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Manju Mehta - One of the best experts on this subject based on the ideXlab platform.

  • gender of rearing and Psychosocial Aspect in 46 xx congenital adrenal hyperplasia
    Indian Journal of Endocrinology and Metabolism, 2016
    Co-Authors: Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
    Abstract:

    Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and Psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and Psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children <12 years and Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults. Results: We analyzed 22 46 XX CAH patients among which, 3 were reared as males and 19 as females. Among the 19 patients reared as females, 17 patients showed no gender dysphoria. Two patients revealed gender dysphoria as indicated by their marginally low scores on the gender dysphoria assessment. However, in view of current literature and the age groups of the patients, behavior of the 6-year-old patient can be best understood as being tomboyish. Gender dysphoria in the 22-year-old can be explained by the dominance of Psychosocial factors and not hormones alone. Among the three patients reared as males, two prepubertal were satisfied with their male gender identity. The third patient, aged 32 years, had gender dysphoria when reared as a male that resolved when gender was reassigned as female and feminizing surgery was done. Conclusion: Gender assignment in 46 XX CAH is guided by factors such as degree of virilization of genitalia, gender orientation, patient involvement, sociocultural, and parental influences.

  • Gender of rearing and Psychosocial Aspect in 46 XX congenital adrenal hyperplasia.
    Indian Journal of Endocrinology and Metabolism, 2016
    Co-Authors: Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
    Abstract:

    Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and Psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and Psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children

Arushi Gangaher - One of the best experts on this subject based on the ideXlab platform.

  • gender of rearing and Psychosocial Aspect in 46 xx congenital adrenal hyperplasia
    Indian Journal of Endocrinology and Metabolism, 2016
    Co-Authors: Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
    Abstract:

    Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and Psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and Psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children <12 years and Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults. Results: We analyzed 22 46 XX CAH patients among which, 3 were reared as males and 19 as females. Among the 19 patients reared as females, 17 patients showed no gender dysphoria. Two patients revealed gender dysphoria as indicated by their marginally low scores on the gender dysphoria assessment. However, in view of current literature and the age groups of the patients, behavior of the 6-year-old patient can be best understood as being tomboyish. Gender dysphoria in the 22-year-old can be explained by the dominance of Psychosocial factors and not hormones alone. Among the three patients reared as males, two prepubertal were satisfied with their male gender identity. The third patient, aged 32 years, had gender dysphoria when reared as a male that resolved when gender was reassigned as female and feminizing surgery was done. Conclusion: Gender assignment in 46 XX CAH is guided by factors such as degree of virilization of genitalia, gender orientation, patient involvement, sociocultural, and parental influences.

  • Gender of rearing and Psychosocial Aspect in 46 XX congenital adrenal hyperplasia.
    Indian Journal of Endocrinology and Metabolism, 2016
    Co-Authors: Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
    Abstract:

    Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and Psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and Psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children

Annette F Jansson - One of the best experts on this subject based on the ideXlab platform.

  • chronic non bacterial osteitis from the patient perspective a health services research through data collected from patient conferences
    BMJ Open, 2017
    Co-Authors: Colen Cooper Gore Silier, Justina Greschik, Susanne Gesell, Veit Grote, Annette F Jansson
    Abstract:

    Objective Although chronic non-bacterial osteitis (CNO) is an ever-increasingly recognised illness in the paediatric community and the adult healthcare community, a study to assess diagnosing, treatment and the Psychosocial Aspect of CNO from a large population pool was not available. We aimed to investigate CNO from the patient perspective. Design Health services research, patient survey. Setting Ludwig-Maximilians-University (LMU) Pediatric Rheumatology Department CNO Conferences held in June 2013 and June 2015. Participants Using a patient survey developed by the LMU Pediatric Rheumatology Department, 105 patients from ages 5 to 63 years were assessed regarding CNO to include epidemiological data, medical history and treatment, initial symptoms, diagnostic procedures, current symptoms, associated diseases, current treating physicians, absences in school and work due to illness and the impact of illness on patient, family and friends. Results Active CNO was reported in 90% of patients present, with 73% being women and 27% being men. An overwhelming majority (70%) reported being diagnosed within 18 months of onset of symptoms; however, the initial diagnoses were wide-ranged to include malignancies in 36% to bacterial osteomyelitis in 30%, where the majority were treated with an antibiotic and/or were biopsied. When asked about the Psychosocial Aspect of this illness, 83% reported that non-bacterial osteitis (NBO) negatively impacted the family, 79% reported that NBO has negatively affected either school or work and 56% reported a negative impact on friendships. Conclusion Delay of diagnosis, living with differential diagnoses like malignancies and finding specialists for medical care are a few examples of what leads patients into searching for more information. The negative impact on daily life including family relationships, friendships and work/school highlights a need for better Psychosocial support such as guidance counselling or psychological support due to three-quarters of patients receiving no such said support.

