Abstract
Sixteen children and adolescents with extreme short stature secondary to hypopituitarism were compared to a matched group of physically healthy peers on a variety of psychological tests assessing general adjustment, body image, sex role development, sex-related fantasy, and reactions to frustration. With the exception of their reactions to frustrations, the psychological adjustment of children with hypopituitarism compared favorably with that of normal children. Children with hypopituitarism typically perceived less adaptive, mature solutions to frustrating situations than did peers of average stature. Anticipatory guidance for children with extreme short stature might help facilitate more adaptive responses to the difficult and inevitable frustrations imposed by short stature. Evaluations of intervention directed toward the enhancement of coping skills and life adjustment of children with small stature due to hypopituitarism is seen as a focus for future research with this population.
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References
Rotnem D, Genel M, Hintz RL and Cohen, DJ: Personality development in children with growth hormone deficiency.J Amer Acad Child Psychiat, 16: 412–426, 1977.
Feinman JA: Growth Disorders: Symposium on endocrine disorders in childhood and adolescence: psychosocial management. Presented at Annual Meeting of the American Psychological Association, 1979.
Drash DW, Greenberg NE, Money J: Intelligence and personality in four syndromes of dwarfism. In DB Cheek (Ed)Human growth: Body composition, cell growth, energy and intelligence. Philadelphia: Lea and Febiger, 1968.
Money J, Cohen SM, Lewis V, Drash DW: Human figure drawings as index of body image in dwarfism. In DB Cheek (Ed.):Human growth: Body composition, cell growth, energy and intelligence. Philadelphia: Lea and Febiger, 1968.
Money J and Politt E: Studies in the psychology of dwarfism II-personality maturation and response to growth hormone treatment in hypopituitary dwarfs.J Pediatr 68:381–390, 1962.
Stabler B: The status of psychological research on short stature. Psychosocial Aspects of Short Stature, Conference, Galveston, Texas, 1978.
Stabler B and Underwood L: Anxiety and locus of control in hypopituitary dwarf children.Res Rel Child Bull, 1977.
Hamill OVV, Drizd TA, Johnson CL, Reed RB, Roche AF, MooreWM: Physical Growth: National Center for Health Statistics Percentages.Amer J Clin Nutr 32: 607–629, 1979.
Hollingshead AB, Redlich FC:Social class and mental illness. New York: J. Wilkens Sons, 1958.
Sine JO, Pauker JD, Sines LK:The Missouri childrens picture series manual. Iowa City, 1963.
Sines JO, Pauker JD, Sines LK, Owen DR: Identification of clinically relevant dimensions of children's behavior.J Consul Clin Psychol 6:728–734, 1969.
Dollinger SJ, Schum RL: The Missouri children's picture series: Utility of the sleep disturbance scale with a clinical sample.J Pediatr Psychol 4:113–117, 1979.
Harris DB:Children's drawings as measures of intellectual maturity. Harcout New York: Brace and World Inc., 1963.
Roback HB: Human figure drawings: Their utility in the clinical psychologist's armamentarium for personality assessment.Psychol Bull 70:1–19, 1968.
Haworth MR and Normington CJ: A sexual differentiation scale for the D.A.P. test (for use with children).J Proj Tech 25:441–448, 1961.
May R: Deprivation—enhancement fantasy patterns in men and women.J Proj Tech Pers Asses 33:464–470, 1969.
Cramer P: A method for studying the development of gender identity.Dev Psychol 5:484–487, 1971.
Rosenzweig S: The picture association method and its application in a study of reactions to frustration.J Pers 14:3–23, 1945.
Rosenzweig S, Felming EE, Rosenzweig L: The childrens form of the Rosenzweig picture frustration study manual.J Psyc 26:141–191, 1945.
Rosenzweig S, Rosenzweig L:Guide to research on the Rosenzweig picture frustration (P-F) study 1934–1974. St. Louis: Washington University, 1948.
Holzberg JD, Posner R: The relationship of extrapunitiveness on the Rosenzweig picture frustration study to aggression in overt behavior and fantasy.Amer J Orthopsych 21:767–779, 1951.
Spivack G, Shure MR:Social adjustment of young children. San Francisco: Josey-Bass Publishers, 1974.
Rotnem D, Cohen DJ, Hintz R, Genel M: Psychological sequalae of relative treatment failure for children receiving human growth hormone replacement.J Amer Acad Child Psyc 18:505–520, 1979.
Politt E, Money J: Studies in the psychology of dwarfism. I. Intelligences quotient and school achievement.J Pediat 64:415–421, 1968.
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Drotar, D., Owens, R. & Gotthold, J. Personality adjustment of children and adolescents with hypopituitarism. Child Psych Hum Dev 11, 59–66 (1980). https://doi.org/10.1007/BF00705871
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DOI: https://doi.org/10.1007/BF00705871