Body image and depression in girls with idiopathic precocious puberty treated with gonadotropin-releasing hormone analogue
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Precocious puberty (PP) is associated with psychological and behavioral problems. This study aimed to evaluate the perception of body image and depression in girls with PP receiving gonadotropin-releasing hormone (GnRH) analogue therapy. Methods: From March to August 2013, 82 girls with PP receiving GnRH analogue therapy were enrolled. Height, weight, body mass index, and stages of pubertal development were assessed. Participants completed a series of questionnaires on their body image perception and pubertal self-assessment. The depression score was calculated using the Korean Kovacs’ Children’s Depression Inventory. Results: The patients perceived their body to be more obese than the controls did. The mean depression score did not differ between the patients and controls. The mean depression scores according to Tanner stages (1: prepubertal, 2: early pubertal, and 3–5: mid to late pubertal stage) by self-assessment were 5.2±3.6, 6.8±4.9, and 11.4±10.1 (P<0.05), respectively. The perception of overall body build and figure (%) and the mean depression scores in patients were: dissatisfied (25.6%, 9.7±7.8) and satisfied (74.4%, 5.5±3.4) (P<0.05). In multiple linear regression analysis, self-T3 (Tanner stage 3–5 by self-awareness) and dissatisfaction about overall body build and figure were found to significantly affect the depression score(P<0.05). Conclusion: The perception of pubertal status and satisfaction about height or weight are unrelated to objective physical findings. Patients with PP are prone to distorted perception about their body image and breast development. Such incorrect body image seems to contribute to depression score.
Abstract
Purpose: Precocious puberty (PP) is associated with psychological and behavioral problems. This study aimed to evaluate the perception of body image and depression in girls with PP receiving gonadotropin-releasing hormone (GnRH) analogue therapy. Methods: From March to August 2013, 82 girls with PP receiving GnRH analogue therapy were enrolled. Height, weight, body mass index, and stages of pubertal development were assessed. Participants completed a series of questionnaires on their body image perception and pubertal self-assessment. The depression score was calculated using the Korean Kovacs’ Children’s Depression Inventory. Results: The patients perceived their body to be more obese than the controls did. The mean depression score did not differ between the patients and controls. The mean depression scores according to Tanner stages (1: prepubertal, 2: early pubertal, and 3–5: mid to late pubertal stage) by self-assessment were 5.2±3.6, 6.8±4.9, and 11.4±10.1 (P<0.05), respectively. The perception of overall body build and figure (%) and the mean depression scores in patients were: dissatisfied (25.6%, 9.7±7.8) and satisfied (74.4%, 5.5±3.4) (P<0.05). In multiple linear regression analysis, self-T3 (Tanner stage 3–5 by self-awareness) and dissatisfaction about overall body build and figure were found to significantly affect the depression score(P<0.05). Conclusion: The perception of pubertal status and satisfaction about height or weight are unrelated to objective physical findings. Patients with PP are prone to distorted perception about their body image and breast development. Such incorrect body image seems to contribute to depression score.
참고문헌 (18)
- Mendle J, "Detrimental psychological outcomes associated with early pubertal timing in adolescent girls", Dev Rev, 27, pp.151~171 (2007)
- Rierdan J, "Depressive symptomatology among very early maturing girls", J Youth Adolesc, 20, pp.415~425 (1991)
- Graber JA, "Is psychopathology associated with the timing of pubertal development?", J Am Acad Child Adolesc Psychiatry, 36, pp.1768~1776 (1997)
- Hayward C, "Psychiatric risk associated with early puberty in adolescent girls", J Am Acad Child Adolesc Psychiatry, 36, pp.255~262 (1997)
- Kaltiala-Heino R, "Pubertal timing, sexual behaviour and self-reported depression in middle adolescence", J Adolesc, 26, pp.531~545 (2003)
- O'Dea JA, "Improving the body image, eating attitudes, and behaviors of young male and female adolescents: a new educational approach that focuses on self-esteem", Int J Eat Disord, 28, pp.43~57 (2000)
- Hall CH, "Nelson textbook of pediatrics", pp.928~ (2015), Elsevier Saunders
- Cho SC, "Development of the Korean form of the Kovacs' Children's Depression Inventory", J Korean Neuropsychiatr Assoc, 29, pp.943~956 (1990)
- Abraham S, "Body mass index, menarche, and perception of dieting among peripubertal adolescent females", Int J Eat Disord, 29, pp.23~28 (2001)
- Duncan PD, "The effects of pubertal timing on body image, school behavior, and deviance", J Youth Adolesc, 14, pp.227~235 (1985)
- Carlson Jones D, "Body image among adolescent girls and boys: a longitudinal study", Dev Psychol, 40, pp.823~835 (2004)
- Bukowski WM, "Variations in patterns of attraction to same- and other-sex peers during early adolescence", Dev Psychol, 36, pp.147~154 (2000)
- Wardle J, "The impact of obesity on psychological well-being", Best Pract Res Clin Endocrinol Metab, 19, pp.421~440 (2005)
- Stice E, "Relation of early menarche to depression, eating disorders, substance abuse, and comorbid psychopathology among adolescent girls", Dev Psychol, 37, pp.608~619 (2001)
- Angold A, "Pubertal changes in hormone levels and depression in girls", Psychol Med, 29, pp.1043~1053 (1999)
- Brooks-Gunn J, "Biological and social contributions to negative affect in young adolescent girls", Child Dev 1989, 60, pp.40~55 (1989)
- Ge X, "Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms", Dev Psychol, 37, pp.404~417 (2001)
- Petersen AC, "Adolescent depression: Why more girls?", J Youth Adolesc, 20, pp.247~271 (1991)