ESPE2023 Poster Category 1 Pituitary, Neuroendocrinology and Puberty (73 abstracts)
An Evaluation of coping strategies in girls diagnosed of central precocious puberty before and after the COVID-19 lockdown, and in their mothers: preliminary study.
Maria E Street 1,2 , Dolores Rollo 3 , Maurizio Rossi 1 , Chiara Sartori 4 , Maddalena Petraroli 2 , Simone Pilloni 2,1 , Roberta Francavilla 2,5 , Claudia Lattanzi 1,6 , Irene Miglioli 7 , Lorenzo Iughetti 8 & Stefano Stagi 9,10
1Department of Medicine and Surgery, University of Parma, Parma, Italy. 2Unit of Paediatrics, University Hospital of Parma, Parma, Italy. 3Department of medicine and Surgery, University of Parma, Parma, Italy. 4Unit of Paediatrics AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy. 5Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy. 6Unit pf Paediatrics, University Hospital of Parma, Parma, Italy. 7Department of Medicine and Surgery, university of Parma, Parma, Italy. 8Pediatric Unit, Department of Medical and Surgical Sciences for Mother Children and Adults, University of Modena and Reggio Emilia, Modena, Italy. 9Health Sciences Department, University of Florence, Firenze, Italy. 10Meyer Children's Hospital IRCCS, Firenze, Italy
During the COVID-19 pandemic, a significant increase in Central Precocious Puberty(CPP) has been observed worldwide. The reasons for this phenomenon are yet unclear. In order to evaluate if fear, stress and coping strategies used by children and parents when dealing with negative emotional situations and health issues might have acted as triggers for this phenomenon, we administered specific questionnaires to girls who had a diagnosis of CPP before and after the COVID-19 related lockdown, and to their parents. Sixty-two girls were included (CA at diagnosis:8.2 ±0.69yr; height:136.5±7.5cm; BMISDS:0,26±0,95). All underwent a GnRH test, an MRI of the brain and pituitary gland, a pelvic ultrasound, and bone age assessment. Complete auxological parameters, biochemical and hormonal data besides parents’ height, BMIs, age at puberty, age at menarche of mothers were all taken into consideration. The subjects were divided into rapidly progressive, and non-rapidly progressive CPP. Fifty-one/62 were put on blocking treatment with a GnRH agonist. All completed the Children’s Coping Strategies (CCS)questionnaire, aimed at evaluating the strategies used by children in order to cope with situations with a negative emotional impact. The parents completed the Coping Orientation to the Problems Experienced-(COPE-NVI-25) questionnaire, which evaluates problem-, emotion- and avoidant-focused coping when dealing with the health issues of their children. We asked all to answer the items contained in the questionnaires as they would have answered at the onset of CPP. Prior to analysis we carried out a Cronbach test to assess the validity of answers. Biochemical, hormonal, and anthropometric data had no impact on the answers given in the questionnaires. The parents’ auxological data did not influence the answers to the questionnaires. We did not observe any significant difference in the mean scores related to the single subitems in both questionnaires, before and after the lockdown. The answers provided by the patients correlated well with the answers given by their parents. Interestingly, foreigners(12% of this series) had significantly higher results in the religion items in the COPE questionnaire. There were no observed differences between adopted and non-adopted girls. The parents of girls presenting with menarche at diagnosis showed significantly higher results in the social support-related items in the COPE questionnaire. These preliminary data showed no significant differences in coping strategies in relationship with the onset of precocious puberty before and after the lockdown, however, we cannot exclude that the retrospective evaluation could have biased the results.
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