Androgen insensitivity syndrome (AIS): Emotional reactions of parents and adult patients to the clinical diagnosis of AIS and its confirmation by androgen receptor gene mutation analysis
Fme. Slijper et al., Androgen insensitivity syndrome (AIS): Emotional reactions of parents and adult patients to the clinical diagnosis of AIS and its confirmation by androgen receptor gene mutation analysis, HORMONE RES, 53(1), 2000, pp. 9-15
The emotional reactions of parents and adult patients on disclosure of the
clinical diagnosis of androgen insensitivity syndrome (AIS) and its later c
onfirmation by gene mutation analysis were assessed. A semistructured inter
view and three questionnaires were used. Parents came from 18 different fam
ilies with a total of 20 children (15 complete AIS, 5 partial AIS), 19 rais
ed as girls, 1 as a boy. Ten adult women with complete AIS came from six fa
milies. The short-term reaction upon the clinical diagnosis was in the majo
rity of both parents and adult patients associated with shock, grief, anger
, and shame and in the mothers and adult patients with guilt. Emotional rea
ctions were more long-lasting in mothers and adult patients than in fathers
. The confirmation by DNA analysis did not alter the actual feelings of bot
h parents. Adolescents with AIS should be informed completely - but in a st
ep-by-step way - about their condition, since adult patients indicated that
they had suffered from being not at all or misinformed about AIS in their
adolescence. Copyright (C) 2000 S. Karger AG, Basel.