ISSN 1662-4009 (online)

ESPE Yearbook of Paediatric Endocrinology (2018) 15 6.18 | DOI: 10.1530/ey.15.6.18

ESPEYB15 6 Gender Dysphoria and Disorders of Sex Development Psychological aspects (2 abstracts)

6.18 Increased psychiatric morbidity in women with complete androgen insensitivity syndrome or complete gonadal dysgenesis

Engberg H , Strandqvist A , Nordenström A , Butwicka A , Nordenskjöld A , Hirschberg AL & Frisén L


Karolinska Institutet, Stockholm Sweden


To read the full abstract: J Psychosom Res. 2017 Oct;101:122-127

The results of this study clearly show individuals with a DSD condition have psychological difficulties, and not only in countries with a less well developed health care systems, as reported by Khorashad et al. 2018. The findings indicate that having a DSD may impose a type of stress and vulnerability that is more common than seen in other types of endocrine conditions, possibly since sex and gender issues are fundamental and intrinsically related to the sense of self and personal identity. Individuals with DSD may be more vulnerable than other groups and the health care system and the teams taking care of individuals with a DSD should be aware of this and provide the psychological or psychiatric support when needed.

Khorashad BS, Aghili Z, Kreukels BPC, Reid AG, Roshan GM, Hiradfar M, Talaei A, Cohen Kettenis PT. 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. Arch Sex Behav. 2018 May;47(4):931-942.

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