Behavioral and Coping Strategies in Children with Short Stature

Abstract

Background: Short stature in children is linked to emotional distress, peer difficulties, and lower self-esteem. Growth hormone(GH) therapy is an option, but the psychological impact and coping mechanisms remain understudied.Aim: To assess the psychosocial maladjustment, coping strategies, and quality of life of children with short stature & toidentify correlations between growth hormone treatment, psychological well-being, and social adaptation.Patients and Methods: A cross-sectional study was conducted at Ain Shams University’s Endocrinology Unit, involving70 children (8–18 years) diagnosed with growth hormone deficiency (GHD) or idiopathic short stature (ISS). Psychologicalassessments, including the Kidcope questionnaire, Strengths and Difficulties Questionnaire (SDQ), and Pediatric Quality ofLife Inventory (Peds-QL), were used to measure coping strategies, behavior, and quality of life.Results: Younger children (8–12 years) used problem-solving and social support but with lower effectiveness, whereasadolescents (13–18 years) demonstrated greater reliance on cognitive restructuring, emotional regulation, and distraction.Social withdrawal and resignation were more common in older children. Wishful thinking was more effective amongadolescents. ISS children had better emotional regulation than those with GHD, but quality of life was higher in the GHDgroup (p < 0.001). Distraction correlated with increased behavioral difficulties (p = 0.001), while problem-solving improved emotional well-being (p = 0.019).Conclusion: Children with short stature face psychological and social challenges, particularly in peer relationships and school settings. GH therapy enhances well-being, and adaptive coping strategies improve outcomes. Early psychological support is crucial, especially for ISS children, to foster resilience and emotional adjustment.