Hick K M, Katzman D K
Department of Paediatrics, The Hospital for Sick Children, and the Faculty of Medicine, University of Toronto, Ontario, Canada.
J Adolesc Health. 1999 Mar;24(3):206-11. doi: 10.1016/s1054-139x(98)00119-0.
To evaluate the accuracy of self-assessment of pubertal maturation and to determine the desired stage of pubertal maturity in adolescent females with anorexia nervosa.
Standardized figure drawings depicting Tanner's sexual maturation stages were given to a consecutive sample of 40 adolescent females with anorexia nervosa who were instructed to assess current and desired pubertal development. Pubertal development was assessed independently by two investigators. The percent agreement between physician and subject ratings was determined.
Percent agreement between physician and subject ratings was 30% for developmental stage for breasts and 50% for pubic hair. Subjects underestimated breast development 3.4 times as often as they overestimated it and overestimated pubic hair development 1.5 times as often as they underestimated it. Multivariate probit analysis showed that inaccuracy in breast self-assessment was inversely related to a desire for sexual maturity (p < 0.05). Ninety percent of subjects stated that their desired stage of breast development was equal to or more mature than their present stage. Eighty percent stated that their desired stage of pubic hair development was equal to or more mature than their present stage.
Self-assessment of sexual maturity by adolescents with anorexia nervosa using standardized figure drawings depicting Tanner's stages is not accurate. Patients desiring a sexually immature body were most likely to be inaccurate in their self-assessment of their pubertal stage.
评估青春期成熟度自我评估的准确性，并确定神经性厌食症青春期女性期望达到的成熟阶段。
向连续选取的40例神经性厌食症青春期女性提供描绘坦纳性成熟阶段的标准化人体图，指导她们评估当前及期望的青春期发育情况。由两名研究人员独立评估青春期发育情况。确定医生与受试者评分之间的一致率。
乳房发育阶段医生与受试者评分的一致率为30%，阴毛发育阶段为50%。受试者低估乳房发育的频率是高估的3.4倍，高估阴毛发育的频率是低估的1.5倍。多变量概率分析显示，乳房自我评估不准确与对性成熟的渴望呈负相关（p<0.05）。90%的受试者表示，她们期望的乳房发育阶段等于或比当前阶段更成熟。80%的受试者表示，她们期望的阴毛发育阶段等于或比当前阶段更成熟。
神经性厌食症青少年使用描绘坦纳阶段的标准化人体图进行性成熟度自我评估并不准确。希望拥有性未成熟身体的患者在青春期阶段的自我评估中最有可能不准确。
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