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A Study on the Factors Affecting Self-Concept of Children and Adolescents with Epilepsy

뇌전증 소아청소년 환아의 자아개념에 영향을 미치는 요인에 대한 연구

  • Ha, Su Hee (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Choi, Hee-Yeon (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Lee, Hyang Woon (Department of Neurology, College of Medicine, Ewha Womans University) ;
  • Kim, Eui-Jung (Department of Psychiatry, College of Medicine, Ewha Womans University)
  • 하수희 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 최희연 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 이향운 (이화여자대학교 의과대학 신경과학교실) ;
  • 김의정 (이화여자대학교 의과대학 정신건강의학교실)
  • Received : 2017.06.19
  • Accepted : 2017.08.30
  • Published : 2017.10.01

Abstract

Objective: The purpose of this study was to investigate the impact of clinical and psychological factors on the self-concept of children and adolescents with epilepsy. Methods: Children and adolescents with epilepsy (n=60; age range=9-17 years) completed questionnaires about their epilepsy-related variables, self-concept, depressive symptoms, anxiety, family functions, and behavioral problems. The T-test and one-way analysis of variance were used to examine the variables affecting the total self-concept scores. To determine the independent variables by adjusting the significant variables, a stepwise regression analysis was performed. Results: In the correlational analysis, age, depressive symptoms, anxiety, social problems, attention problems, and internalizing problems had significantly negative correlations with self-concept. On the other hand, IQ and family functions showed positive correlations with selfconcept. Age (${\beta}=-0.177$, p=0.015), depressive symptoms (${\beta}=-0.487$, p<0.001), anxiety (${\beta}=-0.298$, p=0.008), and attention problems (${\beta}=-0.138$, p=0.048) were analyzed as independent factors to assess their impact on self-concept, and were found to account for 78.3% of the variance in self-concept by stepwise regression analysis. Conclusion: Parents and clinicians should pay attention to improving the self-concept of children and adolescents with epilepsy, especially if they have problems with depression, anxiety, or attention.

