Psychological aspects of tall stature/gigantism
One need only review the striking positive correlation between stature and financial/professional success in our society to be convinced that “heightism” is a true phenomenon. However, when present to an extreme degree, tallness ceases to be an advantage and may be perceived as a burden, resulting in both physical, as well as psychological, handicaps. This has prompted the pharmacological treatment of constitutionally tall adolescents with sex steroids to accelerate epiphyseal fusion, a practice that has been in existence since the 1950s (43). Whereas tall girls, in particular, often report teasing and social difficulties as a result of their size, these problems generally disappear in adulthood, when the majority of normal tall men and women indicate satisfaction with their stature (44). Because no convincing data indicating lifelong psychopathology as a result of tall stature exists (45), it may be reasonable to pursue counseling as the initial treatment of choice for otherwise healthy tall adolescents with psychosocial difficulties related to their height. In contrast, pathologic tall stature as a result of GH excess obviously results in heights that are far beyond those observed in constitutionally tall individuals. Although no in-depth information regarding the psychological profile of patients with gigantism is available, case series indicate a high incidence of severe depression, social withdrawal, and low self-esteem (3).
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