دورية أكاديمية
Body image and psychosocial outcomes in youth and young adults with differences of sex development: a multi-method study.
| العنوان: | Body image and psychosocial outcomes in youth and young adults with differences of sex development: a multi-method study. |
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| المؤلفون: | Crerand CE; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States.; Department of Plastic Surgery, The Ohio State University College of Medicine, Columbus, OH, United States., Shehata A; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States., Umbaugh H; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States., Kapa HM; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States., Hansen-Moore J; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States., Nahata L; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States., Buchanan C; Department of Psychiatry, Children's Hospital of Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, United States., Chen D; Potocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.; Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.; Departments of Psychiatry and Behavioral Sciences, and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States., Rausch J; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States., Udaipuria S; Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States., Jayanthi VR; Department of Urology, The Ohio State University College of Medicine, Columbus, OH, United States., Chan YM; Division of Endocrinology, Boston Children's Hospital, Boston, MA, United States.; Department of Pediatrics, Harvard Medical School, Boston, MA, United States., Pratt KJ; Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, Columbus, OH, United States., Buschur E; Department of Endocrinology, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH, United States., Indyk J; Department of Endocrinology, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH, United States., Tishelman AC; Department of Psychology and Neuroscience, Boston College, Boston, MA, United States. |
| المصدر: | Journal of pediatric psychology [J Pediatr Psychol] 2024 Jul 01; Vol. 49 (7), pp. 512-523. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 7801773 Publication Model: Print Cited Medium: Internet ISSN: 1465-735X (Electronic) Linking ISSN: 01468693 NLM ISO Abbreviation: J Pediatr Psychol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Cary, NC : Oxford University Press Original Publication: Washington, Society of Pediatric Psychology. |
| مواضيع طبية MeSH: | Body Image*/psychology , Quality of Life*/psychology , Disorders of Sex Development*/psychology, Humans ; Female ; Male ; Adolescent ; Young Adult ; Cross-Sectional Studies ; Adult ; Resilience, Psychological ; Psychosocial Functioning |
| مستخلص: | Objective: Differences of sex development (DSD) can affect the physical health, appearance, and psychosocial functioning of affected individuals, but little is known about how subjective appearance perceptions (body image) impact psychosocial outcomes. This study evaluated body image and its associations with psychosocial outcomes including quality of life, resilience, and psychosocial adjustment. Methods: This cross-sectional, multi-method study assessed body image and psychosocial outcomes including quality of life, adjustment, and resilience in 97 youth and young adults with DSD (mean age = 17 ± 3.7 years; 56% assigned female in infancy) using psychometrically sound instruments. A subsample (n = 40) completed qualitative interviews. Results: Quantitative results indicated that overall, participants were satisfied with their physical appearance, although less so with their primary sex characteristics. Body image dissatisfaction was associated with poorer psychosocial adjustment, quality of life, and resilience. Qualitatively, youth and young adults reported a variety of perceptions, both positive and negative, related to their body image and the impact of living with a DSD condition. Themes identified included appearance management; effects of DSD on body image; diagnostic factors and features; attitudes about diagnosis; and treatment. Conclusions: Body image is significantly associated with psychosocial outcomes in youth and young adults with DSD, with qualitative findings highlighting both positive and negative body image experiences. Results have implications for clinical care including screening for appearance concerns, normalization of appearance variations, and intervention development to better support healthy body image and psychosocial functioning in youth and young adults with DSD. (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| معلومات مُعتمدة: | R21 HD089526 United States HD NICHD NIH HHS; R21HD089526 National Institute of Child Health and Human Development; R21HD089526 Eunice Kennedy Shiver National Institute of Child Health and Human Development |
| فهرسة مساهمة: | Keywords: body image; disorders/differences of sex development; psychosocial functioning; quality of life; resilience |
| تواريخ الأحداث: | Date Created: 20240612 Date Completed: 20240719 Latest Revision: 20240830 |
| رمز التحديث: | 20240830 |
| DOI: | 10.1093/jpepsy/jsae041 |
| PMID: | 38867313 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1465-735X |
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| DOI: | 10.1093/jpepsy/jsae041 |