It has been reported that girls at onset of idiopathic central precocious p
uberty (ICPP) and during treatment have symbiotic character traits. The aim
of this study was to investigate the development of character in a group o
f adolescents. Ten adolescent girls aged 14 years treated for ICPP were eva
luated. All the adolescents in the study had a negative body image compared
with age-matched controls and expressed a strong inhibition of their femin
inity. Their poor body image is reflected by their limited self-esteem. The
se adolescents have not been able to operate a reorganization of their affe
ctive life and therefore go through the necessarily slow and painful separa
tion from their family, Symbiotic traits are "hard-wired" into their lives.
These results suggest that at ICPP onset, in addition to setting up an edu
cational program for the parents, it is equally important to supply psychol
ogical support for the patients in order to gain a better interaction betwe
en biological, psychological and cultural influences.