The Experts below are selected from a list of 1890 Experts worldwide ranked by ideXlab platform
Cynthia A. Gerhardt - One of the best experts on this subject based on the ideXlab platform.
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Psychosexual Development and satisfaction with timing of Developmental milestones among adult survivors of childhood cancer.
Psycho-oncology, 2018Co-Authors: Vicky Lehmann, Madelaine C. Keim, Amanda C. Ferrante, Randal Olshefski, Cynthia A. GerhardtAbstract:OBJECTIVE To extend the limited research on Psychosexual Development among childhood cancer survivors, by not only focusing on the prevalence and age of milestone attainment, but also survivors' attitudes toward the timing of reaching such milestones. METHODS Adult survivors of childhood cancer (N = 90; Mage = 29.8, SD = 5.2), recruited from a US pediatric institution, completed online surveys indicating whether they had reached 5 milestones of Psychosexual Development (ie, first kiss, first boy-/girlfriend, first physical intimacy, sexual debut, first time in love), age at attainment, and perceptions about the timing (ie, right time, wished it had happened earlier, wished they had waited). RESULTS Almost all survivors had reached each milestone (≥90%), except for sexual debut (83.3%). Survivors reported their first kiss as the earliest milestone at age 14.6 (N = 82, 92%) and falling in love as the latest milestone at age 18.8 (N = 80; 90%). This timing did not differ by sex/cancer-specific factors. Most survivors (~60%) felt they reached each milestone at the right time. Compared with US normative data, both male and female survivors were less likely to have experienced their sexual debut and were approximately 1.5 years older at sexual debut. Nevertheless, 59% of survivors felt that this timing was right and 31% wished they had waited longer. CONCLUSIONS This is the first study to demonstrate that although childhood cancer survivors may delay some aspects of Psychosexual Development, most are satisfied with this timing. Research and clinical practice should emphasize survivors' perceptions/satisfaction toward Psychosexual Development rather than focusing only on normative milestone attainment.
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Psychosexual Development and satisfaction in long-term survivors of childhood cancer: Neurotoxic treatment intensity as a risk indicator
Cancer, 2017Co-Authors: Vicky Lehmann, Madelaine C. Keim, Randal Olshefski, Marrit A. Tuinman, Adrien M. Winning, Rajinder P.s. Bajwa, Mariët Hagedoorn, Cynthia A. GerhardtAbstract:BACKGROUNDRisk factors for impairment in Psychosexual Development and satisfaction among adult survivors of childhood cancer are poorly understood. The authors compared Psychosexual outcomes between survivors and healthy controls, and tested whether at-risk survivors can be identified by 1) treatment neurotoxicity or 2) diagnosis. METHODSA total of 144 young adult survivors of childhood cancer and 144 matched controls completed questionnaires regarding Psychosexual Development, sexual satisfaction, and satisfaction with relationship status. Survivors were aged 20 to 40 years and were 5 to 34 years after diagnosis. Using medical chart data, survivors were divided into non-neurotoxic (48 survivors), low-dose (36 survivors), and high-dose (58 survivors) neurotoxic treatment groups. RESULTSApart from having fewer lifetime sex partners, survivors did not appear to differ from controls. However, survivors of brain tumors and any survivor who received high-dose neurotoxic treatment reported the lowest rates of achieving milestones of Psychosexual Development, whereas sexual and relationship status satisfaction were found to be related to relationship status. Neurotoxic treatment intensity further distinguished between survivors of brain tumors with and without Psychosexual impairment. CONCLUSIONSThe intensity of neurotoxic treatment may be a valuable indicator of risk for Psychosexual impairment relative to diagnosis alone. Health care providers should assess romantic/sexual problems among survivors at risk and make referrals if needed. Cancer 2017;123:1869-1876. (c) 2017 American Cancer Society. The results of the current study indicate that adult survivors of childhood cancer do not differ from healthy controls with regard to their Psychosexual Development, sexual satisfaction, and relationship status satisfaction. However, more intense neurotoxic treatment appears to be associated with a higher risk of Psychosexual impairment, and may be a more meaningful risk indicator than diagnostic category alone.
Melissa Hines - One of the best experts on this subject based on the ideXlab platform.
