Evidence map›Paper›PMID 32865776›Full record

Observational studyJournal of endocrinological investigation2021

Quality of life in Klinefelter patients on testosterone replacement therapy compared to healthy controls: an observational study on the impact of psychological distress, personality traits, and coping strategies.

M Fabrazzo, G Accardo, I Abbondandolo, G Goglia, D Esposito, G Sampogna, F Catapano, D Giugliano, D Pasquali

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of endocrinological investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Update on Physical, Psychological, and Quality of Life Management in Klinefelter Syndrome.The Journal of clinical endocrinology and metabolism · 2025
    Review
  5. Article
  6. Article
  7. A Multivariate Analysis of Depression Prevalence in Psoriasis Patients: A Cohort Study.International journal of environmental research and public health · 2022
    Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

M FabrazzoDepartment of Psychiatry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
G AccardoUnit of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Science, University of Campania 'Luigi Vanvitelli', Naples, Italy.
I AbbondandoloDepartment of Psychiatry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
G GogliaDepartment of Psychiatry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
D EspositoDepartment of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
G SampognaDepartment of Psychiatry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
F CatapanoDepartment of Psychiatry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
D GiuglianoUnit of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Science, University of Campania 'Luigi Vanvitelli', Naples, Italy.
D PasqualiUnit of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Science, University of Campania 'Luigi Vanvitelli', Naples, Italy. daniela.pasquali@unicampania.it.ORCID http://orcid.org/0000-0002-5674-635X
University of Campania "Luigi Vanvitelli" · ITUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to verify if 1 year-testosterone-replacement therapy could produce a psychopathological recovery and a satisfactory quality of life in Klinefelter syndrome (KS) patients compared to matched healthy controls. Further, we analyzed personality traits and coping strategies, an issue not yet examined in androgen-treated KS patients. We also enquired whether any of the sociodemographic and psychological variables might predict a patient's general and sexual life satisfaction.

methodsThe Quality of Life Enjoyment and Satisfaction Questionnaire and the Temperament and Character Inventory-Revised were administered to both 23 KS patients and matched healthy subjects. Psychopathology was investigated by the Symptom Checklist-90-Revised (SCL-90-R) and the Mini-mental State Examination. The COPE Inventory was used to identify cognitive and behavioral strategies to manage disease-related distress.

resultsIn testosterone-treated KS patients, when compared with controls, SCL-90-R subscales analysis evidenced high psychological distress, mainly presented as obsessive thoughts, hanger-hostility, phobias, and psychoticism. Self-directedness and self-transcendence, along with the prevalent use of emotion-focused coping strategies, outlined the personality of our KS patients. Depression and somatization proved to be predictors of general life dissatisfaction. Depression, anger-hostility, and paranoid ideation, instead, emerged as predictors of sexual life dissatisfaction.

conclusionEndocrinologists should cooperate with mental health providers to foster a better outcome of the disease in KS patients.

Indexed as

CognitionHormone Replacement TherapyKlinefelter SyndromeQuality of LifeAdaptation, PsychologicalAdultHumansItalyMaleMental HealthMental Status and Dementia TestsPersonality AssessmentPsychological DistressSexual BehaviorTestosteroneTestosteroneCoping strategiesGenetic disorderKlinefelter syndromePersonality traitsQuality of lifeTestosterone replacement therapy

Identifiers

PMID32865776
PMCPMC8049912
OpenAlexW3082122611

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.