Cited by 152Genetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesSexual Differentiation and DisordersLGBTQ Health, Identity, and Policy

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Self-Esteem and Social Adjustment in Young Women with Turner Syndrome—Influence of Pubertal Management and Sexuality: Population-Based Cohort Study

Carel, Jean-Claude, Elie, Caroline, Ecosse, Emmanuel, Tauber, Maïthé, Léger, Juliane, Cabrol, Sylvie, Nicolino, Marc, Brauner, Raja, Chaussain, Jean-Louis, Coste, Joël·2006·The Journal of Clinical Endocrinology & Metabolism

DOI 10.1210/jc.2005-2652

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Abstract

CONTEXT: Pediatric management of patients with Turner syndrome focuses on height, frequently resulting in a delay of pubertal induction. The influence of pubertal management on psychosocial adjustment and sex life has not been evaluated in Turner syndrome patients. OBJECTIVE: The objective of the study was to identify the determinants of self-esteem, social adjustment, and initiation of sex life in patients with Turner syndrome, particularly those related to pubertal management. DESIGN: This was a prospective evaluation, the StaTur study. SETTING: The study was conducted with a population-based registry of GH-treated patients. PARTICIPANTS: Participants included 566 young adult women with Turner syndrome, aged 22.6 +/- 2.6 yr (range, 18.3-31.2). MAIN OUTCOME MEASURES: Measures used in the study were Coopersmith's Self-Esteem Inventory, Social Adjustment Scale Self-Report, questions on sexual experience, and extensive data on pediatric management. RESULTS: Low self-esteem was associated with otological involvement and limited sexual experience. Low social adjustment was associated with lower paternal socioeconomic class and an absence of sexual experience. Late age at first kiss or date was associated with cardiac involvement and a lack of spontaneous pubertal development. Age at first sexual intercourse was related to age at puberty and paternal socioeconomic class. Delayed induction of puberty had a long-lasting effect on sex life. Height and height gain due to GH treatment had no effect on outcomes. CONCLUSIONS: Puberty should be induced at a physiologically appropriate age in patients with Turner syndrome to optimize self-esteem, social adjustment, and initiation of the patient's sex life. Therapeutic interventions altering normal pubertal development in other groups of patients should be reconsidered in light of these findings.

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Nonparametric Estimation from Incomplete Observations
Kaplan, E. L., & Meier, P. (1992) · Springer series in statistics · doi:10.1007/978-1-4612-4380-9_25 · Cited by 45,239
Regression Models and Life-Tables
Cox, D. R. (1972) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1972.tb00899.x · Cited by 39,793
Nonparametric Estimation from Incomplete Observations
Kaplan, E. L., & Meier, P. (1958) · Journal of the American Statistical Association · doi:10.1080/01621459.1958.10501452 · Cited by 39,158
Practical Statistics for Medical Research.
Walter, S., & Altman, D. G. (1992) · Biometrics · doi:10.2307/2532320 · Cited by 11,666
Assessment of social adjustment by patient self report.
Weissman, M. M. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770090101010 · Cited by 1,782
Body Mass Index variations: centiles from birth to 87 years.
Rolland‐Cachera, M., Cole, T. J., Sempe, M., Tichet, J., Rossignol, C., & Charraud, A.-M. (1991) · PubMed · Cited by 1,127
The neural basis of puberty and adolescence
Sisk, C. L., & Foster, D. L. (2004) · Nature Neuroscience · doi:10.1038/nn1326 · Cited by 1,085 · cited 1×
“Range of values [0–26] [0–8] [0–8] [0–8] [0–50] r 0.”
Turner's Syndrome
Sybert, V. P., & McCauley, E. (2004) · New England Journal of Medicine · doi:10.1056/nejmra030360 · Cited by 918
Influences on adolescents’ decision to postpone onset of sexual intercourse: a survival analysis of virginity among youths aged 13 to 18 years
Lammers, C., Ireland, M., Resnick, M., & Blum, R. W. (2000) · Journal of Adolescent Health · doi:10.1016/s1054-139x(99)00041-5 · Cited by 434
Recommendations for the Diagnosis and Management of Turner Syndrome
Saenger, P. H., Wikland, K. A., Conway, G. S., Davenport, M., Gravholt, C. H., Hintz, R. L., Hovatta, O., Hultcrantz, M., Landin‐Wilhelmsen, K., Lin, A. E., et al. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.7.7683 · Cited by 419

Show all 48 references

Research works printed but not linked: 1

Miller, 2001, Androgen deficiency in women, J Clin Endocrinol Metab, 86, 2395

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Gleeson, H. K. (2011) · doi:10.1093/med/9780199235292.003.7145
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Authors: Carel, J.-C., Elie, C., Ecosse, E., Tauber, M., Léger, J., Cabrol, S., Nicolino, M., Brauner, R., Chaussain, J.-L., & Coste, J.
Affiliations: Inserm (FR)
Hôpital Cochin (FR)
Department of Biostatistics (C.E., E.E., J.C.), Groupe Hospitalier Cochin-Saint Vincent de Paul and Université Paris V, 75014 Paris, France
Hôpital des Enfants (FR)
Department of Pediatric Endocrinology (J.L.), Hôpital Robert Debré, 75935 Paris, France
Hôpital Armand-Trousseau (FR)
Hospices Civils de Lyon (FR)
Bicêtre Hospital (FR)
Corresponding author: Carel, Jean-Claude
ORCID: Carel, Jean-Claude
Tauber, Maïthé
Nicolino, Marc
Brauner, Raja
Venue: The Journal of Clinical Endocrinology & Metabolism
Publisher: The Endocrine Society
Published: 2006-08-01
Volume: 91
Issue: 8
Pages: 2972-2979
ISSN: 0021-972X (ISSN-L)
1945-7197
DOI: 10.1210/jc.2005-2652
OpenAlex: W2043794909
Cited by: 152
References: 48
Citations by year: 2026: 2 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 6 · 2021: 9 · 2020: 8 · 2019: 16 · 2018: 12 · 2017: 9 · 2016: 8 · 2015: 4 · 2014: 10 · 2013: 7 · 2012: 8
FWCI: 5.30
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Sexual Differentiation and Disorders
Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Keywords: Turner syndrome, self-esteem, social adaptation, puberty induction, puberty, sexual initiation, growth hormone therapy, young women, cardiac involvement, psychosocial outcomes
MeSH terms: Adolescent, Adult, Age Factors, Analysis of Variance, Body Height, Coitus, Female, Humans, Menarche, Puberty, Surveys and Questionnaires, Self Concept, Sexual Behavior, Social Adjustment, Socioeconomic Factors, Turner Syndrome, Body Mass Index, Sexuality

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Self-Esteem and Social Adjustment in Young Women with Turner Syndrome—Influence of Pubertal Management and Sexuality: Population-Based Cohort Study

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