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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Ed. by Bereket, Abdullah / Darendeliler, Feyza / Dattani, Mehul / Gustafsson, Jan / Luo, Fei Hong / Mericq, Veronica / Ogata, Tsutomu / Toppari, Jorma

12 Issues per year

IMPACT FACTOR 2017: 1.086

CiteScore 2017: 1.07

SCImago Journal Rank (SJR) 2017: 0.465
Source Normalized Impact per Paper (SNIP) 2017: 0.580

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Volume 23, Issue 6


Psychosexual Development in Children with Disorder of Sex Development (DSD) – Results from the German Clinical Evaluation Study

M. Jürgensen / E. Kleinemeier / A. Lux
  • Institute for Biometry and Medical Informatics, University Otto-von-Guericke, Magdeburg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ T. D. Steensma / P. T. Cohen-Kettenis / O. Hiort / U. Thyen
  • Corresponding author
  • Department for Paediatric and Adolescent Medicine, University Lübeck, Magdeburg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2010-09-17 | DOI: https://doi.org/10.1515/jpem.2010.095


Psychosexual development is influenced by biological and psychosocial factors. Human beings show a great variability in psychosexual development both between and within gender-groups. However, there are relatively stable gender-related behaviors and self-perceptions, in which males and females differ distinctly. There is strong evidence that high concentrations of androgens lead to more male-typical behavior and that this also influences gender identity. Disorders of sex development (DSD) provide the opportunity to analyze the role of different factors on psychosexual development. We examined 166 children age 4 to 12 with DSD using instruments concerning gender role behavior, gender identity, and friendship. Results underline the hypothesis, that androgens play a decisive role in the masculinization of gender role behavior in children. There are also some relations between the experience of gender change and psychosexual outcomes which have to be discussed. Nevertheless, results indicated a high congruence between the children's gender identity and gender of rearing.

KEY WORDS: disorders of sex development; psychosexual development; gender role behavior; gender identity; intersexuality; androgens; children

About the article

Corresponding Author: Prof. Dr. Med Ute Thyen,

Published Online: 2010-09-17

Published in Print: 2010-06-01

Citation Information: Journal of Pediatric Endocrinology and Metabolism, Volume 23, Issue 6, Pages 565–578, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/jpem.2010.095.

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