The Relationship between Psychopathology, Self-esteem, Body Perception and Serum Sex Steroids in Pubertal Gynecomastia
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Objective: The current study aimed to investigate the psychopathology behind gynecomastia and potential associated problems regarding self-esteem and body perception, and the relationships of these variables with sex steroid levels in adolescents with pubertal gynecomastia. Methods: The study included 50 normal weight male adolescents aged between 11 and 18 years with gynecomastia but without any chronic organic pathology, and 50 healthy pubertal male adolescents matched for age. The adolescents underwent psychopathology assessment by Development and Well-Being Assessment interviews; self-esteem was assessed using the Rosenberg Self-Esteem Scale; body perception was evaluated using the Body Image Perception Scale, and the relationship between these variables and sex steroid levels were explored. Results: The results of the study revealed that the gynecomastia group had significantly greater internalization disorder (2 = 12.96, p ＜ 0.001), and impairments in self-esteem (z = −1.975, p = 0.024) and body perception (z = −2.286, p = 0.022), and these variables were correlated with the gynecomastia stage. In the study group, cortisol levels were significantly higher (z = −2.330, p = 0.02) in adolescents with internalization disorder compared to those without, and cortisol levels increased in parallel with increased gynecomastia duration (r = 0.386, p = 0.006). Conclusion: In our study, we found that gynecomastia, depending on its stage, may lead to internalization disorder and impair self-esteem and body perception. It was found that there was no direct relationship between these parameters and sex steroids in pubertal gynecomastia, except for high cortisol levels in adolescents with internalization disorder.
Abstract
Objective: The current study aimed to investigate the psychopathology behind gynecomastia and potential associated problems regarding self-esteem and body perception, and the relationships of these variables with sex steroid levels in adolescents with pubertal gynecomastia. Methods: The study included 50 normal weight male adolescents aged between 11 and 18 years with gynecomastia but without any chronic organic pathology, and 50 healthy pubertal male adolescents matched for age. The adolescents underwent psychopathology assessment by Development and Well-Being Assessment interviews; self-esteem was assessed using the Rosenberg Self-Esteem Scale; body perception was evaluated using the Body Image Perception Scale, and the relationship between these variables and sex steroid levels were explored. Results: The results of the study revealed that the gynecomastia group had significantly greater internalization disorder (2 = 12.96, p ＜ 0.001), and impairments in self-esteem (z = −1.975, p = 0.024) and body perception (z = −2.286, p = 0.022), and these variables were correlated with the gynecomastia stage. In the study group, cortisol levels were significantly higher (z = −2.330, p = 0.02) in adolescents with internalization disorder compared to those without, and cortisol levels increased in parallel with increased gynecomastia duration (r = 0.386, p = 0.006). Conclusion: In our study, we found that gynecomastia, depending on its stage, may lead to internalization disorder and impair self-esteem and body perception. It was found that there was no direct relationship between these parameters and sex steroids in pubertal gynecomastia, except for high cortisol levels in adolescents with internalization disorder.
