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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
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.
Background:
Short stature is associated with psychological and emotional challenges, yet its impact on children's behavioral well-being in Jordan remains underexplored. This study examines the association between short stature and behavioral and emotional difficulties in Jordanian children.
Methods:
A cross-sectional study was conducted at Prince Hamza Hospital, Amman (2023-2024). We recruited eighty-three children aged 4-14 years with a height percentile ≤3%. The Strengths and Difficulties Questionnaire (SDQ) assessed behavioral and emotional difficulties. Differences in SDQ scores by gender, age group, and growth hormone (GH) therapy status were analyzed.
Results:
The mean total difficulties score was 13.7 ± 6.1, with 30.1% of participants classified in the "high" or "very high" category. Emotional difficulties (31.3%), peer problems (31.3%), and conduct issues (34.9%) were notably prevalent. Boys exhibited significantly higher conduct problems (p < 0.001), hyperactivity (p = 0.002), and total difficulties scores (p = 0.010), while girls showed stronger prosocial behaviors (p = 0.004). No significant differences were observed between younger (3-10 years) and older (11-14 years) children. Children receiving GH therapy reported significantly higher emotional problems (p = 0.029), though other SDQ scores did not differ significantly between treated and untreated groups.
Conclusion:
Short stature in Jordanian children is associated with significant behavioral and emotional challenges, particularly among boys. GH therapy was not associated with improved scores in this sample. A multidisciplinary approach integrating psychological support and public health initiatives is needed to address stigma and improve well-being.
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