Psychiatric Approaches for Disorders of Sex Development: Experience of a Multidisciplinary Team

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dc.contributor.authorOzbaran, Burcu
dc.contributor.authorOzen, Samim
dc.contributor.authorGoksen, Damla
dc.contributor.authorKorkmaz, Ozlem
dc.contributor.authorOnay, Huseyin
dc.contributor.authorÖzkınay, Ferda
dc.contributor.authorCogulu, Ozgur
dc.contributor.authorErermis, Serpil
dc.contributor.authorKose, Sezen
dc.contributor.authorAvanoglu, Ali
dc.contributor.authorUlman, Ibrahim
dc.contributor.authorDarcan, Sukran
dc.date.accessioned2019-10-27T21:53:30Z
dc.date.available2019-10-27T21:53:30Z
dc.date.issued2013
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: Disorders of sex development (DSD) are a group of congenital medical conditions that affect life as a whole. In this study, we aimed to reflect the experience of a multidisciplinary team in the clinical/psychiatric follow-up of a group of children and adolescents with DSD. Methods: The study group consisted of 51 patients diagnosed with DSD. The Kiddie-Schedule for Affective Disorders and Schizophrenia, Wechsler Intelligence Scale for Children-Revised, Draw a Person Test and Children's Apperception Test, and the Clinical Global Impression Scale (CGIS) were used for psychiatric evaluations. Results: The mean age of the patients was 7.8 years (median: 7.8; min: 1.0; max: 18.0). Genetic evaluation showed 46, XX configuration in 15 patients (29.4%) and 46, XY in 35 (68.6%). One patient (2.0%) was diagnosed to have a sex chromosome disorder. Forty patients (78.4%) had no problems with their given gender identity and gender role. Thirty-four (66.7%) patients had normal intellectual capacity. Twenty-eight (54.9%) patients did not have any psychiatric problem. Depression, anxiety disorders, attention deficit/hyperactivity disorder, and adjustment disorders were the common diagnoses. The mean score of symptom severity on CGIS-severity-baseline was 6.15 +/- 0.68 and after one year, it was 1.46 +/- 0.51 (Z=-3.236 p=0.001). The mean score of CGI-Improvement was 1.23 +/- 0.44. Conclusion: It is important to identify and treat the psychiatric disorders encountered in patients with DSD. A psychiatrist needs to be included in the professional team following these patients. Examination and observation results need to be shared by holding periodic team meetings to establish a wholesome point of view for every unique child.en_US
dc.identifier.doi10.4274/Jcrpe.1044en_US
dc.identifier.endpage235en_US
dc.identifier.issn1308-5727
dc.identifier.issn1308-5735
dc.identifier.issue4en_US
dc.identifier.pmid24379031en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage229en_US
dc.identifier.urihttps://doi.org/10.4274/Jcrpe.1044
dc.identifier.urihttps://hdl.handle.net/11454/47904
dc.identifier.volume5en_US
dc.identifier.wosWOS:000339650100003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Clinical Research in Pediatric Endocrinologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDisorders of sex developmenten_US
dc.subjectpsychiatric disordersen_US
dc.subjectgender identityen_US
dc.titlePsychiatric Approaches for Disorders of Sex Development: Experience of a Multidisciplinary Teamen_US
dc.typeArticleen_US

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