Assessment of psychosocial wellbeing of parents & Quality of Life (QoL) of children with 46, XY Differences of Sex Development (46, XY DSD) followed up in endocrine clinics at Lady Ridgeway Hospital for Children (LRH), Colombo, Sri Lanka
Bibliographic record
Abstract
Abstract Objectives46, XY Differences of Sex Development imposes potential psychological trauma to parents and poor quality of life (QoL) of children. Primary objective of this study was to assess, psychosocial wellbeing of parents of children with 46, XY DSD and Quality of Life of children with 46, XY DSD aged more than 12 years. Secondary objective was to describe clinical profile of 46, XY DSD patients followed up in Lady Ridgeway Hospital for Children.Results 28 (53%) mothers and 23 (45%) fathers had psychological-morbidity with GHQ-30. Patients’ age was negatively correlated with GHQ-scores of both parents (p<0.05). Median (IQR) psychosocial wellbeing scores for mother (44.0) and father (50.8) were positively correlated (p<0.001). Psychosocial wellbeing scores were negatively associated with age of child (p<0.01). Median (IQR) scores of PaedQL were 75.0 (60.8-78.3) and 73.3 (58.3-80.8) for parental and child components. Scores of parental components were negatively associated with age of child (p<0.01). Among school-aged children,17 children (65.4%) were not drinking water from school-sources, 15 (57.7%) did not use washrooms and 17(65.4%) did not participate in sports. 46, XY DSD associated with significant psycho-social morbidity in parents and psychological distress in children.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".