Skip to main content

Quality of Life Among Adults with Childhood Onset Growth Hormone Deficiency: A Comparison with Siblings

  • Conference paper
Therapeutic Outcome of Endocrine Disorders

Part of the book series: Serono Symposia USA ((SERONOSYMP))

  • 92 Accesses

Abstract

The endocrine management of growth failure and short stature has changed dramatically since the introduction of biosynthetic growth hormone (GH). To date, however, there are no published studies concerning the behavioral outcomes of individuals who had been treated entirely within the new era of biosynthetic GH therapy. Insofar as improvements in the treatment regimen have resulted in better growth and adult height outcomes (1), there is good reason to speculate that the psychosocial adjustment of individuals treated entirely in this new era will also be superior to that of patients who were treated when supplies of GH were limited. This belief is so pervasive that it has contributed to the expanded prescribing of GH to non-GH-deficient patient groups with short stature (2,3). Until behavioral outcome studies of these newer cohorts are completed, there remains much to be learned from the experiences and quality of life (QOL) outcomes of patients, now young adults or older, who have completed treatment, regardless of treatment era.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Allen DB, Johanson AJ, Blizzard RM. Growth hormone treatment. In: Lifshitz F, editor. Pédiatric endocrinology, 3rd ed. New York: Marcel Dekker, 1996: 61–81.

    Google Scholar 

  2. Allen DB, Fost NC. Growth hormone for short stature: panacea or Pandora’s box? J Pediatr 1990; 117: 16–21.

    Article  PubMed  CAS  Google Scholar 

  3. Cuttler L, Silvers JB, Singh J, et al. Short stature and growth hormone therapy: a national study of physician recommendation patterns. JAMA 1996; 276: 531–37.

    Article  PubMed  CAS  Google Scholar 

  4. Takano K, Tanaka T, Saito T, and the Committee for the Study Group of Adult GH Deficiency. Psychosocial adjustment in a large cohort of adults with growth hormone deficiency treated with growth hormone in childhood: summary of a questionnaire survey. Acta Pædiatr 1994; 399(suppl): 16–19.

    Article  CAS  Google Scholar 

  5. Clopper RR, MacGillivray MH, Mazur T, Voorhess ML, Mills BJ. Post-treatment follow-up of growth hormone deficient patients: psychosocial status. In: Stabler B, Underwood LE, eds. Slow grows the child: psychosocial aspects of growth delay. Hillsdale, NJ: Lawrence Erlbaum Associates, 1986: 83–96.

    Google Scholar 

  6. Sartorio A, Peri G, Molinari E, Grugni G, Morabito F, Faglia G. The psychosocial outcome of adults with growth hormone deficiency. Acta Med Auxol 1986; 18: 123–28.

    Google Scholar 

  7. Rikken B, van Busschbach J, le Cessie S, et al.. Impaired social status of growth hormone deficient adults as compared to controls with short or normal stature. Clin Endocrinol 1995; 43: 205–11.

    Article  CAS  Google Scholar 

  8. Galatzer A, Aran O, Beit-Halachmi N, et al.. The impact of long-term therapy by a multidisciplinary team on the education, occupation and marital status of growth hormone deficient patients after termination of therapy. Clin Endocrinol 1987; 27: 191–96.

    Article  CAS  Google Scholar 

  9. Dean HJ, McTaggart TL, Fish DG, Friesen HG. The educational, vocational, and marital status of growth hormone-deficient adults treated with growth hormone during childhood. Am J Dis Child 1985; 139: 1105–10.

    PubMed  CAS  Google Scholar 

  10. Frisch H, Häusler G, Lindenbauer S, Singer S. Psychological aspects in children and adolescents with hypopituitarism. Acta Paediatr Scand 1990; 79: 644–51.

    Article  PubMed  CAS  Google Scholar 

  11. Mitchell CM, Joyce S, Johanson AJ, et al.. A retrospective evaluation of psychosocial impact of long-term growth hormone therapy. Clin Pediat 1986; 25: 17–23.

    Article  PubMed  CAS  Google Scholar 

  12. BjÖrk S, JÖnsson B, Westphal O, Levi J-E. Quality of life of adults with growth hormone deficiency: a controlled study. Acta Pædiatr Scand 1989; 356(suppl): 55–59.

    Article  Google Scholar 

  13. Gill TM, Feinstein AR. A critical appraisal of the quality-of-life. JAMA 1994; 272: 619–26.

    Article  PubMed  CAS  Google Scholar 

  14. Sandberg DE, MacGillivray MH, Clopper RR, Fung C, LeRoux L, Alliger DE. Quality of life among formerly treated childhood-onset growth hormone-deficient adults: a comparison with unaffected siblings. J Clin Endocrinol Metab 1998; 83: 1134–42.

