Early Puberty Paradox: An Investigation of Anxiety Levels of Mothers and Children, Children's Quality of Life and, Psychiatric Diagnoses

Purpose: Early puberty signs lead to an increase in anxiety levels of parents and children. The aim of this study was to investigate the quality of life and anxiety levels of girls and their mothers who were admitted to a pediatric endocrinology clinic with concerns about early puberty. Methods: Girls and their mothers who were admitted to endocrinology outpatient clinic with concerns about early puberty were compared to healthy control group. Screen for Child Anxiety Related Emotional Disorders-Parent form (SCARED), Quality of Life for Children Scale-parent form (PedsQL) and Beck Anxiety Inventory (BAI) were administered to the mothers. Children were evaluated with the Schedule for Affective Disorders and Schizophrenia for School-Age Children (Kiddie-SADS Lifetime Version) (K-SADS-PL). Results: The study sample consisted of 92 girls, 62 of them administered to clinic with concerns about early puberty. There were 30 girls in early puberty group (Group 1), 32 girls in the normal development group (Group 2) and 30 were in the healthy control group (Group 3). The anxiety level of Group 1 and Group 2 was significantly higher and their quality of life was significantly lower when compared to Group 3 (p < 0,001). Mother’s anxiety level was found significantly higher in Group 2 (p < 0,001). It has shown that, anxiety level and quality of life of children was associated with anxiety level of mothers and the current Tanner stage (r spearman = 0.302, p  < 0.005). CONCLUSION Mothers and children who have concerns about early puberty are negatively affected when early puberty is a possibility. For this reason, educating parents will prevent negative impacts of this situation on children. At the same time, it will decrease health burden.