侏儒症儿童和青少年的心理内分泌学研究。
Psychoendocrinological studies in dwarfed children and adolescents.
作者信息
Steinhausen H C, Stahnke N
出版信息
Arch Dis Child. 1976 Oct;51(10):778-83. doi: 10.1136/adc.51.10.778.
Thirty-two dwarfed children and adolescents were studied clinically, by laboratory assessment, by a battery of psychological tests and a structured interview. Growth hormone deficiency was present in 16 cases, but in the remaining 16 cases there was no endocrine disease. Dwarfed children differed from nornal controls in perception, and a specific personality pattern emerged in the dwarfed children. The effects of age, sex, and socioeconomic status on personality traits were similar for dwarfs as for controls. Intelligence and personality variable were similar in dwarfs with and without endocrine disease. However, symptoms of the psychoendocrine syndrome, namely appetite and thirst disturbances, hypersensitivities, and impulse reduction, were more frequently seen among hypopituitary dwarfs. Social and coping behaviour was impaired in the majority of dwarfs. It is concluded that psychological disturbance occuring inchildren of small stature is a response to being small and is not attributable to any endocrine effect.
对32名身材矮小的儿童和青少年进行了临床研究、实验室评估、一系列心理测试以及结构化访谈。16例存在生长激素缺乏，但其余16例无内分泌疾病。身材矮小的儿童在感知方面与正常对照组不同，且身材矮小的儿童出现了一种特定的人格模式。年龄、性别和社会经济地位对人格特质的影响在侏儒和对照组中相似。有内分泌疾病和无内分泌疾病的侏儒在智力和人格变量方面相似。然而，心理内分泌综合征的症状，即食欲和口渴紊乱、过敏反应和冲动减少，在垂体功能减退的侏儒中更常见。大多数侏儒的社交和应对行为受损。研究得出结论，身材矮小儿童出现的心理障碍是对身材矮小的一种反应，并非归因于任何内分泌效应。
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