Sarr M, Job J C, Chaussain J L, Golse B
Arch Fr Pediatr. 1987 May;44(5):331-8.
The diagnosis of psychosocial deprivation dwarfism is difficult. It is also of practical importance since it leads to the only one appropriate treatment: the decision to send the child in a new environment, foster institution or foster family. The present work reports the clinical, biological and psychologic characteristics of 34 children and adolescents aged 9 months to 17 years, in whom a severe growth deficiency had been considered as probably related to psychosocial deprivation, and who were thus sent in foster institutions with good medical and psychological support. The result was in 24 cases a sharp increase of growth rate, giving confirmation of the diagnosis suspected, and in 10 a failure, making this diagnosis unlikely. A comparison of these two groups does not demonstrate any significantly different criterion. The conclusion suggested is thus the following: a trial of at least three months in a foster home, decided on concordant clinical and psychological data, without regard to the biological data, is the only way for distinguishing the truly and falsely deprivation-related dwarfism, or at least to give appropriate support for long-term therapeutic decisions.
心理社会剥夺性侏儒症的诊断很困难。它也具有实际重要性，因为它导致了唯一一种合适的治疗方法：决定将孩子送到新环境、寄养机构或寄养家庭。本研究报告了34名年龄在9个月至17岁之间的儿童和青少年的临床、生物学和心理特征，这些儿童和青少年存在严重生长发育迟缓，被认为可能与心理社会剥夺有关，因此被送到了有良好医疗和心理支持的寄养机构。结果是，24例生长速度急剧增加，证实了疑似诊断，10例治疗失败，这使得该诊断不太可能成立。对这两组进行比较并未发现任何显著不同的标准。因此得出的结论如下：根据一致的临床和心理数据，在不考虑生物学数据的情况下，决定在寄养家庭中进行至少三个月的试验，是区分真正的和虚假的与剥夺相关的侏儒症的唯一方法，或者至少为长期治疗决策提供适当的支持。