    Article  PubMed  CAS  Google Scholar 

  15. Bauman LJ. Collecting data by telephone interviewing. J Develop Behav Pediat 1993; 14: 256–57.

    CAS  Google Scholar 

  16. Wells KB, Burnam MA, Leake B, Robins LN. Agreement between face-to-face and telephone-administered versions of the depression section of the NIMH Diagnostic Interview Schedule. J Psychiat Res 1988; 22: 207–20.

    Article  PubMed  CAS  Google Scholar 

  17. Hollingshead AB. Four factor index of social status. Unpublished manuscript, New Haven, CT: Department of Sociology, Yale University, 1975.

    Google Scholar 

  18. Kazdin AE. Research design in clinical psychology, 2nd ed. Boston: Allyn and Bacon, 1992.

    Google Scholar 

  19. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 health survey. Manual and interpretation guide. Boston: The Health Institute, New England Medical Center;1993.

    Google Scholar 

  20. O’Brien K, Wortman CB, Kessler RC, Joseph JG. Social relationships of men at risk for AIDS. Soc Sci Med 1993; 36: 1161–67.

    Article  PubMed  Google Scholar 

  21. Weissman MM, Bothwell S. Assessment of social adjustment by patient self-report. Arch Gen Psychiatr 1976; 33: 1111–15.

    Article  PubMed  CAS  Google Scholar 

  22. Weissman MM, Prusoff BA, Thompson WD, Harding PS, Myers JK. Social adjustment by self-report in a community sample and in psychiatric outpatients. J Nerv Ment Dis 1978; 166: 317–26.

    Article  PubMed  CAS  Google Scholar 

  23. Derogatis LR. Brief symptom inventory. Administration, scoring, and procedures manual, 3rd ed. Minneapolis: National Computer Systems, 1993.

    Google Scholar 

  24. Glass GV, McGaw B, Smith ML. Meta-analysis in social research. Beverly Hills, CA: Sage, 1981.

    Google Scholar 

  25. Meyer-Bahlburg HFL, Feinman JA, MacGillivray MH, Aceto T, Jr. Growth hormone deficiency, brain development, and intelligence. Am J Dis Child 1978; 132: 565–72.

    PubMed  CAS  Google Scholar 

  26. Siegel PT, Hopwood NJ. The relationship of academic achievement and the intellectual functioning and affective conditions of hypopituitary children. In: Stabler B, Underwood LE, eds. Slow grows the child: psychosocial aspects of growth delay. Hillsdale, NJ: Lawrence Erlbaum Associates, 1986: 57–71.

    Google Scholar 

  27. Deijen JB, de Boer H, Blok GJ, van der Veen EA. Cognitive impairments and mood disturbances in growth hormone deficient men. Psychoneuroendocrinology 1996; 21: 313–22.

    Article  PubMed  CAS  Google Scholar 

  28. Sandberg DE. Short stature: intellectual and behavioral aspects. In: Lifshitz F, ed. Pediatrie endocrinology, 3rd ed. New York: Marcel Dekker, 1996: 149–62.

    Google Scholar 

  29. Meichenbaum D, Turk DC. Facilitating treatment adherence. A practitioner’s guide. New York: Plenum Press, 1987.

    Google Scholar 

  30. Nicholas LM, Tancer ME, Silva SG, Underwood LE, Stabler B. Short stature, growth hormone deficiency, and social anxiety. Psychosom Med 1997; 59: 372–75.

    PubMed  CAS  Google Scholar 

  31. Attanasio AF, Lamberts SWJ, Matranga AMC, et al.. Adult growth hormone (GH)-deficient patients demonstrate heterogeneity between childhood onset and adult onset before and during human GH treatment. J Clin Endocrinol Metab 1997; 82: 82–88.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media New York

About this paper

Cite this paper

Sandberg, D.E., MacGillivray, M.H., Clopper, R.R., Alliger, D.E., Fung, C., LeRoux, L. (2000). Quality of Life Among Adults with Childhood Onset Growth Hormone Deficiency: A Comparison with Siblings. In: Stabler, B., Bercu, B.B. (eds) Therapeutic Outcome of Endocrine Disorders. Serono Symposia USA. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1230-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-1230-0_5

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7052-2

  • Online ISBN: 978-1-4612-1230-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics