有性别发展差异的青年和青少年的身体形象和心理社会结果:一项多方法研究。

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-07-01 DOI:10.1093/jpepsy/jsae041
Canice E Crerand, Ayah Shehata, Hailey Umbaugh, Hillary M Kapa, Jennifer Hansen-Moore, Leena Nahata, Cindy Buchanan, Diane Chen, Joseph Rausch, Shivika Udaipuria, Venkata R Jayanthi, Yee-Ming Chan, Keeley J Pratt, Elizabeth Buschur, Justin Indyk, Amy C Tishelman
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引用次数: 0

摘要

目的:性别发育差异(DSD)会影响受影响个体的身体健康、外观和社会心理功能,但人们对主观外观认知(身体形象)如何影响社会心理结果知之甚少。本研究评估了身体形象及其与生活质量、复原力和社会心理适应等社会心理结果之间的关系:这项横断面、多方法研究使用心理测量工具评估了 97 名患有 DSD 的青少年和年轻成人(平均年龄 = 17 ± 3.7 岁;56% 在婴儿期被分配为女性)的身体形象和心理社会结果,包括生活质量、适应能力和复原力。一个子样本(n = 40)完成了定性访谈:定量结果显示,总体而言,参与者对自己的外貌感到满意,但对自己的主要性别特征不太满意。身体形象不满意与较差的社会心理适应能力、生活质量和复原力有关。从定性角度来看,青年和青少年报告了与他们的身体形象和生活在 DSD 条件下的影响有关的各种看法,既有积极的,也有消极的。确定的主题包括外貌管理、DSD 对身体形象的影响、诊断因素和特征、对诊断的态度以及治疗:身体形象与患有 DSD 的青年和年轻成年人的心理社会结果密切相关,定性研究结果突出了积极和消极的身体形象体验。研究结果对临床治疗具有重要意义,包括筛查外貌问题、使外貌变化正常化以及制定干预措施,以更好地支持患有 DSD 的青少年健康的身体形象和社会心理功能。
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Body image and psychosocial outcomes in youth and young adults with differences of sex development: a multi-method study.

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.

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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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