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Biomedical subjects

D Rotnem

Publications and source records attributed to D Rotnem.

6 recordsLinked to original sources
PubMed1982

Cognitive and emotional functioning in hypopituitary short-statured children.

Eleven children with documented growth hormone deficiency were studied to assess their cognitive and emotional functioning and their academic achievement before and after 1 year of human growth hormone replacement therapy. Standardized personality and intelligence measures were used, and records of school achievement, as well as developmental and family history from parents, were obtained. Although some subjects in this group were coping with problems other than their short stature (e.g., other medical and psychosocial problems), their intelligence and academic achievement were found to be positively correlated with socioeconomic status and independent of the condition of hypopituitarism. This study supports others that have found these children vulnerable to problems of emotional adjustment in middle and late childhood. Because of the heterogeneity of the group, findings must be interpreted cautiously. However, the consistent finding of disturbance in visual-motor integration is thought to be significant and demonstrates the need for further research that will examine possible neurological sequelae of long-term growth hormone deficiency.

Adaptation, Psychological↗
PubMed1981

Psychosocial care in a medical genetics clinic.

In the process of genetic counseling, many patients and their families need psychosocial evaluation and care to help them cope with the genetic information and its implications. Such psychosocial work may be routine or extended. For two years we assessed the actual psychosocial evaluation and care provided by us in a medical genetics clinic, using six categories to classify the nature of a patient's need for extended psychosocial work. Of 138 new patients, 82 (59%) required extended psychosocial evaluation and care. In particular, young patients, seen with many family members, and requiring multiple medical consultations, were found to need the most extensive psychosocial care. Ongoing clinic patients (N = 35) referred for psychosocial care were used as a comparison group. We concluded that a significant number of patients and their families receiving genetic counseling also require extended psychosocial evaluation and care, and that these patients may be identifiable early in the counseling procedure.

Adaptation, Psychological↗