Mukherjee Bipasha, McCauley Elizabeth, Hanford Russell B, Aalsma Matthew, Anderson Amy M
University of Washington, Seattle Children's Hospital, Seattle, Washington, USA.
J Urol. 2007 Aug;178(2):630-5; discussion 634-5. doi: 10.1016/j.juro.2007.03.144. Epub 2007 Jun 13.
Psychological functioning, as reflected in psychopathology, psychosocial functioning, gender identity, gender role and cognitive abilities, was examined in a sample of patients with cloacal exstrophy.
Nine participants 11 to 37 years old completed the evaluation. Standardized measures were used and participant responses were compared to the norms of the various instruments. Gender reassigned participants with cloacal exstrophy were compared with nonassigned participants with cloacal exstrophy. Mean differences between the 2 groups were calculated using the t test.
Overall the participants with cloacal exstrophy reported good psychological functioning. Significant differences between reassigned and nonassigned participants were found in the area of depression. All participants had a stable gender identity. XY females showed more male-typical gender roles. There were no significant group differences on cognitive assessments. Reassigned and nonassigned participants did not differ in IQ.
Although being born with cloacal exstrophy puts patients at risk for psychopathology and psychosocial problems, it does not necessarily mean that these problems will develop. With the appropriate support these patients can have remarkably well adjusted lives.
在泄殖腔外翻患者样本中，对心理病理学、心理社会功能、性别认同、性别角色和认知能力所反映的心理功能进行研究。
9名年龄在11至37岁之间的参与者完成了评估。使用了标准化测量方法，并将参与者的回答与各种工具的常模进行比较。将接受性别重新分配的泄殖腔外翻参与者与未接受性别重新分配的泄殖腔外翻参与者进行比较。使用t检验计算两组之间的平均差异。
总体而言，泄殖腔外翻参与者报告心理功能良好。在抑郁方面，接受性别重新分配和未接受性别重新分配的参与者之间存在显著差异。所有参与者都有稳定的性别认同。XY女性表现出更多男性典型的性别角色。在认知评估方面，两组之间没有显著差异。接受性别重新分配和未接受性别重新分配的参与者在智商方面没有差异。
虽然出生时患有泄殖腔外翻会使患者面临心理病理学和心理社会问题的风险，但这并不一定意味着这些问题会出现。在适当的支持下，这些患者可以过上非常适应良好的生活。
