Depressive Symptoms and Self-Concept in Young People with Spina Bifida

Examined self-reported depressive symptoms in 72 young people with spina bifida, ages 9 to 18:11, and matched able-bodied comparison subjects, using the Dimensions of Depression Profile for Children and Adolescents(Harter&Nowakowski, 1987). Independent variables included gender, self-perceptions...

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Bibliographic Details
Published in:	Journal of pediatric psychology Vol. 22; no. 5; pp. 707 - 722
Main Authors:	Appleton, Peter L., Elis, Nick C., Minchom, Philip E., Lawson, Val, Böll, Vicki, Jones, Pat
Format:	Journal Article
Language:	English
Published:	Atlanta, GA Oxford University Press 01-10-1997
Subjects:	Adolescent Biological and medical sciences Body Image Child Depression - psychology depressive symptoms disability Female Fundamental and applied biological sciences. Psychology Handicap Humans Male Personality Assessment Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Self Concept Sick Role social support spina bifida Spinal Dysraphism - psychology Spinal Dysraphism - rehabilitation Human Mood disorder Diseases of the osteoarticular system Sex Depression Self perception Personality Spine disease Congenital disease Preadolescent Physical handicap Spina bifida School age Malformation Physical appearance Adolescent Self concept Suicide ideation Child Social support
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Summary:	Examined self-reported depressive symptoms in 72 young people with spina bifida, ages 9 to 18:11, and matched able-bodied comparison subjects, using the Dimensions of Depression Profile for Children and Adolescents(Harter&Nowakowski, 1987). Independent variables included gender, self-perceptions (including physical appearance), and perceived social support. Young people with spina bifida were at greater risk of depressive mood, low self-worth, and suicidal ideation. Girls, independent of disability, were at greater risk of depressive mood, low self-worth, and self-blame. Multiple regression analyses suggest that global self-worth serves as a mediating variable for the effect of physical appearance self-concept on depressed mood (particularly in young people with spinabifida), and that perceived parental social support has a direct effect on depressed mood (particularly in girls).
Bibliography:	istex:587A968A6A73B612157F12B0D96AB355FB3CA732 ark:/67375/HXZ-MBMVR4R2-S ArticleID:22.5.707 1 We are very grateful to the young people and families who participated in the study; to the Association of Spina Bifida and Hydrocephalus (ASBAH), Clwyd Social Services, and Clwyd Health Authority for funding; to the Research Assistants and Medical Interviewers; to J. M. G. Williams for comments on a draft paper; and to two reviewers for very constructive comments 2 All correspondence should be addressed to Peter L.aAppetton, School of Psychology, University of Wales, Bangor, Wales, United Kingdom. LL57 2DG ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0146-8693 1465-735X
DOI:	10.1093/jpepsy/22.5.707