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. 1995 Jul;73(1):36–42. doi: 10.1136/adc.73.1.36

Short stature and chronic renal failure: what concerns children and parents?

J M Reynolds 1, A J Wood 1, D M Eminson 1, R J Postlethwaite 1
PMCID: PMC1511173  PMID: 7639547

Abstract

Multicentre trials are evaluating growth hormone treatment in short children (height > 2 SDs below mean) with chronic renal failure (CRF), on dialysis, or with a transplant. Thirty children and parents from four centres were interviewed to assess psychological functioning and evaluate their concerns about growth in the context of CRF. There were 24 males and six females, age range 2-18 years. Fifty per cent of patients had additional non-renal complications and 30% had learning difficulties. Differences between the respective concerns of parents and children were striking. Parents' predominant concern was their child's future health (50%) and prospects (37%) while children's main concern was the impact of illness on their family (50%). Growth was a major concern for 30% of parents and 28% of children. Growth problems are important and should be considered within the context of other illness issues. Improved understanding of parental and child concerns may help maximise the benefits of growth hormone and assist in the management of children with CRF.

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Selected References

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  1. Angold A., Weissman M. M., John K., Merikangas K. R., Prusoff B. A., Wickramaratne P., Gammon G. D., Warner V. Parent and child reports of depressive symptoms in children at low and high risk of depression. J Child Psychol Psychiatry. 1987 Nov;28(6):901–915. doi: 10.1111/j.1469-7610.1987.tb00678.x. [DOI] [PubMed] [Google Scholar]
  2. Boulton T. J., Dunn S. M., Quigley C. A., Taylor J. J., Thompson L. Perceptions of self and short stature: effects of two years of growth hormone treatment. Acta Paediatr Scand Suppl. 1991;377:20–28. doi: 10.1111/apa.1991.80.s377.20. [DOI] [PubMed] [Google Scholar]
  3. Costello E. J., Angold A. Scales to assess child and adolescent depression: checklists, screens, and nets. J Am Acad Child Adolesc Psychiatry. 1988 Nov;27(6):726–737. doi: 10.1097/00004583-198811000-00011. [DOI] [PubMed] [Google Scholar]
  4. Dean H. J., McTaggart T. L., Fish D. G., Friesen H. G. The educational, vocational, and marital status of growth hormone-deficient adults treated with growth hormone during childhood. Am J Dis Child. 1985 Nov;139(11):1105–1110. doi: 10.1001/archpedi.1985.02140130043027. [DOI] [PubMed] [Google Scholar]
  5. Eiser C. Children's understanding of medical procedures. Practitioner. 1985 Apr;229(1402):371–373. [PubMed] [Google Scholar]
  6. Garralda M. E. Chronic physical illness and emotional disorder in childhood. Where the brain's not involved, there may still be problems. Br J Psychiatry. 1994 Jan;164(1):8–10. doi: 10.1192/bjp.164.1.8. [DOI] [PubMed] [Google Scholar]
  7. Garralda M. E., Jameson R. A., Reynolds J. M., Postlethwaite R. J. Psychiatric adjustment in children with chronic renal failure. J Child Psychol Psychiatry. 1988 Jan;29(1):79–90. doi: 10.1111/j.1469-7610.1988.tb00691.x. [DOI] [PubMed] [Google Scholar]
  8. Goldberg D. P., Hillier V. F. A scaled version of the General Health Questionnaire. Psychol Med. 1979 Feb;9(1):139–145. doi: 10.1017/s0033291700021644. [DOI] [PubMed] [Google Scholar]
  9. Goodyer I. M., Wright C., Altham P. M. Recent friendships in anxious and depressed school age children. Psychol Med. 1989 Feb;19(1):165–174. doi: 10.1017/s0033291700011119. [DOI] [PubMed] [Google Scholar]
