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Psycho-Emotional and Behavioral Problems in Children With Growth Hormone Deficiency.

Mykola Aryayev1, Liudmyla Senkivska1, John B Lowe2

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Frontiers in Pediatrics
|October 11, 2021
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Summary

Children with growth hormone deficiency (GHD) exhibit more internalizing problems and lower self-esteem. Psychosocial functioning is impacted by clinical and sociodemographic factors in GHD patients.

Keywords:
Strengths and Difficulties Questionnairechildrengrowth hormone deficiencypsycho-social problemsself-esteem

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Area of Science:

  • Pediatrics
  • Endocrinology
  • Child Psychology

Background:

  • Growth hormone deficiency (GHD) can impact a child's overall well-being.
  • Understanding psychosocial functioning is crucial for comprehensive GHD care.

Purpose of the Study:

  • To identify psychosocial problems and self-esteem in children with GHD.
  • To determine the influence of clinical and sociodemographic factors on psychosocial functioning in GHD.

Main Methods:

  • Compared 46 prepubescent children with GHD to 80 healthy controls.
  • Assessed psychosocial functioning using the Strengths and Difficulties Questionnaire (SDQ).
  • Evaluated self-esteem using the Dembo-Rubinstein method.

Main Results:

  • Children with GHD showed significantly more internalizing problems and lower self-esteem.
  • Higher scores for "total difficulties," "emotional problem," and "peer problem" were noted in the GHD group.
  • Male gender, younger age, low income, poor treatment compliance, and suboptimal growth response were associated with increased psychological issues.

Conclusions:

  • Children with GHD often experience psychosocial maladjustment, characterized by low self-esteem and difficulties in emotional and peer interactions.
  • Internalizing problems in GHD are linked to specific clinical and sociodemographic factors.
  • These findings highlight the need for integrated psychosocial support in GHD management.