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Psychiatric view for disorders of sex development: a 12-year experience of a multidisciplinary team in a university hospital

  • Birsen Şentürk Pilan EMAIL logo , Burcu Özbaran , Didem Çelik , Tuğçe Özcan , Samim Özen , Damla Gökşen , İbrahim Ulman , Ali Avanoğlu , Sibel Tiryaki , Hüseyin Onay , Özgür Çoğulu , Ferda Özkınay and Şükran Darcan



Psychiatric consultation is important in the follow-up of disorders of sex development (DSD) patients. In this study, we aimed to present the 12-year psychiatric follow-up data of the patients who were referred by Ege University Medical Faculty DSD Multidisciplinary Team and followed up in Child and Adolescent Psychiatry.


Psychiatric data of 118 patients, who were followed by the DSD multidisciplinary team between 2007 and 2019, were reviewed retrospectively. The psychiatric diagnoses of the patients were evaluated according to semi-structured interview form Schedule for Affective Disorders and Schizophrenia for School-Age Children/Present and Lifetime Turkish Version.


The mean age of the 118 cases was 13.21 years (±7.18). Endocrine diagnoses of the cases were 46 XX DSD in 35 (29.6%), 46 XY DSD in 81 (68.7%), and chromosome disorders in 2 (1.7%). There was at least psychiatric diagnosis in 36 (30.5%) cases. The most common psychiatric diagnosis was attention deficit and hyperactivity disorder (ADHD) (n = 18, 15.3%). ADHD was most common in congenital adrenal hyperplasia (n = 4, 22.4%) and androgen synthesis defects (ASD) (n = 4, 22.4%); depression was most common in complete gonadal dysgenesis and ASD (n = 3, 23.1%); and mental retardation was most common in ASD (n = 3, 37.5%).


In order to provide a healthy perspective for cases with DSD, it is important to make a psychiatric evaluation and to share observations and clinical findings in regular team meetings.

  1. Author contributions: Birsen Şentürk Pilan was involved in protocol development, data collection, data analysis, coordination of the study, and manuscript writing. Burcu Özbaran was involved in protocol development, data collection, coordination of the study, and manuscript editing. Didem Çelik was involved in data collection. Tuğçe Özcan was involved in data collection and manuscript writing. Samim Özen was involved in data collection and manuscript editing. Damla Gökşen, İbrahim Ulman, Ali Avanoğlu, Sibel Tiryaki, Hüseyin Onay, Özgür Çoğulu, Ferda Özkınay, and Şükran Darcan were involved in data collection. All authors discussed the results and contributed to the final manuscript.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.


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Received: 2019-10-30
Accepted: 2020-02-24
Published Online: 2020-04-01
Published in Print: 2020-05-26

©2020 Walter de Gruyter GmbH, Berlin/Boston

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