GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY

Gender identity and gender role are expected to be consistent with gender assignment for optimal DSD management outcome. To our knowledge, our study is the first to attempt evaluation of gender related outcomes in Turkish DSD patients.After receiving institutional ethical board approval and subject...

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Main Authors: Oya eErcan, Seyhan eKutlug, Omer eUysal, Mujgan eAlikasifoglu, Derya eInceoglu
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-07-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fendo.2013.00086/full
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author Oya eErcan
Seyhan eKutlug
Omer eUysal
Mujgan eAlikasifoglu
Derya eInceoglu
author_facet Oya eErcan
Seyhan eKutlug
Omer eUysal
Mujgan eAlikasifoglu
Derya eInceoglu
author_sort Oya eErcan
collection DOAJ
description Gender identity and gender role are expected to be consistent with gender assignment for optimal DSD management outcome. To our knowledge, our study is the first to attempt evaluation of gender related outcomes in Turkish DSD patients.After receiving institutional ethical board approval and subject (or parent) informed consent, subjects with DSD raised as girls (22 patients 46 XX DSD,11 patients 46XY DSD) answered 566 questions of the Minnesota Multiphasic Personality Inventory (MMPI) questionnaire including 60- item Masculinity-Femininity (MF) subscale which was the focus in this study. Controls (n:50) were females similar to the probands in age, level of education, relationship status and having a job or not also answered all questions. The answers were evaluated by a trained psychologist(D.I.) on MMPI .For statistical purposes, 7 findings were obtained from the data related to the MF subscale from the patients and controls. Of these 7 findings (S1-S7), two were associated with masculinity (S3-S4) and another two were associated with femininity (S5-S6)In DSD patients, the percentages of masculinity findings were significantly higher when compared to controls (p< 0.001 and p< 0.001 for S3 and S4 respectively). In controls, the percentages of femininity findings were significantly higher when compared to DSD females (p< 0.001 and p< 0.001 for S5 and S6 respectively).There was no significant difference between 46XX DSD patients and 46XY DSD patients with respect to the percentage of any of the 7 findings. Two patients requested gender change to male;only these two patients had the finding stating that sexual impulses could come to existence as actions(S7).In conclusion efforts to identify modifiable factors with negative impact and thus modifying them, and professional guidance may be important in minimizing the encountered gender related problems in DSD patients
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spelling doaj.art-388de51333434d3b9a6447c9b8328bb42022-12-21T17:15:29ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922013-07-01410.3389/fendo.2013.0008643790GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDYOya eErcan0Seyhan eKutlug1Omer eUysal2Mujgan eAlikasifoglu3Derya eInceoglu4Istanbul University Cerrahpasa Medical FacultyIstanbul University Cerrahpasa Medical FacultyBezmi Alem Vakif UniversityIstanbul University,Cerrahpasa Medical FacultySabancı UniversityGender identity and gender role are expected to be consistent with gender assignment for optimal DSD management outcome. To our knowledge, our study is the first to attempt evaluation of gender related outcomes in Turkish DSD patients.After receiving institutional ethical board approval and subject (or parent) informed consent, subjects with DSD raised as girls (22 patients 46 XX DSD,11 patients 46XY DSD) answered 566 questions of the Minnesota Multiphasic Personality Inventory (MMPI) questionnaire including 60- item Masculinity-Femininity (MF) subscale which was the focus in this study. Controls (n:50) were females similar to the probands in age, level of education, relationship status and having a job or not also answered all questions. The answers were evaluated by a trained psychologist(D.I.) on MMPI .For statistical purposes, 7 findings were obtained from the data related to the MF subscale from the patients and controls. Of these 7 findings (S1-S7), two were associated with masculinity (S3-S4) and another two were associated with femininity (S5-S6)In DSD patients, the percentages of masculinity findings were significantly higher when compared to controls (p< 0.001 and p< 0.001 for S3 and S4 respectively). In controls, the percentages of femininity findings were significantly higher when compared to DSD females (p< 0.001 and p< 0.001 for S5 and S6 respectively).There was no significant difference between 46XX DSD patients and 46XY DSD patients with respect to the percentage of any of the 7 findings. Two patients requested gender change to male;only these two patients had the finding stating that sexual impulses could come to existence as actions(S7).In conclusion efforts to identify modifiable factors with negative impact and thus modifying them, and professional guidance may be important in minimizing the encountered gender related problems in DSD patientshttp://journal.frontiersin.org/Journal/10.3389/fendo.2013.00086/fullgender role in DSDgender identity in DSDoutcome in DSDfemales with DSDpsychosexual development in DSD
spellingShingle Oya eErcan
Seyhan eKutlug
Omer eUysal
Mujgan eAlikasifoglu
Derya eInceoglu
GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY
Frontiers in Endocrinology
gender role in DSD
gender identity in DSD
outcome in DSD
females with DSD
psychosexual development in DSD
title GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY
title_full GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY
title_fullStr GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY
title_full_unstemmed GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY
title_short GENDER IDENTITY AND GENDER ROLE IN DSD PATIENTS RAISED AS FEMALES:A PRELIMINARY OUTCOME STUDY
title_sort gender identity and gender role in dsd patients raised as females a preliminary outcome study
topic gender role in DSD
gender identity in DSD
outcome in DSD
females with DSD
psychosexual development in DSD
url http://journal.frontiersin.org/Journal/10.3389/fendo.2013.00086/full
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AT seyhanekutlug genderidentityandgenderroleindsdpatientsraisedasfemalesapreliminaryoutcomestudy
AT omereuysal genderidentityandgenderroleindsdpatientsraisedasfemalesapreliminaryoutcomestudy
AT mujganealikasifoglu genderidentityandgenderroleindsdpatientsraisedasfemalesapreliminaryoutcomestudy
AT deryaeinceoglu genderidentityandgenderroleindsdpatientsraisedasfemalesapreliminaryoutcomestudy