Global perspective of psychosocial care of patients with differences of sex development from low-income countries.

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Title: Global perspective of psychosocial care of patients with differences of sex development from low-income countries.
Authors: Utari, Agustini, Silberkasten, Marcelo, Musa, Salwa, Hassan, Samar, Sharma, Rajni, Bramer, Wichor, van der Zwan, Yvonne G., Drop, Stenvert L. S.
Source: Journal of Reproductive & Infant Psychology. Mar2025, Vol. 43 Issue 2, p366-384. 19p.
Subjects: Sex differentiation disorders, Middle-income countries, Gender role, Psychiatric treatment, Gender identity, Human sexuality, Sexual excitement, Parent attitudes, Sex customs, Gender affirmation surgery, Human reproductive technology, Gender dysphoria, Quality of life, Low-income countries, Social stigma
Abstract: Objective: Management of Differences of Sex Development (DSD) is complex and in resource limited settings the psychosexual and psychosocial aspects of DSD care have received limited attention. This review aims to explore recent literature on psychosocial care of DSD in low and upper middle-income countries (L/UMIC). Materials and methods: Scientific databases were searched and papers on management of DSD were reviewed according to predefined inclusion criteria. Results: Papers published between January 2010 and July 2024 were screened for eligibility. Seventy studies specifically focusing on psychosexual and psychosocial aspects were identified. In these papers, the following aspects were studied in detail: gender identity, sexual behaviour, quality of life, perception of parents and society, communication and family counselling and socio-cultural and religious aspects. Conclusions: The geographical distribution and volume of studies on the psychosexual and psychosocial aspects of DSD in L/UMIC are mostly originating from East-and South-Asia and South & Central America. The findings underscore the need for integrated and culturally sensitive interventions to support the psychosocial well-being of patients and their families affected by DSD within resource-limited contexts. We highly recommend providing specific guidelines recognising the socio-cultural milieu and resource restricted settings. International collaboration providing education and training should be encouraged. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Global perspective of psychosocial care of patients with differences of sex development from low-income countries.
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  Data: <searchLink fieldCode="AR" term="%22Utari%2C+Agustini%22">Utari, Agustini</searchLink><br /><searchLink fieldCode="AR" term="%22Silberkasten%2C+Marcelo%22">Silberkasten, Marcelo</searchLink><br /><searchLink fieldCode="AR" term="%22Musa%2C+Salwa%22">Musa, Salwa</searchLink><br /><searchLink fieldCode="AR" term="%22Hassan%2C+Samar%22">Hassan, Samar</searchLink><br /><searchLink fieldCode="AR" term="%22Sharma%2C+Rajni%22">Sharma, Rajni</searchLink><br /><searchLink fieldCode="AR" term="%22Bramer%2C+Wichor%22">Bramer, Wichor</searchLink><br /><searchLink fieldCode="AR" term="%22van+der+Zwan%2C+Yvonne+G%2E%22">van der Zwan, Yvonne G.</searchLink><br /><searchLink fieldCode="AR" term="%22Drop%2C+Stenvert+L%2E+S%2E%22">Drop, Stenvert L. S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Reproductive+%26+Infant+Psychology%22">Journal of Reproductive & Infant Psychology</searchLink>. Mar2025, Vol. 43 Issue 2, p366-384. 19p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Sex+differentiation+disorders%22">Sex differentiation disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Middle-income+countries%22">Middle-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+role%22">Gender role</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+treatment%22">Psychiatric treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+identity%22">Gender identity</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+excitement%22">Sexual excitement</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+customs%22">Sex customs</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+affirmation+surgery%22">Gender affirmation surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Human+reproductive+technology%22">Human reproductive technology</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+dysphoria%22">Gender dysphoria</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Low-income+countries%22">Low-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Management of Differences of Sex Development (DSD) is complex and in resource limited settings the psychosexual and psychosocial aspects of DSD care have received limited attention. This review aims to explore recent literature on psychosocial care of DSD in low and upper middle-income countries (L/UMIC). Materials and methods: Scientific databases were searched and papers on management of DSD were reviewed according to predefined inclusion criteria. Results: Papers published between January 2010 and July 2024 were screened for eligibility. Seventy studies specifically focusing on psychosexual and psychosocial aspects were identified. In these papers, the following aspects were studied in detail: gender identity, sexual behaviour, quality of life, perception of parents and society, communication and family counselling and socio-cultural and religious aspects. Conclusions: The geographical distribution and volume of studies on the psychosexual and psychosocial aspects of DSD in L/UMIC are mostly originating from East-and South-Asia and South & Central America. The findings underscore the need for integrated and culturally sensitive interventions to support the psychosocial well-being of patients and their families affected by DSD within resource-limited contexts. We highly recommend providing specific guidelines recognising the socio-cultural milieu and resource restricted settings. International collaboration providing education and training should be encouraged. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/02646838.2024.2439926
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 19
        StartPage: 366
    Subjects:
      – SubjectFull: Sex differentiation disorders
        Type: general
      – SubjectFull: Middle-income countries
        Type: general
      – SubjectFull: Gender role
        Type: general
      – SubjectFull: Psychiatric treatment
        Type: general
      – SubjectFull: Gender identity
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Sexual excitement
        Type: general
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Sex customs
        Type: general
      – SubjectFull: Gender affirmation surgery
        Type: general
      – SubjectFull: Human reproductive technology
        Type: general
      – SubjectFull: Gender dysphoria
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Low-income countries
        Type: general
      – SubjectFull: Social stigma
        Type: general
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      – TitleFull: Global perspective of psychosocial care of patients with differences of sex development from low-income countries.
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            NameFull: Musa, Salwa
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              Text: Mar2025
              Type: published
              Y: 2025
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