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HOME > J Korean Acad Community Health Nurs > Volume 23(4); 2012 > Article
Original Article
Sexual maturation, Body image, and Self-esteem among Girls of Lower Grades in Elementary School
So Young Roh, Kyeha Kim
Journal of Korean Academy of Community Health Nursing 2012;23(4):405-414.
Published online: December 31, 2012
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1Graduate School, Department of Nursing, Chosun University, Gwangju, Korea.

2Department of Nursing, Chosun University, Gwangju, Korea.

• Received: May 4, 2012   • Accepted: December 22, 2012

Copyright © 2012 Korean Academy of Community Health Nursing

  • 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.
Table 1
General Characteristics (N=309)
Table 2
Symptoms of Precocious Puberty (N=309)
Table 3
Symptoms of Precocious Puberty according to General Characteristics (N=309)
Table 4
Body Image and Self Esteem according to Symptoms of Precocious Puberty
  • 1. Cavanagh SE, Riegle-Crumb C, Crosnoe R. Puberty and the education of girls. Soc Psychol Q 2007;70(2):186–198.
  • 2. Cesario SK, Hughes LA. Precocious puberty: A comprehensive review of literature. J Obstet Gynecol Neonatal Nurs 2007;36(3):263–274.
  • 3. Cho MH. Elementary school student's experience in puberty of physical·psychosocial by relationships with school adjustment·home-room teacher's stress 2010;Seoul: Hongik University; Unpublished master's thesis.
  • 4. Choi M, Bang K. Quality of periatric nursing care: Concept analysis. J Korean Acad Nurs 2010;40(6):757–764.
  • 5. Davis C. Fox KR. Body image, exercise and eating behaviors. In: The physical-self 1997;Chapaign, IL: Hyman Kinetics; 3–26.
  • 6. Harter S. The perceived competence scale for children. Child Dev 1981;53:87–97.
  • 7. Health Insurance Review & Assessment Service. Precocious puberty, early detection important, maybe my child? 2011;05 13 Retrieved November 8, 2011. from
  • 8. Jang HS. A study of the influence of illness on body image and self concept. J Nurs Acad Soc 1982;12(2):80–90.
  • 9. Kim HS, Kim MK, Kim JS, Kim HA, Bang KS, Park CS, et al. Pediatric Nursing: Caring for Children and Their Families 2009;2nd ed. Seoul: Soomoonsa.
  • 10. Korea Center for Disease Control & Prevention. 2007 Children, adolescents standard growth chart 2008;08 21 Retrieved November 8, 2011. from
  • 11. Kwon SH. Increasing precocious puberty. Maeil News 2011;05 21 E8
  • 12. Lazar L, Padoa A, Phillip M. Growth pattern and final height after cessation of gonadotropin-suppressive therapy in girls with central sexual precocity. J Clin Endocrinol Metab 2007;92(9):3483–3489.
  • 13. Lee EJ. The discourse analysis of puberty in early teenage girls. Korean J Child Health Nurs 2005;11(2):179–188.
  • 14. Lee HY. The correlation between their body image and self-esteem dependent on the degree of obesity of obese children 2004;Gongju: Kongju National University; Unpublished master's thesis.
  • 15. Lee MH. Abnormal pubertal development in Korean adolescent girls. Korean J Obstet Gynecol 2009;52(12):1197–1203.
  • 16. Lee SJ. Auxological effects of gonadotropin-releasing hormone agonist treatment on central precocious puberty girls 2012;Gwangju: Chonnam University; Unpublished master's thesis.
  • 17. Lee OS, Park TJ. A study on the knowledge and experience about menarche of girls in elementary and middle school. Med J Inje Univ 1998;5:141–166.
  • 18. Lee SH, Lee SH. Relationships between menarch and emotional behavioral traits in middle school girls. J Emot Behav Disord 2010;26(1):163–180.
  • 19. Michaud PA, Suris JC, Deppen A. Gender-related psychological and behavioural correlates of pubertal timing in a national sample of Swiss adolescents. Mol Cell Endocrinol 2006;254-255:172–178.
  • 20. Osgood CE, Suci GJ, Tannenbam PH. The Measurement of Meaning 1957;Urbana: University Illinois Press.
  • 21. Park CG. Precocious puberty has increased by 5 times in last 5 years 2009;Retrieved May 19, 2011. from
  • 22. Park MJ. Recent advance in pathogenesis and treatment of precocious puberty. Dev Reprod 2006;10(4):215–225.
  • 23. Park MJ, Lee IS, Shin EK, Joung HJ, Cho SI. The timing of sexual maturation and secular trends of menarchial age in Korean adolescents. Korean J Pediatr 2006;49(6):610–616.
  • 24. Sonis WA, Comite F, Blue J, Pescovitz OH, Rahn CW, Hench KD. Behavior problems and social competence in girls with true precocious puberty. J Pediatr 1985;106(1):156–160.
  • 25. Suh BK. Evaluation and treatment of precocious puberty. J Korean Pediatr Soc 2001;44(6):607–613.
  • 26. Tanner JM. Growth at adolescence 1962;New York: Lippincott.
  • 27. Walvoord EC. The timing of puberty: Is it changing? Does it matter? J Adolesc Health 2010;47(5):433–439.
  • 28. Yoon JH. A study on children's experiences and recognitions of preventive education against sexual abuse. J Korean Pract Arts Educ 2010;23(3):59–78.
  • 29. Yoon IK, Jeon SK, Park JY. A study of the efficiency of sex education program for elementary school students. J Korean Pract Arts Educ 2009;22(1):73–92.
  • 30. Yoon JR, Ahn HH, Huh Y, Park MJ. Body composition in girls with precocious puberty. Korean J Obes 2010;19(3):95–100.

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    Citations to this article as recorded by  
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