참고문헌 (36)
- Johnson RE, "Gynecomastia-evaluation and current treatment options", Ther Clin Risk Manag, 7, pp.145~148 (2011)
- Ordaz DL, "Gynecomastia and psychological functioning : a review of the literature", Body Image, 15, pp.141~148 (2015)
- Cuhaci N, "Gynecomastia : clinical evaluation and management", Indian J Endocrinol Metab, 18, pp.150~158 (2014)
- Abaci A, "Gynecomastia : review", Pediatr Endocrinol Rev, 5, pp.489~499 (2007)
- Ismail AA, "Endocrinology of gynaecomastia", Ann Clin Biochem, 38(Pt 6), pp.596~607 (2001)
- Rohrich RJ, "Classification and management of gynecomastia : defining the role of ultrasound-assisted liposuction", Plast Reconstr Surg, 111, pp.909~923 (2003)
- Kinsella C Jr, "The psychological burden of idiopathic adolescent gynecomastia", Plast Reconstr Surg, 129, pp.1~7 (2012)
- Schonfeld WA, "Gynecomastia in adolescence : effect on body image and personality adaptation", Psychosom Med, 24, pp.379~389 (1962)
- Schonfeld WA, "Gynecomastia in adolescence", Arch Gen Psychiatry, 5, pp.46~54 (1961)
- Fisher M, "Gynecomastia as a precipitant of eating disorders in adolescent males", Int J Eat Disord, 9, pp.115~119 (1990)
- Losee JE, "Macromastia as an etiologic factor in bulimia nervosa : 10-year follow up after treatment with reduction mammaplasty", Ann Plast Surg, 52, pp.452~457 (2004)[DOI]
- Rosenberg M, "Society and the adolescent self-image" (2015), Princeton University Press
- Coleman JC, "The nature of adolescence" (1999), Psychology Press
- Silverstone PH, "Low self-esteem and psychiatric patients : part I-the relationship between low self-esteem and psychiatric diagnosis", Ann Gen Hosp Psychiatry, 2, pp.2~ (2003)
- 유태영, "Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia", Clinical Psychopharmacology and Neuroscience, 13(3), pp.296~301 (2015), 대한정신약물학회
- McGrath MH, "Plastic surgery and the teenage patient", J Pediatr Adolesc Gynecol, 13, pp.105~118 (2000)
- Cotton N, "Kaplan & Sadock’s comprehensive textbook of psychiatry", pp.2551~2552 (2000), Lippincott Williams & Wilkins
- Nuzzi LC, "Psychosocial impact of adolescent gynecomastia : a prospective case-control study", Plast Reconstr Surg, 131, pp.890~896 (2013)
- Fernández-Guasti A, "Sex, stress, and mood disorders : at the intersection of adrenal and gonadal hormones", Horm Metab Res, 44, pp.607~618 (2012)
- Martel MM, "Potential hormonal mechanisms of attention-deficit", hyperactivity disorder and major depressive disorder : a new perspective, 2009, pp.55, 465~479
- McHenry J, "Sex differences in anxiety and depression : role of testosterone", Front Neuroendocrinol, 35, pp.42~57 (2014)
- Goodman R, "The Development and Well-Being Assessment : description and initial validation of an integrated assessment of child and adolescent psychopathology", J Child Psychol Psychiatry, 41, pp.645~655 (2000)
- Dursun OB, "A new diagnostic approach for Turkish speaking populations DAWBA Turkish Version", Epidemiol Psychiatr Sci, 22, pp.275~282 (2013)
- Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
- Çuhadaroğlu F, "Adolesanlarda benlik saygısı", pp.1986
- Secord PF, "The appraisal of body-cathexis : bodycathexis and the self", J Consult Psychol, 17, pp.343~347 (1953)
- Hovardaoğlu S, "Vücut algısı ölçeği. Psikiyatri, psikoloji, psikofarmakoloji dergisi (3P)", Testler Özel Eki, 1, pp.26~27 (1993)
- Storch EA, "Psychosocial adjustment of two boys with gynecomastia", J Paediatr Child Health, 40, pp.331~ (2004)
- Shi J, "Family function and self-esteem among Chinese university students with and without grandparenting experience : moderating effect of social support", Front Psychol, 8, pp.886~ (2017)
- Esenboğa S, "The effect of gynecomastia on body image perception and gender roles in adolescents", Turk J Pediatr, 57, pp.60~67 (2015)
- Green MA, "Eating disorder behaviors and depression : a minimal relationship beyond social comparison, self-esteem, and body dissatisfaction", J Clin Psychol, 65, pp.989~999 (2009)
- Kilic M, "The relationship between pubertal gynecomastia, prostate specific antigen, free androgen index, SHBG and sex steroids", J Pediatr Endocrinol Metab, 24, pp.61~67 (2011)
- Biro FM, "Hormonal studies and physical maturation in adolescent gynecomastia", J Pediatr, 116, pp.450~455 (1990)
- Zitzmann M, "Testosterone levels in healthy men and the relation to behavioural and physical characteristics : facts and constructs", Eur J Endocrinol, 144, pp.183~197 (2001)
- Lopez-Duran NL, "Hypothalamic-pituitary-adrenal axis dysregulation in depressed children and adolescents : a meta-analysis", Psychoneuroendocrinology, 34, pp.1272~1283 (2009)
- Goodyer IM, "Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents", Br J Psychiatry, 177, pp.499~504 (2000)