Visser-van Balen H, Sinnema G, Geenen R
Department of Pediatric Psychology, University Medical Center Utrecht, Wilhelmina Children's Hospital, Utrecht, Netherlands.
Arch Dis Child. 2006 May;91(5):433-9. doi: 10.1136/adc.2005.086942.
To facilitate decisions on interventions in medically referred children with idiopathic short stature, the research on psychosocial functioning of these children, possible risk and protective factors influencing adaptation, and effects of hormone treatment were reviewed. Parents ranked the behaviour of their children on average between normal and below normal. The magnitude of these deviations varied from small to large. Little is known about the children's self-perceived psychosocial functioning. Some risk factors were found: being teased, being juvenilised, being a boy, having a younger but taller sibling, low intelligence, and low socioeconomic status. There have been few studies on the impact of protective factors including temperament, coping strategies, and social support. On average, hormone treatment did not improve psychosocial functioning. The research shows the advantages and disadvantages of hormone treatment that must be considered when choosing a suitable intervention. It is suggested that psychosocial adjustment can be improved by focusing on factors other than height alone.
为便于对医学转诊的特发性身材矮小儿童的干预措施做出决策，对这些儿童的心理社会功能、影响适应的可能风险和保护因素以及激素治疗的效果进行了综述。家长对孩子行为的评价平均处于正常和低于正常之间。这些偏差的程度从小到大都有。对于孩子们自我感知的心理社会功能知之甚少。发现了一些风险因素：被取笑、被幼稚化、是男孩、有年幼但更高的兄弟姐妹、智力低下和社会经济地位低。关于包括气质、应对策略和社会支持在内的保护因素的影响的研究很少。平均而言，激素治疗并未改善心理社会功能。该研究显示了激素治疗的优缺点，在选择合适的干预措施时必须予以考虑。建议通过关注身高以外的因素来改善心理社会适应。
