【Abstract】Objective To investigate the status quo of psychosocial adjustment, self-awareness and gender roles in girls with central precocious puberty, and to analyze the correlation between them. Methods  A total of 252 girls with idiopathic central precocious puberty (ICPP) who visited the pediatric outpatient department of Deyang People's Hospital from August 2021 to August 2022 were selected as subjects by convenience sampling method. The general information questionnaire, the Child Psychosocial Adjustment Scale, the Gender Role Scale and the Piers-Harris Child Self-Awareness Scale were used to investigate. Results  The Social Adaptive Quotient (ADQ) score of ICCP girls was (96.04±19.41), and 27% of ICCP girls were at the "boundary" level. The self-awareness score was (50.78±19.21) points; 108 cases (42.9%) were bisexual, 24 cases (9.5%) were masculine, 20 cases (7.9%) were feminine and 100 cases (39.7%) were undifferentiated, respectively. Pearson correlation analysis showed that ADQ score of ICCP girls was positively correlated with self-awareness (r=0.367, P<0.01). The ADQ scores of ICPP girls with four gender roles were significantly different (F=2.988, P<0.05). Among ICPP girls with different gender roles, the score of intersex girls was the highest (103.41±19.33), and the score of asexuality was the lowest (88.70±16.72). Conclusion  The status quo of psychosocial adjustment behavior in ICPP girls is not optimistic, which is related to self-awareness and gender roles. It is suggested that we can intervene the psychosocial adjustment behavior of ICPP girls according to this path, so as to improve their ability to face the disease.

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