Heightism, growth hormone treatment, and social functioning: a holistic approach to a persistent clinical challenge.

IF 2.2 3区 医学 Q2 PEDIATRICS Current opinion in pediatrics Pub Date : 2024-08-01 Epub Date: 2024-05-10 DOI:10.1097/MOP.0000000000001363
Camilia Kamoun, Emily A Largent, Adda Grimberg
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Abstract

Purpose of review: Use of recombinant human growth hormone (rhGH) treatment to increase height in children with non-growth hormone deficient short stature is becoming more common. Yet, the evidence to support the notion that augmenting height directly leads to increased well being, specifically psychosocial well being, is inconsistent, with high-quality evidence lacking.

Recent findings: Review of recent studies demonstrates that the association between height augmentation and psychosocial well being is complex. The direct contribution of height to well being may be less than the current model of clinical care of short stature assumes. Rather, the new studies provide evidence to support a role for psychosocial factors, including height-related beliefs, social support, and coping skills, in promoting psychosocial well being, specifically quality of life and self-esteem.

Summary: Clinical care of short stature would benefit from incorporating a holistic model of care that considers psychosocial interventions in addition to, or instead of, rhGH treatment.

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身高不足症、生长激素治疗和社会功能:以综合方法应对长期存在的临床难题。
审查目的:使用重组人生长激素(rhGH)治疗来增加非生长激素缺乏性矮身材儿童的身高正变得越来越普遍。然而,有关身高增长直接导致健康状况(尤其是社会心理健康)改善这一观点的证据并不一致,也缺乏高质量的证据:最近的研究结果:对近期研究的回顾表明,身高增长与社会心理健康之间的关系非常复杂。身高对身心健康的直接影响可能不如目前的矮身材临床治疗模式所假设的那么大。相反,新的研究提供的证据支持了社会心理因素在促进社会心理健康,特别是生活质量和自尊方面的作用,包括与身高相关的信念、社会支持和应对技能。总结:如果能在rhGH治疗之外或取代rhGH治疗,纳入一种考虑社会心理干预的整体护理模式,将对矮身材的临床治疗大有裨益。
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来源期刊
CiteScore
6.20
自引率
0.00%
发文量
184
审稿时长
6-12 weeks
期刊介绍: ​​​​​Current Opinion in Pediatrics is a reader-friendly resource which allows the reader to keep up-to-date with the most important advances in the pediatric field. Each issue of Current Opinion in Pediatrics contains three main sections delivering a diverse and comprehensive cover of all key issues related to pediatrics; including genetics, therapeutics and toxicology, adolescent medicine, neonatology and perinatology, and orthopedics. Unique to Current Opinion in Pediatrics is the office pediatrics section which appears in every issue and covers popular topics such as fever, immunization and ADHD. Current Opinion in Pediatrics is an indispensable journal for the busy clinician, researcher or student.
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