Skip to main content

Mediators of Psychological Adjustment in Children and Adolescents with Short Stature

An Invited Contribution

  • Conference paper
Therapeutic Outcome of Endocrine Disorders

Abstract

Short stature is defined as growth below the fifth percentile for chronological age, or as height greater than 2 standard deviations (SDS) below the mean height for chronological age (1,2). Approximately 5 percent of all children (1.27 million) have significant short stature (SS) in the United States (2,3). Many posttreatment studies of children and adults treated for growth hormone deficiency (GHD) as children have shown these individuals to have poorer psychological and social adjustment than their normally developing peers (4-7). Higher unemployment rates (5), lower marriage rates (5), and increased incidents of psychiatric disorders and social phobia are reliably reported (7,8).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Lee P, Rosenfeld R. Psychosocial correlates of short stature and delayed puberty. Pediatr Adol Endocrinol 1987; 34: 851–63.

    CAS  Google Scholar 

  2. Rosenfeld R. Treatment of non-growth hormone deficient short stature. In: Hintz RL, Rosenfeld RG., eds. Contemporary issues in endocrinology and metabolism, vol. 4, growth abnormalities. New York: Churchill Livingstone, 1987: 109–28.

    Google Scholar 

  3. Reiser P, Underwood LE. Growing children: a parent’s guide, third ed. [brochure]. San Francisco: Genentech, Inc., 1997.

    Google Scholar 

  4. Bjork S, Jonsson B, Westphal O, Levin J. Quality of life of adults with growth hormone deficiency: a controlled study. Acta Paediatr Scand 1989; 356(suppl): 55–59.

    Article  CAS  Google Scholar 

  5. Dean H, McTaggart T, Fish D, Friesen H. The educational, vocational, and marital status of growth hormone deficient adults treated with growth hormone during childhood. Am J Dis Child 1985; 139: 1105–10.

    PubMed  CAS  Google Scholar 

  6. Rotnem D, Cohen D, Hintz R, Genel M. Psychological sequelae of relative “treatment failure”for children receiving human growth hormone replacement. J Am Acad Child Psychiatr 1979; 3: 505–20.

    Article  Google Scholar 

  7. Stabler B, Tancer M, Ranc J, Underwood L. Psychiatric symptoms in young adults treated for growth hormone deficiency in childhood. In: Stabler B, Underwood L, eds. Growth, stature, and adaptation: behavioral, social, and cognitive aspects of growth delay. Chapel Hill: The University of North Carolina, 1994: 99–106.

    Google Scholar 

  8. Downey J, Ehrardt A, Gruen R, Morishima A, Bell J. Turner syndrome versus constitutional short stature: psychopathology and reactions to height. In: Stabler B, Underwood L, eds. Slow grows the child. Hillsdale, NJ: Erlbaum Associates, 1986: 123–38.

    Google Scholar 

  9. Allen KD, Warzak WJ, Greger NG, Berrnotas TD, Huseman CA. Psychosocial adjustment of children with isolated growth hormone deficiency. Child Health Care 1993; 22: 61–72.

    Article  Google Scholar 

  10. Rotnem D, Genel M, Hintz R, Cohen D. Personality development in children with growth hormone deficiency. J Am Acad Child Psychiatr 1977; 16: 412–26.

    Article  CAS  Google Scholar 

  11. Siegel P, Clopper R, Stoppani C, Stabler B. The psychological adjustment of short children and normal controls. In: Stabler B, Underwood L, eds. Growth, stature, and adaptation;Behavioral, social, and cognitive aspects of growth delay. Chapel Hill: The University of North Carolina, 1994: 123–34.

    Google Scholar 

  12. Stabler B, Clopper R, Siegel PT, Stoppani C, Compton PG, Underwood LE. Academic achievement and psychological adjustment in short children. Devel Behav Pediatr 1994; 15: 1–6.

    Article  CAS  Google Scholar 

  13. Steinhausen H, Stahnke N. Psychoendocrinological studies in dwarfed children and adolescents. Arch Dis Child 1976; 51: 778–83.

    Article  PubMed  CAS  Google Scholar 

  14. Zimet GD, Cutler M, Litvene M, Dahms W, Owens R, Cuttler L. Psychological adjustment of children evaluated for short stature: a preliminary report. Dev Behav Pediatr 1995; 16: 264–70.

    Article  CAS  Google Scholar 

  15. Sandberg D, Brook A, Campos S. Short stature in middle childhood: a survey of psychosocial functioning in a clinic-referred sample. In: Stabler B, Underwood L, eds. Growth, stature, and adaptation: behavioral, social, and cognitive aspects of growth delay. Chapel Hill: The University of North Carolina, 1994: 19–33.

    Google Scholar 

  16. Gordon M, Crouthamel M, Post E, Richman R. Psychosocial aspects of constitutional short stature: Social competence, behavior problems, self-esteem, and family functioning. J Pediatr 1982; 101: 477–80.

    Article  PubMed  CAS  Google Scholar 

  17. Holmes C, Karlsson M, Thompson R. Social and school competencies in children with short stature: longitudinal patterns. Devel Behav Pediatr 1985; 6: 263–67.