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Psychosexual Development in individuals who have female pseudohermaphroditism
Child and Adolescent Psychiatric Clinics of North America, 2004Co-Authors: Melissa HinesAbstract:To understand clinical cases of female pseudohermaphroditism, it is helpful to understand the basic science of sexual differentiation. Although sexual differentiation in mammals begins with the sex chromosomes, their main role is to determine whether the primordial gonads, which originally are identical in XX and XY organisms, develop as testes or ovaries. In the presence of information on the Y chromosome, the gonads differentiate as testes and by Week 8 of human gestation they produce large amounts of androgen [1]. In contrast, in the absence of the testes-determining genes on the Y chromosome, the primordial gonads become ovaries and androgen levels remain low. The testes continue to produce large amounts of androgen until about Week 16 of gestation; during this time, the androgens cause the external genitalia—also initially identical in XX and XY individuals—to develop into penis and scrotum. In contrast, in the absence of testicular hormones, the same primordia develop into clitoris and labia. Estrogen seems to be unnecessary for female-typical genital Development; the ovaries, unlike the testes, seem to produce only small amounts of hormones prenatally [1,2]. Because sexual differentiation of the external genitalia depends on androgens, prenatal abnormalities of androgens can cause intersex conditions. For instance, XX individuals who are exposed to high levels of androgens prenatally can be born with partially or completely virilized genitalia. Similarly, XY individuals who produce lower than normal levels of androgen or whose cells do not respond appropriately to androgen (ie, cases of androgen insensitivity) can be born with external genitalia that are incompletely virilized, or that appear to be essentially female.
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Psychosexual Development in individuals who have female pseudohermaphroditism.
Child and adolescent psychiatric clinics of North America, 2004Co-Authors: Melissa HinesAbstract:This article describes Psychosexual outcomes and issues in syndromes of female pseudohermaphroditism, broadly defined. Congenital adrenal hyperplasia, the most common cause of intersex genitalia at birth, is covered as are Turner Syndrome and syndromes in which XY infants who are born with undervirilized genitalia are assigned and reared as girls (androgen insensitivity syndrome; cloacal exstrophy). The same hormonal abnormalities that cause most physical intersex conditions also influence brain Development and behavior; individuals who have intersex conditions can show behavior that is in between that of the typical boy/man and the typical girl/woman. Changes in sex-typical play behavior in childhood are larger than in sexual orientation or core gender identity in adulthood. Most female pseudohermaphrodites, whether XX or XY, who are assigned and reared as girls evolve a feminine core gender identity and primarily are heterosexual. Implications for current debate about the treatment of infants who have ambiguous genitalia are discussed, as is the need for additional research and for consideration of psychologic counseling as part of the treatment program.
R.a.r. Bullens - One of the best experts on this subject based on the ideXlab platform.
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Offense related characteristics and Psychosexual Development of juvenile sex offenders
Child and adolescent psychiatry and mental health, 2009Co-Authors: Lisette 't A Hart-kerkhoffs, Theo A. H. Doreleijers, Lucres M. C. Jansen, Anton Van Wijk, R.a.r. BullensAbstract:This article reports on offense related characteristics and the Psychosexual Development in subgroups of juvenile sex offenders as measured by the Global Assessment Instrument for Juvenile Sex Offenders (GAIJSO). The predictive validity of these characteristics for persistent (sexual) offensive behavior in subgroups of juvenile sex offenders was investigated. One hundred seventy four sex offenders (mean age 14.9 SD 1.4) referred by the police to the Dutch Child Protection Board were examined. Offense related characteristics were assessed by means of the GAIJSO and the BARO (a global assessment tool for juvenile delinquents), and criminal careers of the subjects were ascertained from official judicial records. Serious need for comprehensive diagnostics were found on the domains sexual offense and Psychosexual Development in juvenile sex offenders, especially in the group of child molesters. These youngsters displayed more internalizing and (Psychosexual) Developmental problems and their sexual offense was more alarming as compared to the other juvenile sex offender subgroups. Although one third of the juveniles had already committed one or more sex offenses prior to the index offense, at follow up (mean follow up period: 36 months SD 18 months) almost no sexual recidivism was found (0.6% of the entire sample). However, a substantial proportion of the entire sample of juvenile sex offenders showed non-sexual (55.6%) and violent recidivism (32.1%). Several predictors for a history of multiple sex offending and non-sexual recidivism were identified. This study revealed numerous problems in juvenile sex offenders. Assessment using the GAIJSO is helpful in order to identify indicators for extensive diagnostic assessment. In order to investigate the predictive validity for sexual reoffending a longer follow up period is necessary.
Vicky Lehmann - One of the best experts on this subject based on the ideXlab platform.
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Psychosexual Development and satisfaction with timing of Developmental milestones among adult survivors of childhood cancer.
