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The clinician's role in promoting resiliency for individuals and families with growth anomalies
- Source :
- Growth Hormone & IGF Research. 51:34-37
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Some recent clinic and population-based studies suggest that severe short stature is not associated with significant behavioral and psychological problems, however collectively studies on this topic are variable and frequently contradictory. In light of these contradictory sources, it is important to recognize that there may be some children for whom growth failure is disabling. Many of such children can respond to counseling and support, but there may be occasions in which therapy can be recommended. Resiliency can be defined as a pattern of positive adaptation in the context of past or present adversity with resiliency in childhood defined as typical development in the face of adverse circumstances that propel others to deleterious outcomes. Several strategies for promoting resilience in short stature patients and their families include 1) conducting a comprehensive psychosocial assessment; 2) recommending psychological strategies to directly address predictable social challenges associated with short stature; 3) discouraging the expectation that taller stature is associated with improvement in quality of life and; 4) discussing treatment efficacy in terms of the degree of certainty and magnitude of effects. Recognizing time constraints in clinical settings, these approaches can be carried out across multiple visits. Being aware of, honoring, and addressing factors the parent and patient use in making their treatment decisions has the potential to promote resiliency in patients and families. This approach to clinical care can serve to promote resiliency in clinicians as well.
- Subjects :
- Parents
0301 basic medicine
Endocrinology, Diabetes and Metabolism
media_common.quotation_subject
Population
030209 endocrinology & metabolism
Context (language use)
Health Promotion
Severity of Illness Index
Short stature
Developmental psychology
03 medical and health sciences
0302 clinical medicine
Endocrinology
Quality of life (healthcare)
Adaptation, Psychological
medicine
Humans
In patient
Physician's Role
education
Growth Disorders
media_common
education.field_of_study
Psychosocial Support Systems
Resilience, Psychological
Treatment efficacy
Endocrinologists
030104 developmental biology
Quality of Life
Psychological resilience
medicine.symptom
Psychology
Psychosocial
Subjects
Details
- ISSN :
- 10966374
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Growth Hormone & IGF Research
- Accession number :
- edsair.doi.dedup.....3ae2299a2efc5039e6152c9bd593cc34