Androgen and psychosexual development: Core gender identity, sexual orientation, and recalled childhood gender role behavior in women and men with congenital adrenal hyperplasia (CAH)
Androgen and psychosexual development: Core gender identity, sexual orientation, and recalled childhood gender role behavior in women and men with congenital adrenal hyperplasia (CAH)
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DOI：
10.1080/00224490409552215
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发表时间：
2004-02-01
影响因子：
3.6
通讯作者：
Conway, GS
中科院分区：
文献类型：
--
作者：
Hines, M;Brook, C;Conway, GS
我们评估了16名女性和9名男性先天性肾上腺皮质增生症（CAH）患者以及15名未受影响的女性和10名未受影响的男性亲属的核心性别认同，性取向和回忆童年性别角色行为，年龄均在18至44岁之间。CAH的女性比未受影响的女性回忆起更多的男性典型的儿童游戏行为，而男性与非CAH的女性没有差异CAH的女性也报告了对女性性别的满意度显着降低，异性恋兴趣也比未受影响的女性少。同样，CAH患者在这些方面与未受影响的男性相比没有显著差异.我们对CAH女性的研究结果与许多先前的报告一致，表明CAH女孩表现出更多的男性典型的游戏行为，他们也支持这些女性表现出异性恋兴趣减少和对女性性别的满意度降低的假设。我们对男性的研究结果与大多数先前的报道一致，即CAH男孩在儿童期游戏行为中没有表现出普遍的改变，此外，他们提供了初步证据，表明CAH男性的核心性别认同和性取向不受影响。最后，在患有CAH的女性中，我们发现回忆起童年时的男性典型游戏与成年后对女性的满意度降低和异性恋兴趣降低有关。虽然还需要前瞻性研究，但这些结果表明，那些在童年游戏行为中表现出最大变化的CAH女孩可能最有可能在成年后发展为双性恋或同性恋取向，并且对分配的女性性别不满意。
We assessed core gender identity, sexual orientation, and recalled childhood gender role behavior in 16 women and 9 men with congenital adrenal hyperplasia (CAH) and in 15 unaffected female and 10 unaffected male relatives, all between the ages of 18 and 44 years. Women with CAH recalled significantly more male-typical play behavior as children than did unaffected women, whereas men with and without CAH did not differ Women with CAH also reported significantly less satisfaction with the female sex of assignment and less heterosexual interest than did unaffected women. Again, men with CAH did not significantly from unaffected men in these respects. Our results for women with CAH art consistent with numerous prior reports indicating that girls with CAH show increased male-typical play behavior They also support the hypotheses that these women show reduced heterosexual interest and reduced satisfaction with the female sex of assignment. Our results for males are consistent with most prior reports that boys with CAH do not show a general alteration in childhood play behavior behaviour, In addition, they provide initial evidence that core gender identity and sexual orientation are unaffected in men with CAH. Finally, among women with CAH, we found that recalled male-typical play in childhood cot-related with reduced satisfaction with the female gender and reduced heterosexual interest in adulthood. Although prospective studies are needed, these results suggest that those girls with CAH who show the greatest alterations in childhood play behavior may be the most likely to develop a bisexual or homosexual orientation as adults and to be dissatisfied with the female sex of assignment.