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Psychosocial aspects of constitutional short stature: social competence, behavior problems, self-esteem, and family

M Gordon, C Crouthamel, E M Post

    The Journal of Pediatrics
    |September 1, 1982
    PubMed

    Insights

    Children with constitutional short stature exhibit significant psychosocial challenges, including behavioral difficulties and impaired self-concept. These findings highlight the need for targeted support for children experiencing short stature.

    Area of Science:

    • Pediatric Psychology
    • Child Development
    • Behavioral Pediatrics

    Background:

    • Short stature can impact a child's psychosocial well-being.
    • Understanding these effects is crucial for effective intervention.
    • Previous research on growth hormone-deficient children showed no maladjustment.

    Purpose of the Study:

    • To investigate the psychosocial effects of constitutional short stature in children.
    • To compare behavioral and self-concept differences between short children and their normal-statured peers.

    Main Methods:

    • Administered psychologic tests to 24 children (6-12 years) with constitutional short stature.
    • Compared results with 23 healthy, normal-statured children matched for age, IQ, sex, and socioeconomic status.

    Main Results:

    • Short children scored higher on parental ratings of behavioral difficulties (somatic complaints, social withdrawal, schizoidal tendencies).
    • Indications of impaired self-concept, including feelings of unpopularity and dissatisfaction, were observed.
    • Parents of short children reported less clear behavioral limits, poorer communication, and less family cooperation.

    Conclusions:

    • Children with constitutional short stature demonstrate characteristic behavioral difficulties.
    • Psychosocial support is essential for children with constitutional short stature.
    • Findings contrast with studies on growth hormone-deficient children, suggesting distinct psychosocial profiles.

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