{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T15:39:35Z","timestamp":1771947575435,"version":"3.50.1"},"reference-count":40,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The increased stress during the COVID-19 pandemic may have influenced the coping strategies used by children and parents who adapted to a diagnosis of central precocious puberty (CPP). This study aimed to explore whether the coping mechanisms of parents and their daughters diagnosed with CPP differed before and after the COVID-19 lockdown and if certain factors could be associated with these mechanisms. Specific questionnaires were completed by 174\/524 girls with CPP enrolled at four different pediatric endocrinology centers in Italy. All girls filled in the questionnaire about the Children\u2019s Coping Strategies (CCSs), and their parents completed the Coping Orientation to the Problems Experienced (COPE-NVI-25) questionnaire. Cronbach\u2019s test was performed to check the reliability of answers. Despite increased stress-related coping behaviors among girls with CPP after the lockdown, parents presented more functional coping behaviors related to problem-solving strategies and seeking social support. After the lockdown, children showed stronger associations with their parents\u2019 adaptive strategies, emphasizing the important role of parental behaviors in shaping the responses of children to stressful events. Additionally, coping strategies were found to differ by country of origin: families of non-Italian origin showed a greater reliance on transcendence, while girls from these families had lower avoidance scores, suggesting the use of alternative adaptive strategies in stressful situations.<\/jats:p>","DOI":"10.3390\/ijerph22070981","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T10:44:41Z","timestamp":1750761881000},"page":"981","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Changes in Coping Strategies of Parents and Girls with Central Precocious Puberty Before and After the COVID-19 Lockdown: Data from Four Italian Pediatric Endocrinology Centers"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8427-8971","authenticated-orcid":false,"given":"Maria E.","family":"Street","sequence":"first","affiliation":[{"name":"Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy"},{"name":"Unit of Paediatrics, P. Barilla Children\u2019s Hospital, University Hospital of Parma, 43121 Parma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7849-4560","authenticated-orcid":false,"given":"Anna-Mariia","family":"Shulhai","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dolores","family":"Rollo","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Rossi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maddalena","family":"Petraroli","sequence":"additional","affiliation":[{"name":"Unit of Paediatrics, P. Barilla Children\u2019s Hospital, University Hospital of Parma, 43121 Parma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6795-7347","authenticated-orcid":false,"given":"Vittorio","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"},{"name":"Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Del Medico","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, 50139 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizia","family":"Bruzzi","sequence":"additional","affiliation":[{"name":"Pediatric Unit, Department of Medical and Surgical Sciences for Mother Children and Adults, University of Modena and Reggio Emilia, 41124 Modena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatrice","family":"Righi","sequence":"additional","affiliation":[{"name":"Unit of Paediatrics, AUSL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5980-9160","authenticated-orcid":false,"given":"Chiara","family":"Sartori","sequence":"additional","affiliation":[{"name":"Unit of Paediatrics, AUSL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0370-7872","authenticated-orcid":false,"given":"Lorenzo","family":"Iughetti","sequence":"additional","affiliation":[{"name":"Pediatric Unit, Department of Medical and Surgical Sciences for Mother Children and Adults, University of Modena and Reggio Emilia, 41124 Modena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2259-4685","authenticated-orcid":false,"given":"Stefano","family":"Stagi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Florence, 50139 Florence, Italy"},{"name":"Meyer Children\u2019s Hospital IRCCS, 50139 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,21]]},"reference":[{"key":"ref_1","unstructured":"Feingold, K.R., Faisal Ahmed, S., Anawalt, B., Blackman, M.R., Boyce, A., Chrousos, B., Corpas, E., W de Herder, W., Dhatariya, K., and Dungan, K. 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