University of Cincinnati, USA.
J Health Psychol. 2021 Jan;26(1):40-59. doi: 10.1177/1359105320909863. Epub 2020 Mar 5.
This review summarizes research on the mental health outcomes of genetic males with a disorder of sex development (46,XY DSD). Databases were systematically searched, yielding 19 studies included in this review. Results varied widely, with mental health outcomes ranging from very poor to similar to comparison groups. A small number of studies demonstrated that patients with hypospadias or complete androgen insensitivity syndrome reported better mental health than patients with other 46,XY (DSD) diagnoses. Future studies should include larger samples of patients within a similar developmental stage, display results separately by DSD diagnosis and gender identity, and consider the potential impact of medical/surgical events on their mental health.
这篇综述总结了性发育障碍（46,XY DSD）男性的心理健康结果的研究。系统地检索了数据库，共纳入了 19 项研究。结果差异很大，心理健康结果从非常差到与对照组相似不等。少数研究表明，患有尿道下裂或完全雄激素不敏感综合征的患者报告的心理健康状况好于患有其他 46,XY（DSD）诊断的患者。未来的研究应包括在相似发育阶段内的更大患者样本，按 DSD 诊断和性别认同分别显示结果，并考虑医疗/手术事件对其心理健康的潜在影响。
