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Assessment of stress levels in girls with central precocious puberty before and during long-acting gonadotropin-releasing hormone agonist treatment: a pilot study

中枢性早熟 医学 激素 兴奋剂 性早熟 内科学 内分泌学 受体
作者
Tais A.S. Menk,Marlene Inácio,Delanie B. Macedo,Danielle S. Bessa,Ana Claudia Latrônico,Berenice B. Mendonça,Vinícius Nahime Brito
出处
期刊:Journal of Pediatric Endocrinology and Metabolism [De Gruyter]
卷期号:30 (6): 657-662 被引量:15
标识
DOI:10.1515/jpem-2016-0425
摘要

Abstract Background: The objective of the study was to determine the stress levels of girls with central precocious puberty (CPP) before and during treatment with a long-acting gonadotropin-releasing hormone agonist (GnRHa). Methods: The Child Stress Scale (CSS) was used for 10 unrelated girls with CPP before and after the first year of GnRHa treatment. The CSS is divided into four subscales (physical, psychological, psychological with depressive component and psychophysiological reactions). Through a quantitative analysis, it is possible to classify stress into four stages: alarm, resistance, near-exhaustion and exhaustion. Results: At diagnosis, 90% of the girls showed stress levels scores at the alarm or resistance stage on at least one subscale, mostly in terms of physical and psychological reactions. The mean total stress score was significantly higher before when compared to after GnRHa treatment (43.4±15.6 vs. 28.9±9.7; p<0.05). The mean stress scores obtained in all subscales, except the one on psychophysiological reactions, were significantly higher before GnRHa treatment. Conclusions: Higher stress levels were a common finding in girls with CPP before treatment. The significant stress level reduction after pubertal suppression reinforces the idea that sexual precocity is a stressful condition in children. The CSS might be a useful tool for psychological assessment of patients with CPP.
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