Miroslaw J Jarosz - One of the best experts on this subject based on the ideXlab platform.

  • Psychosocial Aspect of quality of life among working and unemployed nurses and midwives
    Annals of Agricultural and Environmental Medicine, 2017
    Co-Authors: Marta Czekirda, Pawel Chruściel, Neomi Czekirda, Miroslaw J Jarosz
    Abstract:

    OBJECTIVE The objective of the study was to explain differences in the subjective evaluation of the psychological and social Aspects of quality of life in a group of working and unemployed nurses and midwives. MATERIAL AND METHODS The survey was conducted in a group of 620 professionally-active and inactive people (315 nurses and 305 midwives), selected by random stratified-systematic sampling. The tool used to gather empirical material was the standardized questionnaire WHOQoL-100. RESULTS Professionally-active nurses evaluated the mental domain less favourably (M=12.33), compared with unemployed nurses (M=12.73), and the difference between average values was statistically significant (p=.043). It is also worth noting that in the group of midwives there were significant differences in each discussed domain. The unemployed respondents evaluated more positively the overall quality of life (M=14.29; p=.005) and the mental domain (M=12.85; p=.009), while the social domain was evaluated less favourably by the professionally-active midwives (M=12.73; p=.022). CONCLUSIONS Paradoxically, those who were unemployed made slightly more positive evaluations in comparison with the professionally active. Professional work is not a factor preferably affecting the quality of life and its Psychosocial dimension. The higher quality of life of the unemployed respondents may result from the buffering impact of social support.

  • Psychosocial Aspect of quality of life of polish women with breast cancer
    Annals of Agricultural and Environmental Medicine, 2012
    Co-Authors: Anna Pacian, Teresa Kulik, Jolanta Pacian, Pawel Chruściel, Dorota żolnierczukkieliszek, Miroslaw J Jarosz
    Abstract:

    INTRODUCTION AND OBJECTIVE Breast cancer is one of the most frequently occurring malignant tumours among women in Poland. The highest incidence of the disease is registered among women aged 50 and more. Cancer imposes a considerable psychological strain on a woman. It causes a sense of uncertainty about one's health and further life, as well as frequent problems with accepting the image of one's own body. It often results in low self-esteem and a feeling of embarrassment, accompanied by symptoms of apathy and detachment. The aim of the study was to determine mental and social life quality of Polish women treated for breast cancer. MATERIALS AND METHODS The research encompassed 107 women aged between 45 and 65 (SD=6.11) undergoing treatment for breast cancer. The WHOQOL-Bref scale was applied in the research. RESULTS The social field was better evaluated in comparison with the mental sphere. There was a statistical correlation between place of residence and social sphere of quality of life (p=,036), with higher ratings assigned by respondents residing in rural areas (M=15.36) compared with residents of towns (M=14.15). CONCLUSIONS Given the fact that respondents were coping with cancer or its consequences, paradoxically, perception of the overall quality of life and examined areas was generally good, especially among women with higher education, those who were single and those living in rural areas. Along with age, there decreases at the respondents the experienced quality of life, however a rise of evaluations of the mental sphere is accompanying the rise in the education level.

Vasundhera Chauhan - One of the best experts on this subject based on the ideXlab platform.

  • gender of rearing and Psychosocial Aspect in 46 xx congenital adrenal hyperplasia
    Indian Journal of Endocrinology and Metabolism, 2016
    Co-Authors: Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
    Abstract:

    Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and Psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and Psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children <12 years and Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults. Results: We analyzed 22 46 XX CAH patients among which, 3 were reared as males and 19 as females. Among the 19 patients reared as females, 17 patients showed no gender dysphoria. Two patients revealed gender dysphoria as indicated by their marginally low scores on the gender dysphoria assessment. However, in view of current literature and the age groups of the patients, behavior of the 6-year-old patient can be best understood as being tomboyish. Gender dysphoria in the 22-year-old can be explained by the dominance of Psychosocial factors and not hormones alone. Among the three patients reared as males, two prepubertal were satisfied with their male gender identity. The third patient, aged 32 years, had gender dysphoria when reared as a male that resolved when gender was reassigned as female and feminizing surgery was done. Conclusion: Gender assignment in 46 XX CAH is guided by factors such as degree of virilization of genitalia, gender orientation, patient involvement, sociocultural, and parental influences.

  • Gender of rearing and Psychosocial Aspect in 46 XX congenital adrenal hyperplasia.
    Indian Journal of Endocrinology and Metabolism, 2016
    Co-Authors: Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
    Abstract:

    Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and Psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and Psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children