Sexual maturation, Body image, and Self-esteem among Girls of Lower Grades in Elementary School

Article information

Res Community Public Health Nurs. 2012;23(4):405-414
Publication date (electronic) : 2012 December 31
doi : https://doi.org/10.12799/jkachn.2012.23.4.405
1Graduate School, Department of Nursing, Chosun University, Gwangju, Korea.
2Department of Nursing, Chosun University, Gwangju, Korea.
Corresponding author: Kim, Kyeha. Department of Nursing, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 501-759, Korea. Tel: +82-62-230-6326, Fax: +82-62-230-6329, kyehakim@hanmail.net
Received 2012 May 04; Accepted 2012 December 22.

Abstract

Purpose

The purpose of this study was to examine the sexual maturation, body image, and self-esteem of Korean elementary school girls with symptoms of precocious puberty compared to those with no symptoms of precocious puberty.

Methods

The subjects were 309 girls of lower grades in elementary school. Tanner's Sexual Maturation Rating (SMR), Self Image Scale, and Self-esteem Scale were utilized to determine the presence of symptoms of precocious puberty, body image, and self esteem. Collected data were analyzed by Chi-square test, independent t-test, and one-way ANOVA using the SPSS/WIN 17.0 program.

Results

The percentage of the girls with breast development was 14.9%. Breast development usually began in the third grade (56.5%). Of the subjects, 0.3% were experiencing menstruation. Breast development was related to grade, age, height, weight, and a cause of worry. There was a significant difference of body image between girls with breast development in the first grade and in the second grade.

Conclusion

An effective intervention that can improve the self-image of children with symptoms of precocious puberty should be developed to prevent and treat physical and mental problems related to sexual maturation.

References

1. Cavanagh SE, Riegle-Crumb C, Crosnoe R. Puberty and the education of girls. Soc Psychol Q 2007. 70(2)186–198.
2. Cesario SK, Hughes LA. Precocious puberty: A comprehensive review of literature. J Obstet Gynecol Neonatal Nurs 2007. 36(3)263–274.
3. Cho MH. Elementary school student's experience in puberty of physical·psychosocial by relationships with school adjustment·home-room teacher's stress 2010. Seoul: Hongik University; Unpublished master's thesis.
4. Choi M, Bang K. Quality of periatric nursing care: Concept analysis. J Korean Acad Nurs 2010. 40(6)757–764.
5. Davis C. In : Fox KR, ed. Body image, exercise and eating behaviors. The physical-self 1997. Chapaign, IL: Hyman Kinetics; 3–26.
6. Harter S. The perceived competence scale for children. Child Dev 1981. 5387–97.
7. Health Insurance Review & Assessment Service. Precocious puberty, early detection important, maybe my child? 2011. 05. 13. Retrieved November 8, 2011. from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1205871_13390.html.
8. Jang HS. A study of the influence of illness on body image and self concept. J Nurs Acad Soc 1982. 12(2)80–90.
9. Kim HS, Kim MK, Kim JS, Kim HA, Bang KS, Park CS, et al. Pediatric Nursing: Caring for Children and Their Families 2009. 2nd edth ed. Seoul: Soomoonsa;
10. Korea Center for Disease Control & Prevention. 2007 Children, adolescents standard growth chart 2008. 08. 21. Retrieved November 8, 2011. from http://www.cdc.go.kr/kcdchome/jsp/home/common/brd/COMMBRD0200Detail.jsp?menuid=100049&boardid=1012&pageNum=0&sub=0&boardseq=20915.
11. Kwon SH. Increasing precocious puberty. Maeil News 2011. 05. 21. E8.
12. Lazar L, Padoa A, Phillip M. Growth pattern and final height after cessation of gonadotropin-suppressive therapy in girls with central sexual precocity. J Clin Endocrinol Metab 2007. 92(9)3483–3489.
13. Lee EJ. The discourse analysis of puberty in early teenage girls. Korean J Child Health Nurs 2005. 11(2)179–188.
14. Lee HY. The correlation between their body image and self-esteem dependent on the degree of obesity of obese children 2004. Gongju: Kongju National University; Unpublished master's thesis.
15. Lee MH. Abnormal pubertal development in Korean adolescent girls. Korean J Obstet Gynecol 2009. 52(12)1197–1203.
16. Lee SJ. Auxological effects of gonadotropin-releasing hormone agonist treatment on central precocious puberty girls 2012. Gwangju: Chonnam University; Unpublished master's thesis.
17. Lee OS, Park TJ. A study on the knowledge and experience about menarche of girls in elementary and middle school. Med J Inje Univ 1998. 5141–166.
18. Lee SH, Lee SH. Relationships between menarch and emotional behavioral traits in middle school girls. J Emot Behav Disord 2010. 26(1)163–180.
19. Michaud PA, Suris JC, Deppen A. Gender-related psychological and behavioural correlates of pubertal timing in a national sample of Swiss adolescents. Mol Cell Endocrinol 2006. 254-255172–178.
20. Osgood CE, Suci GJ, Tannenbam PH. The Measurement of Meaning 1957. Urbana: University Illinois Press;
21. Park CG. Precocious puberty has increased by 5 times in last 5 years 2009. Retrieved May 19, 2011. from http://www.hkn24.com.
22. Park MJ. Recent advance in pathogenesis and treatment of precocious puberty. Dev Reprod 2006. 10(4)215–225.
23. Park MJ, Lee IS, Shin EK, Joung HJ, Cho SI. The timing of sexual maturation and secular trends of menarchial age in Korean adolescents. Korean J Pediatr 2006. 49(6)610–616.
24. Sonis WA, Comite F, Blue J, Pescovitz OH, Rahn CW, Hench KD. Behavior problems and social competence in girls with true precocious puberty. J Pediatr 1985. 106(1)156–160.
25. Suh BK. Evaluation and treatment of precocious puberty. J Korean Pediatr Soc 2001. 44(6)607–613.
26. Tanner JM. Growth at adolescence 1962. New York: Lippincott;
27. Walvoord EC. The timing of puberty: Is it changing? Does it matter? J Adolesc Health 2010. 47(5)433–439.
28. Yoon JH. A study on children's experiences and recognitions of preventive education against sexual abuse. J Korean Pract Arts Educ 2010. 23(3)59–78.
29. Yoon IK, Jeon SK, Park JY. A study of the efficiency of sex education program for elementary school students. J Korean Pract Arts Educ 2009. 22(1)73–92.
30. Yoon JR, Ahn HH, Huh Y, Park MJ. Body composition in girls with precocious puberty. Korean J Obes 2010. 19(3)95–100.

Article information Continued

Table 1

General Characteristics (N=309)

Table 1

Table 2

Symptoms of Precocious Puberty (N=309)

Table 2

Table 3

Symptoms of Precocious Puberty according to General Characteristics (N=309)

Table 3

Table 4

Body Image and Self Esteem according to Symptoms of Precocious Puberty

Table 4