Psychosocial outcome of children evaluated for short stature

Gregory Zimet, Ruth Owens, William Dahms, Margaret Cutler, Marilyn Litvene, Leona Cuttler

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Objective: To assess the psychosocial functioning of adults who were evaluated as children for short stature and were not treated with human growth hormone. Design: Inception cohort study. Setting: Hospital-based pediatric endocrinology clinic. Participants: From 1975 to 1980, medical record review indicated that 181 of the children referred to our clinic for concerns about short stature were non-growth hormone deficient. In 1992 and 1993, we were able to recruit 35 of these patients for a follow-up study. Eligible subjects were at least 18 years of age at the time of follow-up. Main Outcome Measures: Standardized self-report questionnaires assessed various domains of psychosocial adjustment. Also, a brief test of intellectual functioning was administered and subjects underwent a semistructured in-person interview to evaluate pragmatic functioning and experiences associated with short stature. Results: Few significant differences between the study sample and standardization samples were found on measures of psychosocial and intellectual functioning. Within-group childhood height during the first evaluation appointment was not significantly associated with most adult measures of psychosocial adjustment. Shorter adult stature was significantly associated with lower educational achievement, lower self-esteem, and greater emotional distress. Conclusions: The absence of significant psychosocial distress or impairment in these subjects brings into question one basis for hormonal treatment for non- growth hormone deficient short stature; that short stature in childhood is likely to lead to psychological dysfunction in adulthood. The results, however, also suggest that shorter stature in adulthood may constitute a psychosocial stressor, increasing vulnerability across several domains.

Original languageEnglish
Pages (from-to)1017-1023
Number of pages7
JournalArchives of Pediatrics and Adolescent Medicine
Volume151
Issue number10
StatePublished - 1997

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Social Adjustment
Educational Status
Pediatric Hospitals
Human Growth Hormone
Endocrinology
Self Concept
Self Report
Growth Hormone
Medical Records
Appointments and Schedules
Cohort Studies
Outcome Assessment (Health Care)
Hormones
Interviews
Psychology
Therapeutics
Surveys and Questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Zimet, G., Owens, R., Dahms, W., Cutler, M., Litvene, M., & Cuttler, L. (1997). Psychosocial outcome of children evaluated for short stature. Archives of Pediatrics and Adolescent Medicine, 151(10), 1017-1023.

Psychosocial outcome of children evaluated for short stature. / Zimet, Gregory; Owens, Ruth; Dahms, William; Cutler, Margaret; Litvene, Marilyn; Cuttler, Leona.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 151, No. 10, 1997, p. 1017-1023.

Research output: Contribution to journalArticle

Zimet, G, Owens, R, Dahms, W, Cutler, M, Litvene, M & Cuttler, L 1997, 'Psychosocial outcome of children evaluated for short stature', Archives of Pediatrics and Adolescent Medicine, vol. 151, no. 10, pp. 1017-1023.
Zimet G, Owens R, Dahms W, Cutler M, Litvene M, Cuttler L. Psychosocial outcome of children evaluated for short stature. Archives of Pediatrics and Adolescent Medicine. 1997;151(10):1017-1023.
Zimet, Gregory ; Owens, Ruth ; Dahms, William ; Cutler, Margaret ; Litvene, Marilyn ; Cuttler, Leona. / Psychosocial outcome of children evaluated for short stature. In: Archives of Pediatrics and Adolescent Medicine. 1997 ; Vol. 151, No. 10. pp. 1017-1023.
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