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Results varied widely, with mental health outcomes ranging from very poor to similar to comparison groups. A small number of studies demonstrated that patients with hypospadias or complete androgen insensitivity syndrome reported better mental health than patients with other 46,XY (DSD) diagnoses. Future studies should include larger samples of patients within a similar developmental stage, display results separately by DSD diagnosis and gender identity, and consider the potential impact of medical\/surgical events on their mental health.<\/jats:p>","DOI":"10.1177\/1359105320909863","type":"journal-article","created":{"date-parts":[[2020,3,5]],"date-time":"2020-03-05T05:38:08Z","timestamp":1583386688000},"page":"40-59","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Mental health outcomes among individuals with 46,XY disorders of sex development: A systematic review"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0115-5579","authenticated-orcid":false,"given":"Lisa M","family":"Godfrey","sequence":"first","affiliation":[{"name":"University of Cincinnati, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,5]]},"reference":[{"key":"bibr1-1359105320909863","volume-title":"Manual for the ASEBA Adult Forms & Profiles: For Ages 18-59: Adult Self-Report, Adult Behavior Checklist","author":"Achenbach TM","year":"2003"},{"key":"bibr2-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1111\/cen.12561"},{"key":"bibr3-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2016.10.003"},{"key":"bibr4-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.03.037"},{"key":"bibr5-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1982.tb06721.x"},{"key":"bibr6-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.09.018"},{"key":"bibr7-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2007.00524.x"},{"key":"bibr8-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12290"},{"key":"bibr9-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1186\/1687-9856-2011-10"},{"key":"bibr10-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12884"},{"key":"bibr11-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2016.03.005"},{"key":"bibr12-1359105320909863","first-page":"343","volume":"4","author":"de Vries AL","year":"2007","journal-title":"Pediatric Endocrinology Reviews: PER"},{"key":"bibr13-1359105320909863","first-page":"184","volume-title":"Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies","author":"Depuy HJ","year":"1984"},{"key":"bibr14-1359105320909863","volume-title":"Symptom Checklist-90-R (SCL-90-R): Administration, Scoring and Procedures Manual","author":"Derogatis LR","year":"1977"},{"key":"bibr15-1359105320909863","volume-title":"Brief Symptom Inventory (BSI): Administration, Scoring and Procedures Manual","author":"Derogatis LR","year":"1992"},{"key":"bibr16-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2004.02.015"},{"key":"bibr17-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2015.06.017"},{"key":"bibr18-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2013-3707"},{"key":"bibr19-1359105320909863","volume-title":"Structured Clinical Interview for DSM-IV Axis I Disorders","author":"First MB","year":"1997"},{"key":"bibr20-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12321"},{"key":"bibr21-1359105320909863","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2012.182"},{"key":"bibr22-1359105320909863","unstructured":"Genetics Home Reference (2019) Androgen insensitivity syndrome. 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