Patient and Parent Characteristics Related to Quality of Life and Self-Esteem in Healthy Youth Undergoing Provocative Growth Hormone Testing.
Patient and Parent Characteristics Related to Quality of Life and Self-Esteem in Healthy Youth Undergoing Provocative Growth Hormone Testing.
复制标题
接受刺激性生长激素测试的健康青少年的生活质量和自尊相关的患者和家长特征。
DOI：
10.1016/j.jpeds.2023.113460
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Miller,VictoriaA
中科院分区：
文献类型：
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作者：
Grimberg,Adda;Friedrich,ElizabethA;Faig,Walter;Kamoun,Camilia;Fremont,EttyaR;Xiao,Rui;Miller,VictoriaA
目的通过生长激素(GH)试验对8~14岁健康青年进行生长发育评估，探讨身高、青年和父母教养特征与生活质量(QOL)和自尊的关系。调查收集了人口统计数据；青少年和父母关于青少年健康相关生活质量的报告；青少年关于自尊、应对技能、社会支持和父母自主支持的报告；以及父母关于他们孩子感受到的环境威胁和成就目标的报告。临床数据是从电子健康记录中提取的。结果60名青少年及其父母参与调查，平均身高z得分为-2.18±0.61。在多变量模型上，青少年对其身体生活质量的感知与学校高年级、朋友和同学支持更多、父母年龄较大有关；青少年心理社会生活质量与朋友和同学支持更多、应对方式脱节较少相关；以及与青少年身高相关的生活质量和父母对青少年心理社会生活质量的看法与同学支持更多有关。年轻人的自尊与更多的同学支持和更高的中年父母身高有关。青少年身高与生活质量和自尊之间的多元回归关系不显著。结论在健康矮小青年中，获得的社会支持和应对技能与生活质量和自尊水平相关，而不是身高，可作为临床干预的重要领域。
ObjectiveTo examine how height and youth as well as parenting characteristics associate with quality of life (QoL) and self-esteem among healthy youth undergoing growth evaluation with growth hormone (GH) testing.Study designHealthy youth, aged 8-14 years, undergoing provocative GH testing, and a parent completed surveys at or around the time of testing. Surveys collected demographic data; youth and parent reports of youth health-related QoL; youth reports of self-esteem, coping skills, social support, and parental autonomy support; and parent reports of perceived environmental threats and achievement goals for their child. Clinical data were extracted from electronic health records. Univariate models and multivariable linear regressions were used to identify factors associated with QoL and self-esteem.ResultsSixty youth (mean height z score –2.18 ± 0.61) and their parents participated. On multivariable modeling, youth perceptions of their physical QoL associated with higher grade in school, greater friend and classmate support, and older parent age; youth psychosocial QoL with greater friend and classmate support, and with less disengaged coping; and youth height-related QoL and parental perceptions of youth psychosocial QoL with greater classmate support. Youth self-esteem associated with greater classmate support and taller mid-parental height. Youth height was not associated with QoL or self-esteem outcomes in multivariable regression.ConclusionsPerceived social support and coping skills, rather than height, were related to QoL and self-esteem in healthy short youth and may serve as an important potential area for clinical intervention.