Mitchell C M, Joyce S, Johanson A J, Libber S, Plotnick L, Migeon C J, Blizzard R M
Clin Pediatr (Phila). 1986 Jan;25(1):17-23. doi: 10.1177/000992288602500103.
Fifty-eight growth hormone (hGH) deficient adults who had received long-term hGH therapy and their families were contacted to assess their past and current status regarding peer relationships, educational and vocational achievements, and self-concepts. Both heterosexual and same-sex peer relationships were reported as troublesome; most reported problems with having been treated as younger than their chronologic ages. The majority reported average or above average academic performance; there were no significant differences between academic achievements of the expatients and their siblings; the greatest portion of the sample were employed at least part-time and were satisfied with their employment status. On self-concept measures, the sample rated themselves higher in self-satisfaction, personal work, and sociality, but lower on physical self and self-criticism than norms; most of the parents reported no significant differences between the patients' adjustment and that of their siblings. In addition, the recommendations from the group to others considering hGH treatment and to medical personnel working with such families are noted; implications for hGH intervention are discussed.
我们联系了58名接受长期生长激素（hGH）治疗的生长激素缺乏症成年人及其家属，以评估他们过去和当前在同伴关系、教育和职业成就以及自我概念方面的状况。据报告，异性和同性同伴关系都存在问题；大多数人报告说，他们被当作比实际年龄小的人对待，存在这方面的问题。大多数人报告学业成绩处于平均水平或高于平均水平；出院患者与其兄弟姐妹的学业成绩没有显著差异；样本中最大比例的人至少有兼职工作，并且对自己的就业状况感到满意。在自我概念测量方面，该样本在自我满意度、个人工作和社交能力方面给自己的评分较高，但在身体自我和自我批评方面的评分低于标准；大多数父母报告说，患者与其兄弟姐妹在适应方面没有显著差异。此外，还记录了该群体给其他考虑生长激素治疗的人以及与这类家庭打交道的医务人员的建议；讨论了生长激素干预的影响。
