The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method

Background: Sex chromosomal Disorder of sex development (DSD) is an atypical abnormality of external genitalia which is mismatched with its sex chromosome traits. The condition of children with DSD affects the dynamics in the family. Parents’ reactions after discovering this health problem vary grea...

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Autores principales: Iit Fitrianingrum, Annastasia Ediati, Tri Indah Winarni, Sultana MH Faradz
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Lenguaje:EN
Publicado: Diponegoro University 2021
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Acceso en línea:https://doaj.org/article/205d48c05beb4f8cad1ab7ff1a006956
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spelling oai:doaj.org-article:205d48c05beb4f8cad1ab7ff1a0069562021-11-05T16:47:43ZThe Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method2503-217810.14710/jbtr.v7i1.10710https://doaj.org/article/205d48c05beb4f8cad1ab7ff1a0069562021-04-01T00:00:00Zhttps://ejournal2.undip.ac.id/index.php/jbtr/article/view/10710https://doaj.org/toc/2503-2178Background: Sex chromosomal Disorder of sex development (DSD) is an atypical abnormality of external genitalia which is mismatched with its sex chromosome traits. The condition of children with DSD affects the dynamics in the family. Parents’ reactions after discovering this health problem vary greatly, such as being in a state of shock, confusion, or self-blame. However, parents’ acceptance is extremely important for better quality of caring, to the healthy social and emotional child development, and to make the best decisions regarding gender assignment. Objective: To describe the acceptance process of parents that have children with sex chromosomes mosaicism DSD. Methods: This study used a mixed-method with a sequential explanatory approach, which was preceded by quantitative data collection followed by qualitative. The total respondents consisted of 14 mothers and 12 fathers of 14 sex chromosome mosaicism DSD patients with XX/XY, X/XY, XYY or XXY variants. Quantitative data were collected using the Indonesian version of the Parental Acceptance-Rejection Questionnaire (PARQ), and interviews were conducted to determine the acceptance process. Results: Most acceptance cases were based on the surgical stage completion in which a higher number of mothers (71.43%) than fathers (50%). Conclusion: It is uneasy for parents to accept children with sex chromosome mosaicisms DSD, hence the fathers struggle more than mothers in accepting those affected. To the best of our knowledge this is the first study in Indonesia to help parent understand and accept their child condition.Iit FitrianingrumAnnastasia EdiatiTri Indah WinarniSultana MH FaradzDiponegoro Universityarticlemosaic sex chromosomedisorders of sex developmentparental acceptanceindonesiaMedicine (General)R5-920ENJournal of Biomedicine and Translational Research, Vol 7, Iss 1, Pp 14-21 (2021)
institution DOAJ
collection DOAJ
language EN
topic mosaic sex chromosome
disorders of sex development
parental acceptance
indonesia
Medicine (General)
R5-920
spellingShingle mosaic sex chromosome
disorders of sex development
parental acceptance
indonesia
Medicine (General)
R5-920
Iit Fitrianingrum
Annastasia Ediati
Tri Indah Winarni
Sultana MH Faradz
The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method
description Background: Sex chromosomal Disorder of sex development (DSD) is an atypical abnormality of external genitalia which is mismatched with its sex chromosome traits. The condition of children with DSD affects the dynamics in the family. Parents’ reactions after discovering this health problem vary greatly, such as being in a state of shock, confusion, or self-blame. However, parents’ acceptance is extremely important for better quality of caring, to the healthy social and emotional child development, and to make the best decisions regarding gender assignment. Objective: To describe the acceptance process of parents that have children with sex chromosomes mosaicism DSD. Methods: This study used a mixed-method with a sequential explanatory approach, which was preceded by quantitative data collection followed by qualitative. The total respondents consisted of 14 mothers and 12 fathers of 14 sex chromosome mosaicism DSD patients with XX/XY, X/XY, XYY or XXY variants. Quantitative data were collected using the Indonesian version of the Parental Acceptance-Rejection Questionnaire (PARQ), and interviews were conducted to determine the acceptance process. Results: Most acceptance cases were based on the surgical stage completion in which a higher number of mothers (71.43%) than fathers (50%). Conclusion: It is uneasy for parents to accept children with sex chromosome mosaicisms DSD, hence the fathers struggle more than mothers in accepting those affected. To the best of our knowledge this is the first study in Indonesia to help parent understand and accept their child condition.
format article
author Iit Fitrianingrum
Annastasia Ediati
Tri Indah Winarni
Sultana MH Faradz
author_facet Iit Fitrianingrum
Annastasia Ediati
Tri Indah Winarni
Sultana MH Faradz
author_sort Iit Fitrianingrum
title The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method
title_short The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method
title_full The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method
title_fullStr The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method
title_full_unstemmed The Evaluation of Parental Acceptance Towards Children with Sex Chromosomal Disorders of Sex Development Using A Mixed-Method
title_sort evaluation of parental acceptance towards children with sex chromosomal disorders of sex development using a mixed-method
publisher Diponegoro University
publishDate 2021
url https://doaj.org/article/205d48c05beb4f8cad1ab7ff1a006956
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