    CAS  Google Scholar 

  18. Richman R, Gordon M, Tegtmeyer P, Crouthamel C, Post E. Academic and emotional difficulties associated with constitutional short stature. In: Stabler B, Underwood L, ed. Slow grows the child. Hillsdale, NJ: Erlbaum Associates, 1986: 13–26.

    Google Scholar 

  19. Brust J, Ford C, Rimoin D. Psychiatric aspects of dwarfism. Am J Psychiatr 1976; 133: 160–64.

    PubMed  CAS  Google Scholar 

  20. Eminson D, Powell R, Hollis S. Cognitive behavioral interventions with short statured boys: a pilot study. In: Stabler B, Underwood L, eds. Growth, stature, and adaptation: behavioral, social, and cognitive aspects of growth delay. Chapel Hill: The University of North Carolina, 1994: 135–50.

    Google Scholar 

  21. Holmes C, Hayford J, Thompson R. Personality and behavioral differences in groups of boys with short stature. Child Health Care 1982; 11: 61–64.

    Article  Google Scholar 

  22. Mitchell C, Johanson A, Joyce S, Libber S, Plotnik L, Migeon C, et al. Psychosocial impact of long-term growth hormone therapy. In: Stabler B, Underwood L, eds. Slow grows the child. Hillsdale, NJ: Erlbaum Associates, 1986: 97–109.

    Google Scholar 

  23. Fung CM, Sandberg DE, Shine B, Grundner W. Influence of growth hormone therapy on aspects of family functioning. Proceedings of the Fifth Florida Conference on Child Health Psychology;April 20-22, 1995;Gainesville.

    Google Scholar 

  24. Wallander JL, Varni JW. Adjustment in children with chronic physical disorders: Programmatic research on a disability-stress-coping model. In: La Greca AM, Siegel, LT, Wallander JL, Walker CE, eds. Advances in pediatric psychology: stress and coping in child health. New York: Guilford Press, 1992: 279–98.

    Google Scholar 

  25. Tanner JM. Growth at adolescence, Second ed. Oxford: Blackwell Scientific, 1962.

    Google Scholar 

  26. Hollingshead AB. Four factor index of social status. Unpublished manuscript, Yale University, Department of Sociology, 1975.

    Google Scholar 

  27. Procidano ME, Heller K. Measures of perceived social support from friends and from family: three validation studies. Am J Commun Psychol 1983; 11: 1–24.

    Article  CAS  Google Scholar 

  28. Procidano ME. The nature of perceived social support: findings of meta-analytic studies. In: Spielberger CD, Butcher JN, eds. Advances in personality assessment, vol. 9. Hillsdale, NJ: Erlbaum Associates, 1992: 1–26.

    Google Scholar 

  29. Berndt TJ, Hawkins J. Friendship interview. Unpublished manuscript, Purdue University, 1984.

    Google Scholar 

  30. Berndt TJ, Perry TB. Children’s perceptions of friendships as supportive relationships. Devel Psychol 1986; 22: 640–48.

    Article  Google Scholar 

  31. Vernberg EM. Psychological adjustment and experiences with peers during early adolescence: reciprocal, incidental, or unidirectional relationships? J Abnorm Child Psychol 1990; 18: 187–98.

    Article  PubMed  CAS  Google Scholar 

  32. Vernberg EM, Jacobs AK, Hershberger S. Peer victimization and attitudes about violence during early adolescence. J Clin Child Psychol 1990; 28: 386–95.

    Article  Google Scholar 

  33. Zerger AK, Vernberg EM. Bystanders and attitudes towards peer victimization in early adolescence. Unpublished manuscript, University of Kansas, Lawrence, 1997.

    Google Scholar 

  34. La Greca AM. Social anxiety scale for children-revised. University of Miami, FL: Author, 1992.

    Google Scholar 

  35. La Greca AM, Stone WL. Social anxiety scale for children-revised: factor structure and concurrent validity. J Clin Child Psychol 1993; 22: 17–27.

    Article  Google Scholar 

  36. Kovacs M. Children’s depression inventory manual. Canada: Multi-Health Systems, Inc., 1992.

    Google Scholar 

  37. Harter S. Manual for the self-perception profile for children. University of Denver, CO: Author, 1985.

    Google Scholar 

  38. Young-Hyman D. Effects of short stature on social competence. In: Stabler B, Underwood L, eds. Slow grows the child. Hillsdale, NJ: Erlbaum Associates, 1986: 27–45.

    Google Scholar 

  39. Siegel P, Hopwood N. The relationship of academic achievement and the intellectual functioning and affective conditions of hypopituitary children. In: Stabler B, Underwood L, eds. Slow grows the child. Hillsdale, NJ: Erlbaum Associates, 1986: 57–72.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media New York

About this paper

Cite this paper

Roberts, J.C. et al. (2000). Mediators of Psychological Adjustment in Children and Adolescents with Short Stature. In: Stabler, B., Bercu, B.B. (eds) Therapeutic Outcome of Endocrine Disorders. Serono Symposia USA. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1230-0_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-1230-0_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7052-2

  • Online ISBN: 978-1-4612-1230-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics