Gynecomastia in Adolescents: Impact on Mental Health and Body Image.

IF 1.7 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2025-06-18 DOI:10.1007/s13312-025-00113-6

Rıza Taner Baran, Gamze Çelmeli, Ceyhun Tıkız, Arif Önder, Özge Gizli Çoban

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引用次数: 0

Abstract

Objective: This study aimed to explore depression, anxiety, and body image issues in adolescents with gynecomastia.

Methods: Forty adolescents aged 12-18 years diagnosed with gynecomastia and 40 age-matched volunteer healthy adolescent boys were enrolled. Mental health issues were assessed using Beck Anxiety Inventory (BAI), Social Appearance Anxiety Scale (SAAS), the Children's Depression Inventory (CDI), Body Cathexis Scale (BCS), and the Brief Fear of Negative Evaluation Scale (BFNE).

Results: The mean (SD) BFNE [29.82 (10.08) vs. 24.62 (9.96); P = 0.023] and the SAAS [42.27 (18.15) vs. 31.32 (14.71); P = 0.004] scales were significantly higher in the patient group compared to controls. A significant negative correlation was observed between age and SAAS (r = - 0.349), and age and BFNE (r = - 0.522). A significant positive correlation was seen between SAAS and the grade of gynecomastia (r = 0.479).

Conclusion: Early psychological support is needed to reduce distress in adolescents with gynecomastia.

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青少年男性乳房发育：对心理健康和身体形象的影响。

目的：本研究旨在探讨男性乳房发育症青少年的抑郁、焦虑和身体形象问题。方法：选取40名年龄在12-18岁诊断为男性乳房发育症的青少年和40名年龄相匹配的健康男性志愿者。采用贝克焦虑量表（BAI）、社交外表焦虑量表（SAAS）、儿童抑郁量表（CDI）、躯体焦虑量表（BCS）和短暂恐惧负面评价量表（BFNE）对心理健康问题进行评估。结果：平均（SD） BFNE [29.82 (10.08) vs. 24.62 (9.96)；P = 0.023]和SAAS[42.27（18.15）比31.32 (14.71)]；P = 0.004]，患者组的评分明显高于对照组。年龄与SAAS （r = - 0.349）、年龄与BFNE （r = - 0.522）呈显著负相关。SAAS与男性乳房发育程度呈显著正相关（r = 0.479）。结论：早期心理支持有助于减轻青少年男性乳房发育症患者的痛苦。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.