Gender Preoccupation and Stability Questionnaire (Donaghy, Cobham, & Lin, 2024)

Gender concern and presentation in adolescents; 14 Items, ages 11-17
  • Populations: Gender Identity Care seeking adolescents
  • Age ranges: 11-17
  • Languages: English
  • Countries: Australia

Items

Subscales

Stability

Preoccupation

 

All Items:

  • How important do you feel gender is to you?
  • In the past 2 weeks how often have you thought about gender?
  • In the past 2 weeks how often have you given consideration to gender in relation to aspects of your day-to-day life, such as work, recreational activities, or products purchased?
  • In the past 2 weeks how troubled have you been about issues relating to gender?
  • In the past 2 weeks have you stopped yourself from participating in any activity, behaving in a certain way, or purchasing anything because of your gender?
  • In the past 2 weeks has it upsetyou when you have had to answer questions about what sex or gender you are (eg when filling in forms)?
  • In the past 2 weeks how comfortable have you felt with your sense of gender? (this does not have to correspond with your biological sex.)
  • In the past 2 weeks have you felt uncertain or confused about your sense of gender?
  • In the past 2 weeks have you felt pressured to behave or act in certain ways because of gender?
  • In the past 2 weeks has your sense of what gender you identify with changed at all?
  • In the past 2 weeks have you avoid social situations because of uncertainties or anxieties you have about your sense of your own identity?
  • In the past 2 weeks  have you had thoughts that you should change your sex (even if you have already changed your sex in the past)?
  • In the past 2 weeks has your sense of what gender you are changed from one day to the next?
  • In the past 2 weeks have you had any thoughts that you needed to seek professional help in order to change the physical sex of your body?

 

Responses

Items used a 1-5 response scale

Scoring

“Items are scored on a 1–5 scale (a higher total score indicating greater gender-related distress). A total score cutoff of >28 was applied by the GPSQ developers following contrast of scores from a clinical “gender dysphoria group” and a control group to give a scale sensitivity of 88% and specificity of 94% in an adult sample (Hakeem et al., 2016). Positive predictive power (i.e. percentage of sample scoring above cutoff who were “true cases”) and negative predictive value (i.e. percent age of sample scoring below cutoff who were true “non-cases”) were both 91%.” (Donaghy, Cobham, & Lin, 2024)

Citations

Olivia J. E. Donaghy, Vanessa Cobham & Ashleigh Lin (18 Jul 2024): Screening adolescent transgender-related distress: Gender preoccupation and stability questionnaire demonstrates excellent criterion validity with multi-disciplinary, pediatric gender specialist assessment, International Journal of Transgender Health, DOI: 10.1080/26895269.2024.2378378

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Unknown: Face validity
  • Green: Convergent validity
  • Green: Construct validity

Reliability

  • Green: Internal consistency
  • Unknown: Test-retest

Ease of use

  • Unknown: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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