Publications by authors named "Annastasia Ediati"

Sexual quality of life is greatly influenced by sexual function, yet thorough measures remain limited and vary across regions. In Indonesia, diverse cultural and religious contexts notably shape sexual quality of life. Thus, it is important to have a tool that considers both internal and external aspects.

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Introduction: Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (21OHD) or 11-hydroxylase deficiency (11OHD) is characterized by underproduction of cortisol and overproduction of adrenal androgens. These androgens lead to a variable degree of virilization of the female external genitalia in 46,XX individuals. Especially in developing countries, diagnosis is often delayed and 46,XX patients might be assigned as males.

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Article Synopsis
  • A big team in Semarang, Indonesia, has been helping kids and adults with differences in sex development (DSD) for 17 years by looking at their medical records.
  • Out of 1,184 patients, most had 46,XY DSD, which means they have certain differences involving male characteristics, while others had 46,XX DSD related to female characteristics.
  • They used special gene testing to find out more about these conditions and discovered new genetic causes, helping better understand and treat these patients in the future.
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Introduction: There are increased calls to address psychosocial needs among individuals with classical congenital adrenal hyperplasia (CAH). However, cross-cultural disparities exist in treatment practices and psychosocial outcomes that impact the generalizability of evidence-based recommendations. To date, this disparity has not been quantified.

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Background: Illness uncertainty in parents of children with congenital adrenal hyperplasia (CAH) refers to parents' inability to create meaning in events related to their children having CAH. This may influence their role in caring for children with CAH.

Objective: The study aimed to determine factors associated with illness uncertainty experienced by parents of children with CAH in a developing country.

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Article Synopsis
  • Congenital Adrenal Hyperplasia (CAH) is a rare condition that affects how the body makes hormones, leading to issues like low cortisol and high levels of certain other hormones.
  • People with CAH can have different body features, such as ambiguous genitalia, which makes it harder for doctors to decide on treatment and gender identity.
  • In the study, five family members with CAH didn't receive treatment and had varying views on gender, but they all faced health risks if they didn't get help.
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Background: Sexuality is a fundamental part of the lives of human beings. However, a significant inequality exists regarding the right of an individual with intellectual disabilities.

Aims: This study aimed to explore the attitudes of undergraduate health science students toward sexuality in individuals with intellectual disability (ID) in Indonesia.

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Patients with a disorder of sex development (DSD) are born with atypical genitals or may develop atypical genitals and atypical body appearance, if left untreated. Health related quality of life (HRQoL) was assessed in Indonesian patients to whom diagnostic procedures and medical intervention had been delayed. Comparison of 118 patients born with DSD, aged 6-41 years (60 children, 24 adolescents, and 34 adults) and 118 healthy control subjects matched for gender, age, and residential setting.

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Objective: Disorders in sex development (DSD) can be treated well medically, but families will encounter many psychosocial challenges. Promoting counselling to facilitate acceptance and coping is important yet equality of access is unknown. This study investigated the modalities of psychosocial care provided in centres of DSD care.

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Objectives: To assess social stigmatisation related to atypical appearance of the body, including, but not limited to the external genitalia, among Indonesian patients with a disorder of sex development (DSD). Until recently, diagnostic evaluation, information about the underlying causes of DSD and treatment options were sparsely available for these patients.

Methods: Eighty-one parents of children and adolescents with DSD (aged 6-17 years) and 34 adult patients with DSD (aged 18-41 years) completed the Social Stigmatisation Scale towards DSD, an instrument developed to assesses the frequency of stigmatisation and the level of stress associated with these experiences.

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Disorders of sex development (DSD) is a congenital condition in which the development of chromosomes, gonads, hormones, and reproductive structures are atypical. DSD brings with it a psychological impact on the affected individual and their families. The consensus statement on management of DSD strongly advised an integrated and multidisciplinary approach in providing care to the affected individuals.

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Article Synopsis
  • Clinical management of disorders of sex development (DSD) in Indonesia is limited, resulting in individuals with ambiguous genitalia being raised without medical treatment.
  • The study examined gender identity and behavior in 118 Indonesian subjects with DSD and found that many had never received treatment, with a notable gender change observed, especially in adults.
  • Children with DSD raised as girls exhibited more gender identity confusion and cross-gender behavior compared to boys, highlighting the need for better clinical and psychological support before puberty.
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Objective: The aim of this study is to investigate emotional and behavioral problems among Indonesian patients with disorders of sex development (DSD) who recently came under clinical management. As diagnostic procedures and treatment had been delayed, patients progressively developed ambiguous bodies, difficult to conceal from outsiders.

Method: We compared 118 Indonesian patients with DSD aged 6-41 years (60 children, 24 adolescents, 34 adults) and 118 healthy control subjects matched for age, gender, and residential settings.

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Article Synopsis
  • In Indonesia, awareness and medical care for disorders of sex development (DSDs) are lacking, leading many individuals to live with ambiguous genitalia.
  • A study comparing 39 adults with DSDs to 39 healthy controls revealed dissatisfaction with body image and varying degrees of sexual functioning issues among those with DSDs, especially affecting women’s sexual distress and men’s erectile and ejaculation abilities.
  • The findings suggest that education on DSDs and their psychological impacts can help alleviate sexual distress and enhance the quality of life for affected individuals.
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Virilization due to hyperandrogenism in women causes male signs and symptoms such as swelling of the clitoris, deepening of the voice, facial hair and increase in body hair. Virilization is caused by less than 0.5% of all ovarian tumors.

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Background: Thalassaemia has become a major public health issue in Indonesia. It has been estimated that up to 10% of the population carries a gene associated with beta-thalassaemia. Currently, there is no formal recommendation for thalassaemia screening.

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