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Licensed Unlicensed Requires Authentication Published by De Gruyter August 15, 2019

Psychological effects of gonadotropin-releasing hormone agonist treatment in girls with central precocious puberty

  • Rita Yu ORCID logo , Seung Yang and Il Tae Hwang EMAIL logo

Abstract

Objective

This study was done to evaluate the emotional and behavioral status of precocious puberty patients and analyze the effect of gonadotropin-releasing hormone agonist (GnRHa) treatment.

Methods

Sixty-six female precocious puberty patients were enrolled prospectively for the study at Kangdong Sacred Heart Hospital of Hallym University Medical Center from September 2011 to December 2012 and self-administered questionnaire was completed during the GnRHa treatment initiation period and after 12 months from the first injection. The patients were evaluated using the Korean version of Child Behavior Checklist (K-CBCL) and Children’s Depression Inventory (CDI).

Results

A total of 30.3% (n = 20) of the patients scored within the clinical range for one or more scales of K-CBCL at the initiation of GnRHa treatment, but only 10.6% (seven patients) were within the clinical range after 1 year of treatment. Average CDI scores of the patients decreased from baseline 6.5 ± 6.0 to 4.9 ± 4.7 after GnRHa therapy.

Conclusions

This study shows that both K-CBCL and CDI scores improved from baseline score ranges after 1 year of GnRHa treatment in female central precocious puberty patients while significant psychological problems of clinical range amongst them were not noted.


Corresponding author: Il Tae Hwang, PhD, MD, Department of Pediatrics, Kangdong Sacred Heart Hospital, 150, Seongan-ro, Gangdong-gu, Seoul 134-701, Republic of Korea, Phone: +82 (02) 2224-2251, Fax +82 (02) 482-8334

Acknowledgments

We would like to thank the participating patients and their families who were cooperative during the study period.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2019-02-28
Accepted: 2019-06-16
Published Online: 2019-08-15
Published in Print: 2019-10-25

©2019 Walter de Gruyter GmbH, Berlin/Boston

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