Puberte Prekoksun Psikososyal Etkileri

Abstract

Puberte prekoksta çocuk, yaşıtlarından çok daha önce fiziksel, psikolojik, sosyal ve bilişsel değişimi yaşayarak adaptasyon sağlamak zorunda kalır. Puberte prekoks bir yandan iskelet olgunlaşmasını hızlandırarak epifizlerin erken kapanmasına ve sonuçta erişkin boy kısalığına neden olur. Diğer yandan da seks steroidlerinin artışına neden olarak sekonder seks karakterlerinin erken gelişmesine, sonuç olarak da davranışsal ve psikososyal sorunlara yolaçar. Puberte prekokslu kızlar çevresel etkilere karşı daha kırılgan ve savunmasızdır. Puberte prekoksun aynı zamanda kız çocuğunun annesinde de psikososyal sorunlara neden olduğunu gösteren çalışmalar bulunmaktadır. Puberte prekoksta çocuğun; düşük benlik saygısı, içe kapanma, sosyal izolasyon, saldırganlık, stres, anksiyete, depresyon, okul sorunları, erken yaşta cinsel aktivite, cinsel istismar, madde kullanımı risklerinde artış, çocuğun annesinde ise anksiyete, stres, baskı ve suçluluk duygusunda artış olduğunu gösteren çalışmalar bulunmaktadır. Bu dönemde özellikle kız çocukları konusunda hassas davranılması, çocuk ile birlikte ebeveynlerin özellikle de annenin bakıma dahil edilmesi, hem pubertal değişikliklere hem de tedaviye adaptasyonu kolaylaştırır.

Keywords

• anneler
• kızlar
• psikososyal yönleri
• puberte prekoks

Psychosocial Effects of Precocious Puberty

Abstract

In precocious puberty, the child has to adapt by experiencing physical, psychological, social and cognitive changes long before her peers. On the one hand, precocious puberty accelerated skeletal maturation, causing premature closure of the epiphysis and consequently short adult stature. On the other hand, it causes an increase in sex steroids, leading to early development of secondary sex characters, and consequently behavioral and psychosocial problems. Girls with puberty precocious are more vulnerable and defenceless to environmental influences. There are studies showing that precocious puberty causes psychosocial problems but also in her mother. In puberty precocious there are studies indicating that the child has risk of early sexual activity, sexual abuse, substance use, low self-esteem, introversion, social isolation, aggression, stress, anxiety, depression, school problems, and her mother has anxiety, stress, pressure, guilt. This situation increases the disease burden. In this period, being sensitive to girls, including to care the parents, especially the mother, facilitates the adaptation to both pubertal changes and treatment.

Keywords

• Girls
• Mothers
• Precocious puberty
• Psychosocial aspects

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