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

초등학교 저학년 여학생의 성 성숙과 신체상 및 자아존중감에 관한 연구

  • Roh, So Young (Graduate School, Department of Nursing, Chosun University) ;
  • Kim, Kyeha (Department of Nursing, Chosun University)
  • 노소영 (조선대학교 간호학과 대학원) ;
  • 김계하 (조선대학교 간호학과)
  • Received : 2012.05.04
  • Accepted : 2012.12.22
  • Published : 2012.12.31

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.

Keywords

References

  1. Cavanagh, S. E., Riegle-Crumb, C., & Crosnoe, R. (2007). Puberty and the education of girls. Social Psychology Quarterly, 70 (2), 186-198. https://doi.org/10.1177/019027250707000207
  2. Cesario, S. K., & Hughes, L. A. (2007). Precocious puberty: A comprehensive review of literature. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36 (3), 263-274. https://doi.org/10.1111/j.1552-6909.2007.00145.x
  3. Cho, M. H. (2010). Elementary school student's experience in puberty of physical ‧psychosocial by relationships with school adjustment.home-room teacher's stress. Unpublished master's thesis, Hongik University, Seoul.
  4. Choi, M. Y., & Bang, K. S. (2010). Quality of periatric nursing care: Concept analysis. Journal of Korean Academy Nursing, 40 (6), 757-764. https://doi.org/10.4040/jkan.2010.40.6.757
  5. Davis, C. (1997). Body image, exercise and eating behaviors. In Fox K. R. (Eds.), The physical-self (pp. 3-26). Chapaign, IL: Hyman Kinetics.
  6. Harter, S. (1981). The perceived competence scale for children. Child Development, 53, 87-97.
  7. Health Insurance Review & Assessment Service. (2011, May 13). Precocious puberty, early detection important, maybe my child? Retrieved November 8, 2011, from http://www.hira. or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl= /cms/notice/02/1205871_13390.html
  8. Jang, H. S. (1982). A study of the influence of illness on body image and self concept. Journal of Korean Academy Nursing, 12 (2), 80-90.
  9. Kim, H. S., Kim, M. K., Kim, J. S., Kim, H. A., Bang, K. S., Park, C. S., et al. (2009). Pediatric Nursing: Caring for Children and Their Families. (2nd ed.). Seoul: Soomoonsa.
  10. Korea Center for Disease Control & Prevention. (2008, August 21). 2007 Children, adolescents standard growth chart. 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, S. H. (2011, May 21). Increasing precocious puberty. Maeil News, p.E8.
  12. Lazar, L., Padoa, A., & Phillip, M. (2007). Growth pattern and final height after cessation of gonadotropin-suppressive therapy in girls with central sexual precocity. The Journal of Clinical Endocrinology & Metabolism, 92 (9), 3483-3489. https://doi.org/10.1210/jc.2007-0321
  13. Lee, E. J. (2005). The discourse analysis of puberty in early teenage girls. Journal of Korean Academy Child Health Nursing, 11 (2), 179-188.
  14. Lee, H. Y. (2004). The correlation between their body image and self-esteem dependent on the degree of obesity of obese children. Unpublished master's thesis, Kongju National University, Gongju.
  15. Lee, M. H. (2009). Abnormal pubertal development in Korean adolescent girls. Korean Journal of Obstetrics and Gynecology, 52 (12), 1197-1203.
  16. Lee, S. J. (2012). Auxological effects of gonadotropin-releasing hormone agonist treatment on central precocious puberty girls. Unpublished master's thesis, Chonnam University, Gwangju.
  17. Lee, O. S., & Park, T. J. (1998). A study on the knowledge and experience about menarche of girls in elementary and middle school. The Medical Journal of Inje University, 5, 141-166.
  18. Lee, S. H., & Lee, S. H. (2010). Relationships between menarch and emotional behavioral traits in middle school girls. Journal of Emotional & Behavioral Disorders, 26 (1), 163-180.
  19. Michaud, P. A., Suris, J. C., & Deppen, A. (2006). Gender-related psychological and behavioural correlates of pubertal timing in a national sample of Swiss adolescents. Molecular and Cellular Endocrinology, 254-255, 172-178.
  20. Osgood, C. E., & Suci, G. J., & Tannenbam, P. H. (1957). The Measurement of Meaning. Urbana: University Illinois Press.
  21. Park, C, G. (2009). Precocious puberty has increased by 5 times in last 5 years. Retrieved May 19, 2011, from http://www. hkn24.com
  22. Park, M. J. (2006). Recent advance in pathogenesis and treatment of precocious puberty. Journal of Reproduction and Development, 10 (4), 215-225.
  23. Park, M. J., Lee, I. S., Shin, E. K., Joung., H. J., & Cho, S. I. (2006). The timing of sexual maturation and secular trends of menarchial age in Korean adolescents. Korean Journal of Pediatrics, 49 (6), 610-616. https://doi.org/10.3345/kjp.2006.49.6.610
  24. Sonis, W. A., Comite, F., Blue, J., Pescovitz, O. H., Rahn, C. W., & Hench, K. D. (1985). Behavior problems and social competence in girls with true precocious puberty. Journal of Pediatrics, 106 (1), 156-160. https://doi.org/10.1016/S0022-3476(85)80489-3
  25. Suh, B. K. (2001). Evaluation and treatment of precocious puberty. Journal of the Korean Pediatrics Association, 44 (6), 607-613.
  26. Tanner, J. M. (1962). Growth at adolescence. New York: Lippincott.
  27. Walvoord, E. C. (2010). The timing of puberty: Is it changing? Does it matter? Journal of Adolescent Health, 47 (5), 433- 439. https://doi.org/10.1016/j.jadohealth.2010.05.018
  28. Yoon, J. H. (2010). A study on children's experiences and recognitions of preventive education against sexual abuse. Journal of Korean Practical Arts Education, 23 (3), 59-78.
  29. Yoon, I. K., Jeon, S. K., & Park, J. Y. (2009). A study of the efficiency of sex education program for elementary school students. Journal of Korean Practical Arts Education, 22 (1), 73-92.
  30. Yoon, J. R., Ahn, H. H., Huh, Y., & Park, M. J. (2010). Body composition in girls with precocious puberty. Journal of Korean Society for the Study of Obesity, 19 (3), 95-100.