Psychiatric view for disorders of sex development: A 12-year experience of a multidisciplinary team in a university hospital
| Autor: | Ali Avanoglu, Tuğçe Özcan, Damla Gökşen, Didem Çelik, Ibrahim Ulman, Ferda Ozkinay, Ozgur Cogulu, Sibel Tiryaki, Şükran Darcan, Burcu Özbaran, Hüseyin Onay, Samim Özen, Birsen Şentürk Pilan |
|---|---|
| Přispěvatelé: | Ege Üniversitesi |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Disorders of sex development Adolescent Endocrinology Diabetes and Metabolism Gonadal dysgenesis 030209 endocrinology & metabolism Young Adult 03 medical and health sciences 0302 clinical medicine Endocrinology medicine Child and adolescent psychiatry Humans Congenital adrenal hyperplasia Medical diagnosis Child Psychiatry Depression (differential diagnoses) Retrospective Studies 030219 obstetrics & reproductive medicine business.industry multidisiplinary team Schedule for Affective Disorders and Schizophrenia medicine.disease Psychological evaluation psychiatric disorders Attention Deficit Disorder with Hyperactivity Pediatrics Perinatology and Child Health Female business |
| Popis: | BackgroundPsychiatric 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.MethodsPsychiatric 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.ResultsThe 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%).ConclusionsIn 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|