When Do Short Children Realize They Are Short? Prepubertal Short Children’s Perception of Height during 24 Months of Catch-Up Growth Hormone Treatment

Chaplin, John; Kriström, Berit; Jonsson, Björn; Stenlid, Maria Halldin; Aronson, A. Stefan; Dahlgren, Jovanna; Albertsson‐Wikland, Kerstin

doi:10.1159/000337975

Cited by 13 publications

(10 citation statements)

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“…This change can be explained by the fact that children's understanding of intentionality develops at approximately 8 or 9 years of age17,18) and an increased focus on body image begins to emerge at this age19). Thus, it was further reported that at the age of approximately 8-9 years, the child begins to become aware of personal height in relation to others, at which point, short stature begins to have a negative effect upon the child's quality of life20). In this light, the lower self-concept score related to Physical Appearance and Attributes of the post-8 group can be interpreted as an age-dependent natural phenomenon arising from the change of conception.…”

Section: Discussionmentioning

confidence: 99%

Depression and self-concept in girls with perception of pubertal onset

Yang

Han

Yeom

et al. 2013

Ann Pediatr Endocrinol Metab

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PurposeEarly pubertal timing in girls is associated with psychological and behavioral problems. This study aimed to evaluate the psychological features of girls who perceived breast development beginning by analyzing their depression levels and self-concept.MethodsFrom March 2007 to December 2012, 93 girls were enrolled and assigned to a pre-8 (younger than 8 years, n=43) or post-8 (8 years and older, n=50) group according to the age at onset of perceived breast development, and their height, body weight, body mass index, bone age (BA), Tanner stage, and luteinizing hormone and follicle-stimulating hormone levels were examined. We investigated their psychological state with the Korean Children's Depression Inventory (CDI) and Piers-Harris Children's Self-Concept Scale (PHCSC) to evaluate depression levels and self-concept, respectively.ResultsThe pre-8 group had a significantly greater height standard deviation score, (0.5±1.01 vs. 0.11±0.86, P = 0.048) and more advanced BA (2.07±1.02 years vs. 1.40±0.98 years, P = 0.004) compared to the post-8 group. There were no statistically significant intergroup differences for the CDI and PHCSC scores; however, the pre-8 group scored higher than the post-8 group in the physical appearance and attributes domain of the PHCSC (9.93±2.57 vs. 8.52±3.03, P = 0.017).ConclusionThe timing of perceived breast development among girls who thought puberty to begin did not affect depression levels and self-concept. There was no correlation between Tanner stage and depression levels and self-concept despite the perception of pubertal onset. The pre-8 group had a more positive view of their physical appearance than the post-8 group.

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Section: Discussionmentioning

confidence: 99%

Depression and self-concept in girls with perception of pubertal onset

Yang

Han

Yeom

et al. 2013

Ann Pediatr Endocrinol Metab

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“…This is not only because of barriers in everyday life caused by height-related physical limitations, but also because short stature can be regarded as a social stigma, which in turn may affect self-perception and the social integration of persons with short stature. The intensity of impairment depends not only on the degree of short stature, but also on the way the individuals perceive their height and their ability to cope with the stigma [19-22]. …”

Section: Introductionmentioning

confidence: 99%

Assessing the quality of life of health-referred children and adolescents with short stature: development and psychometric testing of the QoLISSY instrument

Bullinger

Quitmann

Power

et al. 2013

Health and Quality of Life Outcomes

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BackgroundWhen evaluating the outcomes of treatment in paediatric endocrinology, the health-related quality of life (HrQoL) of the child is to be taken into consideration. Since few self–reported HrQoL instruments exist for children with diagnosed short stature (dSS), the objective of this study was to develop and psychometrically test a targeted HrQoL instrument for use in multinational clinical research.MethodsThe target population were short stature (height < −2 SDS) children and adolescents (age 8–12 and 13–18 years) with a diagnosis of growth hormone deficiency (GHD) or idiopathic short stature (ISS), differing in growth hormone treatment status. Focus group discussions for concept and item generation, piloting of the questionnaire with cognitive debriefing, and instrument field testing with a retest were conducted simultaneously in five countries. After qualitative and preliminary quantitative analyses, psychometric testing of field test data in terms of reliability and validity including confirmatory factor analyses (CFA) was performed.ResultsFollowing item generation from focus group discussions, 124 items were included in a pilot test with a cognitive debriefing exercise providing preliminary feedback on item and domain operating characteristics. A field test with 268 participants showed high internal consistency reliabilities (alpha 0.82 – 0.95), good correlations with generic measures (up to r = .58), significant known group differences (e.g. in height: F = 32, df 244, p < 0.001) and an acceptable CFA model fit suggesting construct validity of the three-domain core structure with 22 items, supplemented by three mediator domains with 28 items.ConclusionsThe QoLISSY questionnaire is a promising step forward in assessing the impact of dSS on HrQoL. It is based on items generated from the subjective experience of short stature children referred for endocrine investigation, is validated for use in five languages and it is easy to administer in clinical and research settings.

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“…It is possible that taller children perceive themselves as being heavier, independent of their actual weight status. Both men and women tend to overestimate their height (38,39) and so do short children and their parents (40) . Yet very few studies have addressed the role of height on body image concerns.…”

Section: Discussionmentioning

confidence: 99%

BMI and sociodemographic correlates of body image perception and attitudes in school-aged children

Duchin

Mora‐Plazas²,

Marín³

et al. 2013

Public Health Nutr.

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Objective: The aim of the present study was to identify correlates of body image perception and dissatisfaction among school-aged children from Colombia, a country undergoing the nutrition transition. Design: Cross-sectional study. Using child-adapted Stunkard scales, children were asked to indicate the silhouette that most closely represented their current and desired body shapes. Body image dissatisfaction (BID) score was estimated as current minus desired silhouette. Height and weight were measured in all children. Sociodemographic data were collected through questionnaires completed by the children's mothers. Setting: Public primary schools in Bogotá, Colombia. Subjects: Children aged 5-12 years (n 629) and their mothers. Results: Mean BID score was 0?1 (SD 1?7). The strongest predictor of BID was actual BMI-for-age Z-score (BAZ). Compared with children with BAZ $ 21 and ,1, those with BAZ $ 2 had a 1?9 units higher BID score (P for trend ,0?0001). BID tended to be higher in girls than boys at any level of BAZ. Other correlates of BID included child's height-for-age Z-score, maternal BMI and dissatisfaction with the child's body, and home ownership. Conclusions: Among school-aged children from a country experiencing the nutrition transition, body image perception was associated with the child's weight and height, and with maternal BMI, dissatisfaction with the child's body and socio-economic level.

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When Do Short Children Realize They Are Short? Prepubertal Short Children’s Perception of Height during 24 Months of Catch-Up Growth Hormone Treatment

Cited by 13 publications

References 70 publications

Depression and self-concept in girls with perception of pubertal onset

Depression and self-concept in girls with perception of pubertal onset

Assessing the quality of life of health-referred children and adolescents with short stature: development and psychometric testing of the QoLISSY instrument

BMI and sociodemographic correlates of body image perception and attitudes in school-aged children

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