Perceptions of Self and Short Stature: Effects of Two Years of Growth Hormone Treatment
| Autor: | J. J. Taylor, L. Thompson, C. A. Quigley, S. M. Dunn, T. J. C. Boulton |
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| Rok vydání: | 1991 |
| Předmět: |
Male
Parents medicine.medical_specialty Adolescent media_common.quotation_subject Growth hormone Short stature Cohort Studies 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Internal medicine Perception Body Image medicine Humans Longitudinal Studies 030212 general & internal medicine Child Growth Disorders media_common business.industry Bone age General Medicine Body Height Self Concept Confidence interval Growth hormone treatment Endocrinology Attitude Child Preschool Growth Hormone Pediatrics Perinatology and Child Health Female medicine.symptom business GH Deficiency Demography Cohort study |
| Zdroj: | Acta Paediatrica. 80:20-27 |
| ISSN: | 0803-5253 |
| Popis: | A cohort study was carried out to determine whether childrens' perception of the problem of short stature changed over 2 years of growth hormone (GH) therapy. A total of 66 children (age range, 5-15 years; mean 10.2 years) were selected on the basis of height below the 3rd centile for chronological age, height velocity below the 25th centile for bone age, prepubertal status, and absence of any organic condition causing growth failure or likely to interfere with GH action. The children were taking part in a 2-year multicentre trial to assess the effect of authentic recombinant GH on short, slowly growing children without GH deficiency (GHD). The childrens' and parents' attitudes and emotional adjustment to shortness were assessed before GH therapy commenced, and at 6 months and 2 years, using a growth-specific psychological instrument, the Attitude to Growth scale (ATG). The children were also assessed using the Piers Harris Childrens Self Concept Scale at 2 years. The mean ATG scores increased from 34.2 (95% confidence interval, 33.2-35.2) at intake to 37.2 (95% confidence interval, 36.2-38.2) at 2 years. Younger subjects had a greater increase (p less than 0.05). No sex differences occurred. Two separate factors were identified in the childrens' attitudes: emotional preoccupation with stature and a concrete focus on practical aspects. No differences were present between childrens' and parents' mean scores, though parents' estimates differed on selected items. The mean Piers Harris score at 2 years was within the normal range, and was positively correlated to the ATG but was unrelated to height. It is concluded that GH treatment may have a beneficial effect on childrens' attitudes to being short, particularly in the younger child.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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