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Licensed Unlicensed Requires Authentication Published by De Gruyter May 23, 2014

Differences in anxiety and depression between male and female caregivers of children with a disorder of sex development

  • Cortney Wolfe-Christensen EMAIL logo , David A. Fedele , Larry L. Mullins , Yegappan Lakshmanan and Amy B. Wisniewski

Abstract

Purpose/Background: To examine whether male and female caregivers of children with a disorder of sex development (DSD) differ in levels of anxious and depressive symptoms.

Materials/Methods: Participants included 80 caregivers (40 males, 40 females) of 40 children with a DSD. Children were categorized based on illness characteristics including ambiguous genitalia, life-threatening, and life-threatening with ambiguous genitalia. Caregivers completed measures of anxious and depressive symptoms.

Results: A significant caregiver×diagnosis interaction for anxious symptoms emerged, with male caregivers of children with both ambiguous genitalia and a life-threatening condition reporting significantly lower levels of anxious symptoms than female caregivers of the same children.

Conclusions: The findings are surprising because of the low level of anxious symptoms reported by male caregivers of children with a complex DSD. It is possible that they have disengaged themselves from the child and/or diagnosis, causing their female counterparts to take on more responsibility.


Corresponding author: Cortney Wolfe-Christensen, PhD, Children’s Hospital of Michigan, Department of Pediatric Urology, 3901 Beaubien, Detroit, MI 48201, USA, Phone: +(313) 745-5588, Fax: +(313) 993-8738, E-mail:

References

1. Hughes IA, Houk C, Ahmed SF, Lee PA. Lawson Wilkins Endocrine Society/European Society for Paediatric Endocrinology Consensus Group. Consensus statement on management of intersex disorders. J Pediatr Urol 2006;2:148–62.10.1016/j.jpurol.2006.03.004Search in Google Scholar PubMed

2. Fedele DA, Kirk K, Wolfe-Christensen C, Phillips TM, Mazur T, et al. Primary caregivers of children affected by disorders of sex development: mental health and caregiver characteristics in the context of genital ambiguity and genitoplasty. Int J Pediatr Endocrinol 2010;2010:690674.10.1186/1687-9856-2010-690674Search in Google Scholar

3. Wolfe-Christensen C, Fedele DA, Kirk K, Phillips TM, Mazur T, et al. Degree of external genital malformation at birth in children with a disorder of sex development and subsequent caregiver distress. J Urol 2012;188:1596–600.10.1016/j.juro.2012.02.040Search in Google Scholar PubMed

4. Herzer M, Godiwala N, Hommel KA, Driscoll K, Mitchell M, et al. Family functioning in the context of pediatric chronic conditions. J Dev Behav Pediatr 2010;31:26–34.10.1097/DBP.0b013e3181c7226bSearch in Google Scholar PubMed PubMed Central

5. Tamres LK, Janicki D, Helgeson VS. Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Pers Soc Psychol Rev 2002;6:12–30.10.1207/S15327957PSPR0601_1Search in Google Scholar

6. Kazak AE, Simms S, Alderfer MA, Rourke MT, Crump T, et al. Feasibility and preliminary outcomes from a pilot study of a brief psychological intervention for families of children newly diagnosed with cancer. J Pediatr Psychol 2005;30:644–55.10.1093/jpepsy/jsi051Search in Google Scholar PubMed

7. Leão LL, Zhang L, Sousa PL, Mendoza-Sassi R, Chadha R, et al. High prevalence of depression amongst mothers of children with asthma. J Asthma 2009;46:388–91.10.1080/02770900802444237Search in Google Scholar PubMed

8. Hutchinsin KC, Willard VW, Hardy KK, Bonner MJ. Adjustment of caregivers of pediatric patients with brain tumors: a cross-sectional analysis. Psycho-Oncol 2009:18:515–23.10.1002/pon.1421Search in Google Scholar PubMed

9. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56:893–7.10.1037/0022-006X.56.6.893Search in Google Scholar

10. Wilson KA, Chambless DL, de Beurs E. Beck anxiety inventory. In: Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment. 3rd ed. Mahwah, NJ: Lawrence, Erlbaum; 1999:399–421.Search in Google Scholar

11. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.10.1037/t00742-000Search in Google Scholar

12. Dozios DJA, Dobson KS, Ahnberg JL. A psychometric evaluation of the Beck Depression Inventory-II. Psychol Assess 1998;10:83–90.10.1037/1040-3590.10.2.83Search in Google Scholar

13. Cohen J, Cohen P, West SG, Aiken LS. Applied multiple regression/correlation analysis for the behavioral sciences – 3rd ed. Lawrence Erlbaum Associates; Mahwah, New Jersey, 2003.Search in Google Scholar

14. Hullmann SE, Fedele DA, Wolfe-Christensen C, Mullins LL, Wisniewski AB. Differences in adjustment by child developmental stage among caregivers of children with disorders of sex development. Int J Pediatr Endocrinol 2011;2011:16.10.1186/1687-9856-2011-16Search in Google Scholar PubMed PubMed Central

15. Taylor SE, Klein LC, Lewis BP, Gruenewald TL, Gurung RAR, et al. Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight. Psychol Rev 2000;107:411–29.10.1037/0033-295X.107.3.411Search in Google Scholar

Received: 2014-2-26
Accepted: 2014-4-1
Published Online: 2014-5-23
Published in Print: 2014-7-1

©2014 by Walter de Gruyter Berlin/Boston

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