and cultural contexts, more comprehensive diagnostic criteria are evolving due to society's increasing inclusivity.


  • Schneider, Maiko
  • Soll, Bianca M
  • Robles-García, Rebeca
  • Brandelli-Costa, Angelo
  • Mori, Daniel
  • Mueller, Andressa
  • Vaitses-Fontanari, Anna M
  • Cardoso-da-Silva, Dhiordan
  • Schwarz, Karine
  • Abel-Schneider, Maiko
  • Saadeh, Alexandre
  • Lobato, Maria-Inês-Rodrigues

publication date

  • April 2018