Evidence map›Paper›PMID 39836615›Full record

ReviewThe Journal of clinical endocrinology and metabolism2025

Mental Health Issues Associated With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.

David E Sandberg, Melissa Gardner, Zoe K Lapham

Abstract readReview
In one paragraph

Review in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

3 authors.

David E SandbergDepartment of Pediatrics, Susan B. Meister Child Health Evaluation and Research (CHEAR) Center, Michigan Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, USA.ORCID 0000-0002-7389-8283
Melissa GardnerDepartment of Pediatrics, Susan B. Meister Child Health Evaluation and Research (CHEAR) Center, Michigan Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, USA.ORCID 0000-0003-3097-0633
Zoe K LaphamDepartment of Pediatrics, Susan B. Meister Child Health Evaluation and Research (CHEAR) Center, Michigan Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, USA.

Funding

Decision-Making for Patients Born with Differences of Sex Development (DSD)R01HD086583 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SANDBERG, DAVID ERIC · 2016 to 2021
$2.8M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD093450NICHD NIH HHS R01 HD086583
6 · The paper itself

Abstract

contextThe goal of this review is to move beyond summarizing what is known about psychosexual development in females with classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency-commonly studied as a natural experiment to understand prenatal androgen effects in 46,XX individuals. Instead, it will explore the various aspects of the condition that significantly impact the daily lives of both male and female patients and their families, with a particular focus on the implications for psychosocial, educational, and vocational adaptation. EVIDENCE ACQUISITION: This work represents a selective, yet balanced review of papers highlighting potential threats to positive psychological adaptation in both male and female individuals with CAH. EVIDENCE SYNTHESIS: This review outlines the effects of both cross-cutting risks (such as challenges related to parenting and healthcare management) and CAH-specific risks (including growth and appearance changes, psychiatric and neurocognitive issues, reduced reproductive function and interest in parenting, and masculinization in girls and women) on psychosocial adaptation. Opportunities for optimizing psychological outcomes of those with CAH are presented.

conclusionRoutine psychosocial screening of patient and family risk and resilience factors is recommended to identify areas of concern applicable to individual patients and families. Such screening should include assessment of both cross-cutting and condition-specific factors. This, in turn, provides a pathway forward for providing quality team-based patient-centered care.

Indexed as

Adrenal Hyperplasia, CongenitalMental DisordersMental HealthAdaptation, PsychologicalFemaleHumansMale21-hydroxylase deficiencyCAHhealthcaremental healthpsychosexualpsychosocial

Identifiers

PMID39836615
PMCPMC11749910

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.