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Transsexuals have to face multiple medical, social and bureaucratic problems. These problems are not only encountered before the transformation, but also during and after medical procedures. In the search for improvement of transsexual individuals' quality of life during therapy, it seems desirable to supplement hormonal treatments with psychological explorations. This study was conducted with the aim of defining emotional conditions and included 28 transsexual female-to-male (F/M) patients and two gender-divided control groups (males and females) of similar age. The following psychometric scales were used: CECS (Courtauld Emotional Control Scale constructed by M. Watson and S. Greer in the Polish Adaptation by Z. Juczyński), ISCL (the Polish Adaptation of the State-Trait Anxiety Inventory for Adults by T. Sosnowski), and GSES (the Polish Adaptation of the R. Schwarzer, M. Jerusalem Generalized Self-Efficacy Scaleby Z. Juczyński and K. Wrześniewski). Transsexual F/M patients appeared very similar to males in the male control group in terms of their subjective selfefficacy and state-trait anxiety, while their subjective belief of anxiety and fear control was more comparable to that of the female controls. It was also found to be statistically significantly lower than in the male controls.

Background. Patients with combined pituitary hormone deficiency have quantitative and qualitative abnormalities of pituitary hormone production that may trigger psychological consequences. Several studies have evidenced symptoms of social disturbances in these patients. Aim. The aim of this study was to evaluate personality traits and psychological sex-role schema influencing social adaptation in patients with childhood-onset combined pituitary hormone deficiency.Material and Methods. Study involved a unique group of 28 adult patients with childhood-onset combined pituitary hormone deficiencies that were never treated with growth hormone. To psychological assessment the short Polish version of Bem’s Sex Role Inventory and the Polish version of Minnesota Multiphasic Personality Inventory were used in the study. Results. The analysis of scores on the Polish version of Minnesota Multiphasic Personality Inventory showed significantly elevated results in the scales for lying, hysteria, psychopathic deviation, hypochondria, and schizophrenia as well as decreased scores in hypomania indicating a number of symptoms of maladjustment in many different areas of life. The short Polish version of Bem’s Sex Role Inventory scores indicated that most of combined pituitary hormone deficiency patients were sex-undifferentiated and no one was androgynous. Conclusions. The sex-role schema and certain personality traits seem to predispose childhood-onset combined pituitary hormone deficiency patients not treated with growth hormone to problems with social adaptation and greater susceptibility to situational stressors. Neurotic reactions, tendency for social alienation, and lack of flexibility have all been observed in these patients. Therefore, combined pituitary hormone deficiency patients may more often need special support when it comes to coping with disease.