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Managing precocious puberty: A necessity for psychiatric evaluation.

Rahime Duygu Temelturk1, Gokcen Ilcioglu Ekici2, Merih Beberoglu3

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Summary

Girls with precocious puberty (PP) show a higher prevalence of psychiatric disorders, including anxiety and depression, and lower self-concept. Early identification and integrated care are crucial for managing these conditions.

Keywords:
Autistic traitsPrecocious pubertyPsychiatric disordersSelf-concept

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Area of Science:

  • Pediatric Endocrinology
  • Child Psychiatry
  • Developmental Psychology

Background:

  • Precocious puberty (PP) is a common endocrine disorder in school-aged girls.
  • Early-maturing girls exhibit an increased risk for psychiatric conditions.
  • Understanding the psychological impact of PP is essential for comprehensive care.

Purpose of the Study:

  • To determine the prevalence of psychiatric problems in girls with PP.
  • To investigate depression, anxiety levels, and self-concept in girls with PP.
  • To identify potential links between PP and psychological well-being.

Main Methods:

  • A comparative study involving 41 girls with PP and 45 controls (aged 7-11).
  • Psychiatric evaluations using semi-structured interviews.
  • Standardized assessments for behavioral, emotional, depressive, anxiety, and self-concept issues.

Main Results:

  • Girls with PP had significantly higher rates of psychiatric diagnoses (68.3% vs. 20%).
  • The PP group showed elevated levels of anxiety, depression, somatic complaints, social problems, aggression, and autistic traits.
  • Lower self-concept scores were observed in girls with PP.

Conclusions:

  • Precocious puberty is an independent predictor of psychiatric disorders.
  • PP is associated with poorer psychiatric status, lower self-esteem, and autistic traits.
  • A multidisciplinary approach integrating endocrinology and psychiatry is recommended for managing girls with PP.