Association between short stature and behavioral and emotional difficulties among children in Jordan: a

Tamara Kufoof1, Randa K Saad2, Redab Al-Ghawanmeh1

  • 1Department of Pediatrics, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.

Frontiers in Endocrinology
|September 10, 2025
PubMed

Insights

Short stature in Jordanian children is linked to significant behavioral and emotional issues, especially in boys. Growth hormone therapy did not show improved scores in this study sample.

Area of Science:

  • Pediatric endocrinology
  • Child psychology
  • Public health

Background:

  • Short stature is recognized to cause psychological and emotional distress.
  • The impact on behavioral well-being in Jordanian children is under-researched.

Purpose of the Study:

  • To investigate the association between short stature and behavioral/emotional difficulties in Jordanian children.
  • To analyze differences in difficulties based on gender, age, and growth hormone (GH) therapy.

Main Methods:

  • Cross-sectional study at Prince Hamza Hospital, Amman (2023-2024).
  • Recruited 83 children (4-14 years) with height percentile ≤3%.
  • Utilized the Strengths and Difficulties Questionnaire (SDQ) for assessment.

Main Results:

  • 30.1% of children scored in the "high" or "very high" difficulty range.
  • Boys showed significantly higher conduct problems and hyperactivity.
  • Children on GH therapy reported more emotional problems.

Conclusions:

  • Short stature is associated with notable behavioral and emotional challenges in Jordanian children, particularly boys.
  • GH therapy did not correlate with improved SDQ scores in this cohort.
  • A multidisciplinary approach is recommended to address stigma and enhance well-being.
Abstract

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