{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:28:36Z","timestamp":1787239716669,"version":"build-2736575974"},"reference-count":62,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T00:00:00Z","timestamp":1506470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>On the basis of the multidimensional model of the caregiving process, this study aimed (a) to compare the levels of quality of life (QoL) and psychological problems of children with short stature and the levels of caregiving stress and QoL of their parents, between diagnostic, treatment, and current height deviation groups, and (b) to examine the direct and indirect links, via caregiving stress, between children's psychosocial functioning and their parents' QoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The sample was collected in 5 European countries and comprised 238 dyads of 8\u2010 to 18\u2010year\u2010old children and adolescents with a clinical diagnosis of growth hormone deficiency or idiopathic short stature and one of their parents. The children completed self\u2010report measures of height\u2010related QoL (Quality of Life in Short Stature Youth Core Module) and psychological problems (Strengths and Difficulties Questionnaire); the parents reported on their own QoL (EUROHIS\u2010QOL\u20108 Index) and caregiving stress (Quality of Life in Short Stature Youth Effects on Parents subscale).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Children who were treated and who achieved normal height reported better QoL compared to those untreated and with current short stature. Parents of children with idiopathic short stature and current short stature presented greater caregiving stress than parents of children with growth hormone deficiency and achieved normal height. Children's better psychosocial functioning was indirectly associated with parents' better QoL, via less caregiving stress, and these links were invariant across diagnoses, treatment status, and current height deviation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results suggest that, along with growth hormone treatments, multidisciplinary interventions in paediatric endocrinology should be family\u2010centred, by targeting both the children's psychosocial functioning and the parents' stress, in order to improve individual and family adaptation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.2146","type":"journal-article","created":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T05:02:50Z","timestamp":1506488570000},"source":"Crossref","is-referenced-by-count":36,"title":["Children's psychosocial functioning and parents' quality of life in paediatric short stature: The mediating role of caregiving stress"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4110-9961","authenticated-orcid":false,"given":"Neuza","family":"Silva","sequence":"first","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Cognitive and Behavioral Center for Research and Intervention, Faculty of Psychology and Education Sciences University of Coimbra  Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Bullinger","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Sommer","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Rohenkohl","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Witt","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Quitmann","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2009.01586.x"},{"key":"e_1_2_6_3_1","author":"American Psychological Association","year":"2010","journal-title":"Ethical Principles of Psychologists and Code of Conduct"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp121"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehb.2009.06.004"},{"key":"e_1_2_6_6_1","first-page":"136","volume-title":"Testing structural equation models","author":"Browne M.","year":"1993"},{"key":"e_1_2_6_7_1","article-title":"Recombinant growth hormone for idiopathic short stature in children and adolescents","volume":"18","author":"Bryant J.","year":"2007","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"2","key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1159\/000232159","article-title":"Health\u2010related quality of life of children and adolescents with growth hormone deficiency or idiopathic short stature\u2014Part 2: Available results and future directions","volume":"72","author":"Bullinger M.","year":"2009","journal-title":"Hormone Research in P\u00e6diatrics"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-11-76"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/21.5.735"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-012-9659-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-014-9412-5"},{"key":"e_1_2_6_13_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2008-0509"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP14052.OR"},{"issue":"2","key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s10591-011-9155-5","article-title":"Understanding the quality of life for parents and their children who have asthma: Family resources and challenges","volume":"23","author":"Crespo C.","year":"2011","journal-title":"Contemporary Family Therapy"},{"issue":"7","key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1001\/jama.1996.03540070027026","article-title":"Short stature and growth hormone therapy: A national study of physician recommendation patterns","volume":"276","author":"Cuttler L.","year":"1996","journal-title":"JAMA"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/14.2.293"},{"issue":"1","key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1159\/000053138","article-title":"Patient attitudes and preferences regarding treatment: GH therapy for childhood short stature","volume":"51","author":"Finkelstein B.","year":"1999","journal-title":"Hormone Research in P\u00e6diatrics"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2015-3256"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-004-8158-5"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200111000-00015"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-010-9434-x"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(82)80093-0"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2006.02691.x"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-198510000-00006"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.57.1.25"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/24.1.41"},{"key":"e_1_2_6_30_1","volume-title":"Principles and practice of structural equation modeling","author":"Kline R.","year":"2005"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.62.8.855"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0085"},{"issue":"4","key":"e_1_2_6_33_1","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1159\/000183781","article-title":"Coping and satisfaction with growth hormone treatment among short\u2010stature children","volume":"40","author":"Leiberman E.","year":"1993","journal-title":"Hormone Research in P\u00e6diatrics"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(94)70117-2"},{"key":"e_1_2_6_35_1","volume-title":"The Oxford handbook of quantitative methods in psychology","author":"Little T.","year":"2013"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.2307\/583753"},{"key":"e_1_2_6_37_1","first-page":"224","volume-title":"Psychische Entwicklung bei chronischer Krankheit im Kindes\u2010 und Jugendalter","author":"Noeker M.","year":"2009"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)00379-8"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.40.3.879"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-1689"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-4-1"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1998.tb01553.x"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2004-0791"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1159\/000086593"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2015.04.009"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnq102"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cki155"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000092455"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2015.1007981"},{"issue":"1","key":"e_1_2_6_50_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00004703-199402000-00001","article-title":"Academic achievement and psychological adjustment in short children","volume":"15","author":"Stabler B.","year":"1994","journal-title":"Journal of Developmental and Behavioral Pediatrics"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70271-9"},{"key":"e_1_2_6_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2000.tb00422.x"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-010-1299-z"},{"key":"e_1_2_6_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1096-6374(02)00045-X"},{"key":"e_1_2_6_55_1","volume-title":"Quality of life in short stature youth: The QoLISSY questionnaire user's manual","author":"The European QoLISSY Group","year":"2013"},{"key":"e_1_2_6_56_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2002.123766"},{"issue":"4","key":"e_1_2_6_57_1","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1176\/appi.psy.44.4.319","article-title":"Psychopathology and quality of life for adolescents with asthma and their parents","volume":"44","author":"Vila G.","year":"2003","journal-title":"Psychosomatics"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2007.00235.x"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086942"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7235.612"},{"key":"e_1_2_6_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00302"},{"key":"e_1_2_6_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701758166"},{"key":"e_1_2_6_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ghir.2007.11.003"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcpp.2146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.2146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T06:00:16Z","timestamp":1695708016000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.2146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,27]]},"references-count":62,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1002\/cpp.2146"],"URL":"https:\/\/doi.org\/10.1002\/cpp.2146","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,27]]}}}