Personality functioning: the influence of stature

Ulph, Fiona; Betts, P R; Mulligan, Jean; Stratford, Robert

doi:10.1136/adc.2002.010694

Cited by 42 publications

(21 citation statements)

References 24 publications

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“…Socioeconomic status, employment and education affected personality functioning more than height [13]. …”

Section: Psychological Status In Young Persons With Short Staturementioning

confidence: 99%

Psychological Criteria for Treating Children with Idiopathic Short Stature

Bullinger¹

2011

Horm Res Paediatr

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The role of psychological criteria in guiding treatment decisions about growth hormone (GH) replacement in idiopathic short stature (ISS) is a current topic of debate. This summary discusses findings about the impact of short stature in terms of observer-rated and patient-reported psychological outcomes. Although a literature review did not provide conclusive evidence for differences in psychological status between short children and children of normal height in the general population, patients and parents, when probed, reported issues, especially in the social domain. Studies do not clearly suggest that the diagnosis of ISS or GH deficiency is related to impaired psychological functioning; they also do not imply that height is the only determinant of psychological status. Similarly, results on treatment-related changes in psychological status are equivocal. Assessment of psychological status should be included in future research and in the current clinical care of patients with ISS. Accumulating evidence suggests that assessment of psychological criteria may become a factor in guiding treatment decisions in patients with ISS.

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“…Socioeconomic status, employment and education affected personality functioning more than height [13]. …”

Section: Psychological Status In Young Persons With Short Staturementioning

confidence: 99%

Psychological Criteria for Treating Children with Idiopathic Short Stature

Bullinger¹

2011

Horm Res Paediatr

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“…Although rarely articulated, it follows from both preceding assumptions that short youths who are not referred for a medical evaluation are similarly at risk for psychosocial adaptation problems. In the prospective, longitudinal Wessex Growth Study, in which the sample is comprised of short but otherwise healthy children from the general population, no evidence of serious psychosocial or academic disadvantage was found [38,39,40,41]. Although individuals in the short stature group preferred to be taller, and reported more bullying than their taller peers [12], neither the desire for physical change nor bullying had measurable effects on school performance or self-esteem [38, 39, 41], suggesting that stigmatized individuals use self-protective cognitive mechanisms that allow self-esteem to remain intact [33].…”

Section: Qol Assumptions Regarding Short Stature and Supporting Evidementioning

confidence: 99%

Growth Hormone Treatment of Short Stature: Status of the Quality of Life Rationale

Sandberg¹,

Colsman²

2005

Horm Res Paediatr

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The unlimited availability of biosynthetic human growth hormone (rhGH) has contributed to the disassociation of the treatment of short stature from its causes. The rationale for treatment has traditionally rested upon the assumption that short stature, in the extreme, may constitute a physical disability, and otherwise represents a significant psychosocial burden for the individual. This review summarizes what is known about the psychosocial aspects of short stature and the quality of life benefits of rhGH treatment. Stereotypes and assumptions about short stature are evaluated in light of empirical findings. Problems of psychosocial adjustment are relatively common in the general population. Because of the salience of short stature, and its potential to serve as a lightning rod to divert attention from other factors interfering with a healthy psychological adaptation, the clinician must be watchful of misattributions for ongoing problems, or unrealistic predictions of the benefits of taller stature. For these reasons, the clinician should consider incorporating a psychosocial component in the diagnostic evaluation to broaden potential treatment recommendations. Finally, studies of factors influencing family decisions regarding factors for and against rhGH therapy provide important clues to how clinicians might enhance the informed consent process.

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“…Interestingly, only GHD and not short stature per se was associated with reduced QoL in adults [9,10]. …”

Section: Introductionmentioning

confidence: 99%

Quality of Life in Children and Adolescents with Growth Hormone Deficiency: Association with Growth Hormone Treatment

et al. 2012

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Background: Quality of life (QoL) as it is related with growth hormone deficiency (GHD) is a matter of controversy. Methods: We analyzed QoL in 95 children aged 8–18 years with isolated GHD (72% male) treated with growth hormone (GH). These children were compared to 190 age- and gender-matched healthy children with similar height [height <10th percentile; control group 1 (CG1)] and age- and gender-matched 285 healthy children of normal stature (control group 2: CG2). QoL was measured by the KINDL® questionnaire referring to six domains (physical well-being, emotional well-being, self-esteem, family, friends, and school). Results: QoL was significantly reduced in CG1 (effect-size 0.21) compared to CG2, while QoL was not significantly altered in children with GHD. In multiple linear regression analyses adjusted to age, gender, BMI, migration background, and socioeconomic status, decreasing height-SDS was associated with poorer QoL (especially emotional well-being), and treatment with GH was related significantly to better self-esteem. Increase of height-SDS in children treated with GH was associated positively with QoL and all its subscales except family and school. Conclusions: These findings suggest psychological consequences of short stature in children and an improvement of QoL in children treated with GH with the focus on self-esteem and emotional well-being.

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Personality functioning: the influence of stature

Cited by 42 publications

References 24 publications

Psychological Criteria for Treating Children with Idiopathic Short Stature

Psychological Criteria for Treating Children with Idiopathic Short Stature

Growth Hormone Treatment of Short Stature: Status of the Quality of Life Rationale

Quality of Life in Children and Adolescents with Growth Hormone Deficiency: Association with Growth Hormone Treatment

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