Through the eyes of the parents: a transdiagnostic psychiatric perspective for children with differences of sexual development

Küçük Resim Yok

Tarih

2024

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Walter de Gruyter GMBH

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Purpose Existing literature lacks data on a subgroup exhibiting psychiatric symptoms below the DSM-5 diagnostic threshold within DSD cases. Our study aims to assess parental knowledge, attitudes toward DSD, and parental perceptions of emotional and behavioral states through a transdiagnostic perspective. Methods The study was conducted with a total of 35 parents of children with DSD. Two groups were established via k-means clustering, based on psychiatric symptomatology levels, derived from The Strength and Difficulties Questionnaire - Parent Form and The Revised Children's Anxiety and Depression Scale - Parent Form: with one group exhibiting lower reported psychiatric symptoms (LPS=27) and the other demonstrating higher psychiatric symptoms (HPS=8) by parents. Results Our study found that many parents were hesitant to disclose DSD diagnoses to their children, believing them to be too young to comprehend the information (42.9 %) and that they were unaware of the available support that could be provided by the medical team in disclosing the diagnosis (25.7 %). Our study found no differences in DSM-5 diagnoses between HPS and LPS groups (p>0.05), with ADHD being the most prevalent diagnosis (21.7 %) and a significant overrepresentation of children with a discrepancy between assigned gender at birth and gender upbringing in the HPS group compared to the LPS group (p<0.001). Conclusions Our study emphasizes the necessity of a transdiagnostic approach in psychiatry to move beyond binary conceptualizations and better understand the complexities of individuals with DSD.

Açıklama

Anahtar Kelimeler

endoscopic surgery, enhanced recovery, minimally invasive cardiac surgery, mitral valve surgery, patient blood management (PBM)

Kaynak

Journal of Pediatric Endocrinology and Metabolism

WoS Q Değeri

Q4

Scopus Q Değeri

Q2

Cilt

37

Sayı

12

Künye

Ertugay, S., Karaca, S., Engin, A. Y., Kahraman, U., Unlu, Z., Kocabas, S., Calkavur, T., & Ozbaran, M. (2024). Fine tuning for totally endoscopic mitral valve surgery: ERAS applications. Frontiers in Cardiovascular Medicine, 11.