Final answer:
Gender dysphoria is recognized as enduring distress related to a person's gender identity not aligning with their assigned sex. It is classified in the DSM-5 for diagnostic purposes to aid in accessing care, but it is not strictly considered a biological problem.
Step-by-step explanation:
The question asks whether gender dysphoria is considered a biological problem according to Zhou et al. Based on the information provided, Zhou et al. are not referenced directly in relation to gender dysphoria. Instead, the provided texts discuss the classification of gender dysphoria in the DSM-5, the response of the American Psychiatric Association to controversy over the categorization of gender identity issues, and insights from Zaliznyak, Bresee, & Garcia (2020) regarding transgender individuals experiencing gender dysphoria.
Gender dysphoria is recognized in the DSM-5 as an enduring distress stemming from one's gender identity not aligning with the sex assigned at birth. It is not universally accepted that this distress is a biological problem but can be associated with significant emotional and social factors. The diagnostic classification aims to support individuals in accessing necessary treatment and care, acknowledging the distress and its impact on mental health rather than asserting it as a biological disorder. The World Health Organization's reclassification of 'gender identity disorder' as 'gender incongruence' under sexual health also moves away from seeing it primarily as a biological issue.
Therefore, without specific reference to Zhou et al., based on the provided context, it would be false to assert that gender dysphoria is classified strictly as a biological problem.