Ann Pediatr Endocrinol Metab.  2015 Jun;20(2):79-85. 10.6065/apem.2015.20.2.79.

Parents' perception about child's height and psychopathology in community children with relatively short stature

Affiliations
  • 1Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Korea.
  • 2Department of Pediatrics, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea. pedseo@eulji.ac.kr

Abstract

PURPOSE
This study investigated the relationship between height and psychopathology in community children with relatively short stature according to the parents' reports. Also, the matter of parental concern about child's height was explored.
METHODS
The child behavior checklist (CBCL), the Brief Encounter Psychosocial Instrument (BEPSI), and the child-health questionnaire-parent form 50 (CHQ-PF50) were administered to 423 parents (from elementary and middle school children's) in Gangnam, South Korea. Subjects were divided into three groups; (1) relatively short (n=30), (2) average stature (n=131), (3) relatively tall (n=153). CBCL, BEPSI, and CHQ-PF50 scores were compared among three groups.
RESULTS
There were no significant differences in psychosocial burden associated with relatively short stature measured by Korean version of the BEPSI and Korean version of the CBCL scores among three groups. But general health perception score of relatively short was significantly lower than that of nonshort on the CHQ-PF50. Also, they were more used complementary medicines, milk and growth hormone compared to the nonshort. The parents' expected height of their children was 180.6+/-3.5 cm for boys and 166.7+/-3.5 cm for girls. This is respectively 90 percentile and 75-90 percentile for the Korean standard adult height.
CONCLUSION
Our study shows that in Korea, Parents tended to regard relatively short children as having health problems. Also, the parental expectation for their child's attainable height is unrealistically tall, mostly due to lack of correct medical information.

Keyword

Psychopathology; Short stature; Child behavior

MeSH Terms

Adult
Checklist
Child Behavior
Child*
Female
Growth Hormone
Humans
Korea
Milk
Parents
Psychopathology*
Growth Hormone

Reference

1. Kim JB, Yoo HW. Etiological classifications of children with chief complaint of short stature. J Korean Soc Pediatr Endocrinol. 1997; 2:1–9.
2. Lee MC, Kim MJ, Choi IJ, Cheuh HW, Yoo JH. Complementary therapies and perceptions of growth in parents and children visiting the growth clinic. J Korean Soc Pediatr Endocrinol. 2008; 13:73–80.
3. Rudman D, Kutner MH, Blackston RD, Jansen RD, Patterson JH. Normal variant short stature: subclassification based on responses to exogenous human growth hormone. J Clin Endocrinol Metab. 1979; 49:92–99. PMID: 447821.
Article
4. Gordon M, Crouthamel C, Post EM, Richman RA. Psychosocial aspects of constitutional short stature: social competence, behavior problems, self-esteem, and family functioning. J Pediatr. 1982; 101:477–480. PMID: 7108676.
Article
5. Money J, Pollitt E. Studies in the psychology of dwarfism. II. Personality maturation and response to growth hormone treatment in hypopituitary dwarfs. J Pediatr. 1966; 68:381–390. PMID: 5903311.
6. Stabler B, Clopper RR, Siegel PT, Stoppani C, Compton PG, Underwood LE. Academic achievement and psychological adjustment in short children. The National Cooperative Growth Study. J Dev Behav Pediatr. 1994; 15:1–6. PMID: 8195431.
7. Kranzler JH, Rosenbloom AL, Proctor B, Diamond FB Jr, Watson M. Is short stature a handicap? A comparison of the psychosocial functioning of referred and nonreferred children with normal short stature and children with normal stature. J Pediatr. 2000; 136:96–102. PMID: 10636982.
Article
8. Lee JM, Appugliese D, Coleman SM, Kaciroti N, Corwyn RF, Bradley RH, et al. Short stature in a population-based cohort: social, emotional, and behavioral functioning. Pediatrics. 2009; 124:903–910. PMID: 19706592.
Article
9. Sandberg DE, Brook AE, Campos SP. Short stature: a psychosocial burden requiring growth hormone therapy? Pediatrics. 1994; 94(6 Pt 1):832–840. PMID: 7970998.
Article
10. Theunissen NC, Kamp GA, Koopman HM, Zwinderman KA, Vogels T, Wit JM. Quality of life and self-esteem in children treated for idiopathic short stature. J Pediatr. 2002; 140:507–515. PMID: 12032514.
Article
11. Sandberg DE. Quality of life and self-esteem in children treated for idiopathic short stature. J Pediatr. 2003; 143:691. PMID: 14649665.
Article
12. Whitman BY, Myers S, Carrel A, Allen D. The behavioral impact of growth hormone treatment for children and adolescents with Prader-Willi syndrome: a 2-year, controlled study. Pediatrics. 2002; 109:E35. PMID: 11826245.
Article
13. Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, et al. 2007 Korean National Growth Charts: review of developmental process and an outlook. Korean J Pediatr. 2008; 51:1–25.
Article
14. Achenbach TM. Manual for the child behavior checklist/4-18 and 1991 profile. Burlington (VT): Department of Psychiatry, University of Vermont;1991.
15. Cho SC, Lee YS. Development of the Korean form of the Kovacs' Children's Depression Inventory. J Korean Neuropsychiatr Assoc. 1990; 29:943–956.
16. Landgraf JM, Abetz L, Ware JE. Child health questionnaire (CHQ): a user's manual. Boston (MA): Health Institute, New England Medical Center;1996.
17. Frank SH, Zyzanski SJ. Stress in the clinical setting: the brief encounter psychosocial instrument. J Fam Pract. 1988; 26:533–539. PMID: 3367118.
18. Downie AB, Mulligan J, Stratford RJ, Betts PR, Voss LD. Are short normal children at a disadvantage? The Wessex growth study. BMJ. 1997; 314:97–100. PMID: 9006466.
Article
19. Voss L, Walker J, Lunt H, Wilkin T, Betts P. The Wessex growth study: first report. Acta Paediatr Scand Suppl. 1989; 349:65–72. PMID: 2750532.
Article
20. Voss LD, Bailey BJ, Mulligan J, Wilkin TJ, Betts PR. Short stature and school performance: the Wessex Growth Study. Acta Paediatr Scand Suppl. 1991; 377:29–31. PMID: 1785313.
21. Cuttler L, Silvers JB, Singh J, Marrero U, Finkelstein B, Tannin G, et al. Short stature and growth hormone therapy. A national study of physician recommendation patterns. JAMA. 1996; 276:531–537. PMID: 8709401.
Article
22. Kusalic M, Fortin C, Gauthier Y. Psychodynamic aspects of dwarfism: response to growth hormone treatment. Can Psychiatr Assoc J. 1972; 17:29–34. PMID: 5023938.
Article
23. Stabler B, Siegel PT, Clopper RR, Stoppani CE, Compton PG, Underwood LE. Behavior change after growth hormone treatment of children with short stature. J Pediatr. 1998; 133:366–373. PMID: 9738718.
Article
24. Yim JH, Bae JM, Choi SS, Kim SW, Hwang HS, Huh BY. The validity of modified Korean-translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic. J Korean Acad Fam Med. 1996; 17:42–53.
25. Noeker M, Haverkamp F. Adjustment in conditions with short stature: a conceptual framework. J Pediatr Endocrinol Metab. 2000; 13:1585–1594. PMID: 11154154.
Article
26. Lee WD, Lieu JW, Lee JW, Lee JS, Cho KL. A study on the attitudes of middle school students concerning height. Korean J Pediatr. 2008; 51:248–255.
Article
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