  10. Gordon M., Crouthamel C., Post E. M., Richman R. A. Psychosocial aspects of constitutional short stature: social competence, behavior problems, self-esteem, and family functioning. J Pediatr. 1982 Sep;101(3):477–480. doi: 10.1016/s0022-3476(82)80093-0. [DOI] [PubMed] [Google Scholar]
  11. Grushkin C. M., Korsch B. M., Fine R. N. The outlook for adolescents with chronic renal failure. Pediatr Clin North Am. 1973 Nov;20(4):953–963. doi: 10.1016/s0031-3955(16)32926-1. [DOI] [PubMed] [Google Scholar]
  12. Henning P., Tomlinson L., Rigden S. P., Haycock G. B., Chantler C. Long term outcome of treatment of end stage renal failure. Arch Dis Child. 1988 Jan;63(1):35–40. doi: 10.1136/adc.63.1.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Law C. M. The disability of short stature. Arch Dis Child. 1987 Aug;62(8):855–859. doi: 10.1136/adc.62.8.855. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Morton M. J., Reynolds J. M., Garralda M. E., Postlethwaite R. J., Goh D. Psychiatric adjustment in end-stage renal disease: a follow up study of former paediatric patients. J Psychosom Res. 1994 May;38(4):293–303. doi: 10.1016/0022-3999(94)90034-5. [DOI] [PubMed] [Google Scholar]
  15. Postlethwaite R. J., Reynolds J. M., Wood A. J., Evans J. H., Lewis M. A., Eminson D. M. Recruiting patients to clinical trials: lessons from studies of growth hormone treatment in renal failure. Arch Dis Child. 1995 Jul;73(1):30–35. doi: 10.1136/adc.73.1.30. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Poznanski E. O., Miller E., Salguero C., Kelsh R. C. Quality of life for long-term survivors of end-stage renal disease. JAMA. 1978 Jun 2;239(22):2343–2347. doi: 10.1001/jama.239.22.2343. [DOI] [PubMed] [Google Scholar]
  17. Rees L., Rigden S. P., Ward G. M. Chronic renal failure and growth. Arch Dis Child. 1989 Apr;64(4):573–577. doi: 10.1136/adc.64.4.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Reynolds J. M., Garralda M. E., Jameson R. A., Postlethwaite R. J. How parents and families cope with chronic renal failure. Arch Dis Child. 1988 Jul;63(7):821–826. doi: 10.1136/adc.63.7.821. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Reynolds J. M., Garralda M. E., Jameson R. A., Postlethwaite R. J. Living with chronic renal failure. Child Care Health Dev. 1986 Nov-Dec;12(6):401–407. doi: 10.1111/j.1365-2214.1986.tb00517.x. [DOI] [PubMed] [Google Scholar]
  20. Reynolds J. M., Morton M. J., Garralda M. E., Postlethwaite R. J., Goh D. Psychosocial adjustment of adult survivors of a paediatric dialysis and transplant programme. Arch Dis Child. 1993 Jan;68(1):104–110. doi: 10.1136/adc.68.1.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Rigden S. P., Rees L., Chantler C. Growth and endocrine function in children with chronic renal failure. Acta Paediatr Scand Suppl. 1990;370:20–27. doi: 10.1111/j.1651-2227.1990.tb11664.x. [DOI] [PubMed] [Google Scholar]
  22. Rotnem D., Cohen D. J., Hintz R., Genel M. Psychological sequelae of relative "treatment failure" for children receiving human growth hormone replacement. J Am Acad Child Psychiatry. 1979 Summer;18(3):505–520. doi: 10.1097/00004583-197922000-00008. [DOI] [PubMed] [Google Scholar]
  23. Voss L. D., Bailey B. J., Mulligan J., Wilkin T. J., Betts P. R. Short stature and school performance--the Wessex Growth Study. Acta Paediatr Scand Suppl. 1991;377:29–32. doi: 10.1111/apa.1991.80.s377.29. [DOI] [PubMed] [Google Scholar]
  24. Wood A., Kroll L., Moore A., Harrington R. Properties of the mood and feelings questionnaire in adolescent psychiatric outpatients: a research note. J Child Psychol Psychiatry. 1995 Feb;36(2):327–334. doi: 10.1111/j.1469-7610.1995.tb01828.x. [DOI] [PubMed] [Google Scholar]

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