Psychiatric view for disorders of sex development a 12-year experience of a multidisciplinary team in a university hospital

Küçük Resim Yok

Tarih

2020

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Walter De Gruyter Gmbh

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Background: Psychiatric consultation is important in the follow-up of disorders of sex development (DSD) patients. in this study, we aimed to present the 12-year psychiatric follow-up data of the patients who were referred by Ege University Medical Faculty DSD Multidisciplinary Team and followed up in Child and Adolescent Psychiatry. Methods: Psychiatric data of 118 patients, who were followed by the DSD multidisciplinary team between 2007 and 2019, were reviewed retrospectively. the psychiatric diagnoses of the patients were evaluated according to semi-structured interview form Schedule for Affective Disorders and Schizophrenia for School-Age Children/ Present and Lifetime Turkish Version. Results: the mean age of the 118 cases was 13.21 years (+/- 7.18). Endocrine diagnoses of the cases were 46 XX DSD in 35 (29.6%), 46 XY DSD in 81 (68.7%), and chromosome disorders in 2 (1.7%). There was at least psychiatric diagnosis in 36 (30.5%) cases. the most common psychiatric diagnosis was attention deficit and hyperactivity disorder (ADHD) (n=18, 15.3%). ADHD was most common in congenital adrenal hyperplasia (n =4, 22.4%) and androgen synthesis defects (ASD) (n= 4, 22.4%); depression was most common in complete gonadal dysgenesis and ASD n=3, 23.1%); and mental retardation was most common in ASD (n = 3, 37.5%). Conclusions: in order to provide a healthy perspective for cases with DSD, it is important to make a psychiatric evaluation and to share observations and clinical findings in regular team meetings.

Açıklama

Anahtar Kelimeler

disorders of sex development, multidisiplinary team, psychiatric disorders

Kaynak

Journal of Pediatric Endocrinology & Metabolism

WoS Q Değeri

Q3

Scopus Q Değeri

Q2

Cilt

33

Sayı

5

Künye