Psycho-oncology, 2018Co-Authors: Vicky Lehmann, Madelaine C. Keim, Amanda C. Ferrante, Randal Olshefski, Cynthia A. GerhardtAbstract:OBJECTIVE To extend the limited research on Psychosexual Development among childhood cancer survivors, by not only focusing on the prevalence and age of milestone attainment, but also survivors' attitudes toward the timing of reaching such milestones. METHODS Adult survivors of childhood cancer (N = 90; Mage = 29.8, SD = 5.2), recruited from a US pediatric institution, completed online surveys indicating whether they had reached 5 milestones of Psychosexual Development (ie, first kiss, first boy-/girlfriend, first physical intimacy, sexual debut, first time in love), age at attainment, and perceptions about the timing (ie, right time, wished it had happened earlier, wished they had waited). RESULTS Almost all survivors had reached each milestone (≥90%), except for sexual debut (83.3%). Survivors reported their first kiss as the earliest milestone at age 14.6 (N = 82, 92%) and falling in love as the latest milestone at age 18.8 (N = 80; 90%). This timing did not differ by sex/cancer-specific factors. Most survivors (~60%) felt they reached each milestone at the right time. Compared with US normative data, both male and female survivors were less likely to have experienced their sexual debut and were approximately 1.5 years older at sexual debut. Nevertheless, 59% of survivors felt that this timing was right and 31% wished they had waited longer. CONCLUSIONS This is the first study to demonstrate that although childhood cancer survivors may delay some aspects of Psychosexual Development, most are satisfied with this timing. Research and clinical practice should emphasize survivors' perceptions/satisfaction toward Psychosexual Development rather than focusing only on normative milestone attainment.
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Psychosexual Development and satisfaction in long-term survivors of childhood cancer: Neurotoxic treatment intensity as a risk indicator
Cancer, 2017Co-Authors: Vicky Lehmann, Madelaine C. Keim, Randal Olshefski, Marrit A. Tuinman, Adrien M. Winning, Rajinder P.s. Bajwa, Mariët Hagedoorn, Cynthia A. GerhardtAbstract:BACKGROUNDRisk factors for impairment in Psychosexual Development and satisfaction among adult survivors of childhood cancer are poorly understood. The authors compared Psychosexual outcomes between survivors and healthy controls, and tested whether at-risk survivors can be identified by 1) treatment neurotoxicity or 2) diagnosis. METHODSA total of 144 young adult survivors of childhood cancer and 144 matched controls completed questionnaires regarding Psychosexual Development, sexual satisfaction, and satisfaction with relationship status. Survivors were aged 20 to 40 years and were 5 to 34 years after diagnosis. Using medical chart data, survivors were divided into non-neurotoxic (48 survivors), low-dose (36 survivors), and high-dose (58 survivors) neurotoxic treatment groups. RESULTSApart from having fewer lifetime sex partners, survivors did not appear to differ from controls. However, survivors of brain tumors and any survivor who received high-dose neurotoxic treatment reported the lowest rates of achieving milestones of Psychosexual Development, whereas sexual and relationship status satisfaction were found to be related to relationship status. Neurotoxic treatment intensity further distinguished between survivors of brain tumors with and without Psychosexual impairment. CONCLUSIONSThe intensity of neurotoxic treatment may be a valuable indicator of risk for Psychosexual impairment relative to diagnosis alone. Health care providers should assess romantic/sexual problems among survivors at risk and make referrals if needed. Cancer 2017;123:1869-1876. (c) 2017 American Cancer Society. The results of the current study indicate that adult survivors of childhood cancer do not differ from healthy controls with regard to their Psychosexual Development, sexual satisfaction, and relationship status satisfaction. However, more intense neurotoxic treatment appears to be associated with a higher risk of Psychosexual impairment, and may be a more meaningful risk indicator than diagnostic category alone.
Duarte Vilar - One of the best experts on this subject based on the ideXlab platform.
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Lessons learnt from a secondary school Sex Education Program in Portugal
Sex Education, 2007Co-Authors: Ana Paula Sousa, Isabel Soares, Duarte VilarAbstract:Based on a Developmental framework, a study was conducted in Portugal in two groups of youth in terms of relevant aspects related to adolescent Psychosexual Development: one group participated in an Experimental Project of Sex Education and Health Promotion during high school, whereas the other did not receive any formal sex education in school. Within this ex‐post‐facto study, the ‘Sex Education and Psychosexual Development Questionnaire’ was administered to both groups, using the ‘mail‐type’ technique. Results reveal positive evaluations from the participants in the Sex Education Program and similarities between the groups in terms of their sexual knowledge and attitudes. However, the participants of the Sex Education Program show a multi‐oriented style of sexual information and, at a behavioural level, they refer more frequently to the use of safe methods for preventing sexually transmitted diseases. The implications of these findings for sex education in schools are discussed.