Psychosocial and psychosexual aspects of disorders of sex development
Psychosocial and psychosexual aspects of disorders of sex development
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DOI：
10.1016/j.beem.2009.11.005
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发表时间：
2010-04-01
影响因子：
7.4
通讯作者：
Cohen-Kettenis, P. T.
中科院分区：
文献类型：
--
作者：
Cohen-Kettenis, P. T.
性发育障碍（DSD）治疗的心理社会方面涉及性别分配、信息管理和沟通、医疗干预的时机、手术的后果和性行为。尽管结果通常令人满意，但各种医学和心理社会因素可能会危害 DSD 儿童的心理发展。这有时会导致晚年改变性别的愿望。对患有 DSD 的个体性别不安的临床管理可能会受益于为没有 DSD 的性别不安个体开发的方法和见解。在 DSD 护理中，临床决策通常会对生活质量产生长期影响，并且应基于经验证据。然而，此类证据（例如，关于性别分配、信息管理和手术时机）基本上不存在。需要制定针对 DSD 的具体协议和教育材料，以标准化和评估干预措施，以促进 DSD 专业人士和个人的决策，并加强该领域的社会心理护理。 (C) 2009 Elsevier Ltd. 保留所有权利。
Psychosocial aspects of the treatment of disorders of sex development (DSDs) concern gender assignment, information management and communication, timing of medical interventions, consequences of surgery, and sexuality. Although outcome is often satisfactory, a variety of medical and psychosocial factors may jeopardise the psychological development of children with DSDs. This sometimes results in the desire to change gender later in life. The clinical management of gender dysphoria in individuals with DSD may profit from methods and insights that have been developed for gender dysphoric individuals without DSD. In DSD care, clinical decisions are often made with long-lasting effects on quality of life and should be based on empirical evidence. Yet, such evidence (e.g., regarding gender assignment, information management and timing of surgery) is largely non-existent. DSD-specific protocols and educational materials need to be developed to standardise and evaluate interventions in order to facilitate decision making of professionals and individuals with DSD and enhance psychosocial care in this area. (C) 2009 Elsevier Ltd. All rights reserved.