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Depressive tendency in children with growth hormone deficiency
Shinpei Abe1, Akihisa Okumura, Tomoaki Mukae
1Department of Pediatrics, Juntendo University School of Medicine, Tokyo 113-8421, Japan. shiabe@juntendo.ac.jp
Insights
Growth hormone deficiency in children is linked to depressive tendencies. Treatment with growth hormone significantly reduced these symptoms, suggesting positive psychosocial effects.
Area of Science:
- Pediatric Endocrinology
- Child Psychology
- Medical Treatment Efficacy
Background:
- Children with growth hormone deficiency (GHD) may exhibit depressive tendencies.
- Assessing psychosocial well-being is crucial for comprehensive GHD management.
Purpose of the Study:
- To evaluate the impact of growth hormone treatment on depressive tendencies in children with GHD.
- To determine if GHD treatment improves psychological health outcomes.
Main Methods:
- Forty-one children diagnosed with GHD were assessed using the Depression Self-Rating Scale for Children (DSRSC).
- Depressive tendency was defined as a DSRSC score of 16 or higher.
- Assessments were conducted pre-treatment and at least 6 months post-treatment initiation.
Main Results:
- The mean DSRSC score significantly decreased from 9.7 ± 6.1 pre-treatment to 6.9 ± 4.6 post-treatment (P=0.0013).
- The prevalence of depressive tendency reduced from 15% (6/41) before treatment to 5% (2/41) after treatment.
- Six specific items on the DSRSC showed significant improvement post-treatment.
Conclusions:
- Depressive tendency is a notable concern in children with GHD.
- Growth hormone treatment demonstrably reduces depressive symptoms in this population.
- These findings highlight potential benefits of growth hormone therapy on the psychosocial well-being of children with GHD.
Aim:
This study assessed changes in depressive tendency of children with growth hormone deficiency.
Methods:
The 41 children with growth hormone deficiency were assessed using the Depression Self-Rating Scale for Children. A score of 16 or more indicated a depressive tendency. The first assessment was carried out before growth hormone treatment, and the second one was carried out at 6 months or longer after the beginning of growth hormone treatment.
Results:
The Depression Self-Rating Scale for Children improved significantly from 9.7 +/- 6.1 points before treatment to 6.9 +/- 4.6 points after treatment (P= 0.0013). A depressive tendency was observed in six patients (15%) before growth hormone treatment, and in two patients (5%) after treatment. No significant relationship was observed between the decrease in the score and the length of the treatment. A significant improvement was observed for 6 of the 18 items in the Depression Self-Rating Scale for Children.
Conclusion:
A depressive tendency was relatively common in children with growth hormone deficiency, and the Depression Self-Rating Scale for Children was decreased after growth hormone treatment. These results suggest that growth hormone treatment may have positive effects on the psychosocial aspects in children with growth hormone deficiency.
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