Mental Health and Disorders of Sex Development/Intersex Conditions in Iranian Culture: Congenital Adrenal Hyperplasia, 5-α Reductase Deficiency-Type 2, and Complete Androgen Insensitivity Syndrome.
Sixty-one patients (22 patients with congenital adrenal hyperplasia [CAH] with a mean age of 14.86 years [range, 5-23], 20 patients with 5-α reductase deficiency type 2 [5α-RD-2] with a mean age of 19.5 years [range, 5-29], and 19 patients with complete androgen insensitivity syndrome [CAIS] with a...
| Publicado en: | Archives of Sexual Behavior Vol. 47; no. 4; pp. 931 - 943 |
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| Autores principales: | , , , , , , , |
| Formato: | journal article |
| Publicado: |
Springer Nature
May2018
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=128968734&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 128968734 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: May2018 vid: 47 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 128968734 10.1007/s10508-017-1139-6 ppf: 931 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P size: 421KB tig: atl: Mental Health and Disorders of Sex Development/Intersex Conditions in Iranian Culture: Congenital Adrenal Hyperplasia, 5-α Reductase Deficiency-Type 2, and Complete Androgen Insensitivity Syndrome. aug: au: Khorashad, Behzad S. Aghili, Zahra Kreukels, Baudewijntje P. C. Reid, Alistair G. Roshan, Ghasem M. Hiradfar, Mehran Talaei, Ali Cohen Kettenis, Peggy T. affil: Transgender Studies Center, Mashhad University of Medical Sciences, No. 17, Toufigh 9 Lane, Shahid Sadeghi Blvd., 91858-84714, Mashhad, Iran Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Ibn-e-Sina Hospital, Horeameli Avenue, 91959, Mashhad, Iran Department of Medical Psychology and Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, The Netherlands Molecular Pathology Unit, Liverpool Clinical Laboratories, Liverpool, UK Department of Pediatric Surgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran su: Sex differentiation disorders Mental health Intersex people Schizophrenia Adrenogenital syndrome Reductases Androgen-insensitivity syndrome sug: subj: Sex differentiation disorders Mental health Intersex people Schizophrenia Offices of Mental Health Practitioners (except Physicians) Adrenogenital syndrome Reductases Androgen-insensitivity syndrome keyword: 5-α reductase deficiency-2 Complete androgen insensitivity syndrome Congenital adrenal hyperplasia Disorders of sex development Gender dysphoria 5-α reductase deficiency-2 Complete androgen insensitivity syndrome Congenital adrenal hyperplasia Disorders of sex development Gender dysphoria ab: Sixty-one patients (22 patients with congenital adrenal hyperplasia [CAH] with a mean age of 14.86 years [range, 5-23], 20 patients with 5-α reductase deficiency type 2 [5α-RD-2] with a mean age of 19.5 years [range, 5-29], and 19 patients with complete androgen insensitivity syndrome [CAIS] with a mean age of 18.26 years [range, 5-28]) were evaluated using the Kiddie Schedule for Affective Disorders and Schizophrenia, the Structured Clinical Interview for DSM-IV Axis I, Axis II, and the Global Assessment Functioning Scale. All participants were female-assigned at birth. Ten patients (16.4%) transitioned to the male gender. Overall, 68% of patients had one or more lifetime Axis I disorders, including 63.6% of the CAH participants, 90% of 5α-RD-2 participants, and 52.6% of the CAIS participants. The most commonly observed were affective disorders (27.9%), gender identity disorder (27.9%), and anxiety (16.4%). Our study demonstrates that mental health of Iranian patients with DSD is at risk. This might be due to the fact that patients with DSD conditions are mostly treated medically and their mental health is often superficially addressed in developing countries such as Iran, at least in the past. We argue that it is important to pay attention to the mental health issues of patients with DSD and focus on specific issues, which may vary cross-culturally. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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