de Kerdanet M, Seveno T, Lecornu M
Service d'endocrinologie pédiatrique, hôpital Sud, CHR de Rennes, France.
Pediatrie. 1993;48(11):783-7.
Four cases of psychosocial dwarfism are reported. The growth follow-up of these four children does not fit to the classical description of rapid improvement once separated from their defective or careless family. This illustrates the difficulties for some children to adapt themselves to a foster family and the need to refer them to an institutional center in order to solve their different somatic, nutritional and psychological problems, together with those of their family. In such cases the important growth retardation and hormonal changes may hide severe psychopathological troubles such as hyperkinetic syndrome, anxiety and, possibly, depression.
报告了4例心理社会型侏儒症病例。对这4名儿童的生长发育随访情况并不符合一旦与有缺陷或粗心大意的家庭分离后迅速改善的经典描述。这说明了一些儿童适应寄养家庭的困难，以及将他们转介到机构中心以解决他们及其家庭不同的躯体、营养和心理问题的必要性。在这种情况下，严重的生长发育迟缓及激素变化可能掩盖诸如多动综合征、焦虑症以及可能的抑郁症等严重的精神病理问题。