Keywords

References

  1. Kim DW, Lee SY, Chung SE, Cheong HK, Jung KY; Korean Epilepsy Society. Clinical characteristics of patients with treated epilepsy in Korea: a nationwide epidemiologic study. Epilepsia 2014;55:67-75. https://doi.org/10.1111/epi.12469
  2. Sbarra DA, Rimm-Kaufman SE, Pianta RC. The behavioral and emotional correlates of epilepsy in adolescence: a 7-year follow-up study. Epilepsy Behav 2002;3:358-367. https://doi.org/10.1016/S1525-5050(02)00035-5
  3. Pinquart M, Teubert D. Academic, physical, and social functioning of children and adolescents with chronic physical illness: a meta-analysis. J Pediatr Psychol 2012;37:376-389. https://doi.org/10.1093/jpepsy/jsr106
  4. Reilly C, Atkinson P, Das KB, Chin RF, Aylett SE, Burch V, et al. Neurobehavioral comorbidities in children with active epilepsy: a population-based study. Pediatrics 2014;133:e1586-1593. https://doi.org/10.1542/peds.2013-3787
  5. Austin JK. Comparison of child adaptation to epilepsy and asthma. J Child Adolesc Psychiatr Ment Health Nurs 1989;2:139-144. https://doi.org/10.1111/j.1744-6171.1989.tb00379.x
  6. Russo RN, Goodwin EJ, Miller MD, Haan EA, Connell TM, Crotty M. Self-esteem, self-concept, and quality of life in children with hemiplegic cerebral palsy. J Pediatr 2008;153:473-477. https://doi.org/10.1016/j.jpeds.2008.05.040
  7. Swann WB Jr, Chang-Schneider C, Larsen McClarty K. Do people's self-views matter? Self-concept and self-esteem in everyday life. Am Psychol 2007;62:84-94. https://doi.org/10.1037/0003-066X.62.2.84
  8. Hoare P, Mann H. Self-esteem and behavioural adjustment in children with epilepsy and children with diabetes. J Psychosom Res 1994;38:859-869. https://doi.org/10.1016/0022-3999(94)90073-6
  9. Jalava M, Sillanpaa M, Camfield C, Camfield P. Social adjustment and competence 35 years after onset of childhood epilepsy: a prospective controlled study. Epilepsia 1997;38:708-715. https://doi.org/10.1111/j.1528-1157.1997.tb01241.x
  10. Seiffge-Krenke I. Chronic disease and perceived developmental progression in adolescence. Dev Psychol 1998;34:1073-1084. https://doi.org/10.1037/0012-1649.34.5.1073
  11. Kobau R, Price P. Knowledge of epilepsy and familiarity with this disorder in the U.S. population: results from the 2002 HealthStyles Survey. Epilepsia 2003;44:1449-1454. https://doi.org/10.1046/j.1528-1157.2003.17603.x
  12. Cheung C, Wirrell E. Adolescents' perception of epilepsy compared with other chronic diseases: "through a teenager's eyes". J Child Neurol 2006;21:214-222.
  13. Song IS. The identification and measurement of self-concept. J Educ Eval 2004;17:1-25.
  14. Han SB. The relationship between children's self-concepts and family systems as analyzed by the circumplex model. Korean J Child Stud 1992;13:145-160.
  15. Kovacs M. The Children's Depression, Inventory (CDI). Psychopharmacol Bull 1985;21:995-998.
  16. Cho SC, Lee YS. Development of the Korean form of the Kovacs' Childeren's Depression Inventory. J Korean Neuropsychiatr Assoc 1990;29:943-956.
  17. Reynolds CR, Richmond BO. Factor structure and construct validity of “what I think and feel”: The Revised Children's Manifest Anxiety Scale. J Pers Assess 1979;43:281-283. https://doi.org/10.1207/s15327752jpa4303_9
  18. Choi JS, Cho SC. Assessment of Anxiety in Children. J Korean Neuropsychiatr Assoc 1990;29:691-702.
  19. Achenbach TM, Edelbrock CS. Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: Dept. Psychiatry, University of Vermont;1983.
  20. Lee HL, Oh KJ, Hong KE, Ha EH. Clinical validity study of Korean CBCL through item analysis. J Korean Acad Child Adolesc Psychiatry 1991;2:138-149.
  21. Olson DH, Portner J, Lavee Y. FACES III. Family Social Science. St. Paul, MN: University of Minnesota;1985.
  22. Yoon BB, Lee HR, Kwak KW, Oh MK, Lim JH, Lee KR. A study of reliability and validity of FACES III. Korean J Fam Med 1990;11:8-17.
  23. Harter S, Pike R. The pictorial scale of perceived competence and social acceptance for young children. Child Dev 1984;55:1969-1982. https://doi.org/10.2307/1129772
  24. Marsh HW, Craven R, Debus R. Structure, stability, and development of young children's self-concepts: a multicohort-multioccasion study. Child Dev 1998;69:1030-1053. https://doi.org/10.1111/j.1467-8624.1998.tb06159.x
  25. Shields N, Loy Y, Murdoch A, Taylor NF, Dodd KJ. Self-concept of children with cerebral palsy compared with that of children without impairment. Dev Med Child Neurol 2007;49:350-354. https://doi.org/10.1111/j.1469-8749.2007.00350.x
  26. Moore PM, Baker GA. The neuropsychological and emotional consequences of living with intractable temporal lobe epilepsy: implications for clinical management. Seizure 2002;11:224-230. https://doi.org/10.1053/seiz.2001.0668
  27. Helmstaedter C, Kurthen M, Lux S, Reuber M, Elger CE. Chronic epilepsy and cognition: a longitudinal study in temporal lobe epilepsy. Ann Neurol 2003;54:425-432. https://doi.org/10.1002/ana.10692
  28. de Boer HM, Mula M, Sander JW. The global burden and stigma of epilepsy. Epilepsy Behav 2008;12:540-546. https://doi.org/10.1016/j.yebeh.2007.12.019
  29. Hermann B, Jones J, Sheth R, Dow C, Koehn M, Seidenberg M. Children with new-onset epilepsy: neuropsychological status and brain structure. Brain 2006;129(Pt 10):2609-2619. https://doi.org/10.1093/brain/awl196
  30. Aldenkamp A, Arends J. The relative influence of epileptic EEG discharges, short nonconvulsive seizures, and type of epilepsy on cognitive function. Epilepsia 2004;45:54-63. https://doi.org/10.1111/j.0013-9580.2004.33403.x
  31. Caplan R, Sagun J, Siddarth P, Gurbani S, Koh S, Gowrinathan R, et al. Social competence in pediatric epilepsy: insights into underlying mechanisms. Epilepsy Behav 2005;6:218-228. https://doi.org/10.1016/j.yebeh.2004.11.020
  32. Baker GA, Spector S, McGrath Y, Soteriou H. Impact of epilepsy in adolescence: a UK controlled study. Epilepsy Behav 2005;6:556-562. https://doi.org/10.1016/j.yebeh.2005.03.011
  33. Ekinci O, Titus JB, Rodopman AA, Berkem M, Trevathan E. Depression and anxiety in children and adolescents with epilepsy: prevalence, risk factors, and treatment. Epilepsy Behav 2009;14:8-18. https://doi.org/10.1016/j.yebeh.2008.08.015
  34. Jones JE, Watson R, Sheth R, Caplan R, Koehn M, Seidenberg M, et al. Psychiatric comorbidity in children with new onset epilepsy. Dev Med Child Neurol 2007;49:493-497. https://doi.org/10.1111/j.1469-8749.2007.00493.x
  35. Ferrari M, Matthews WS, Barabas G. The family and the child with epilepsy. Fam Process 1983;22:53-59. https://doi.org/10.1111/j.1545-5300.1983.00053.x
  36. Ekinci O, Isik U, Gunes S, Yildirim C, Killi Y, Guler G. Self-concept in children and adolescents with epilepsy: the role of family functioning, mothers' emotional symptoms and ADHD. Brain Dev 2016; 38:714-722. https://doi.org/10.1016/j.braindev.2016.02.015
  37. Oostrom KJ, van Teeseling H, Smeets-Schouten A, Peters AC, Jennekens-Schinkel A; Dutch Study of Epilepsy in Childhood (DuSECh). Three to four years after diagnosis: cognition and behaviour in children with 'epilepsy only'. A prospective, controlled study. Brain 2005;128(Pt 7):1546-1555. https://doi.org/10.1093/brain/awh494
  38. Lee A, Hamiwka LD, Sherman EM, Wirrell EC. Self-concept in adolescents with epilepsy: biological and social correlates. Pediatr Neurol 2008;38:335-339. https://doi.org/10.1016/j.pediatrneurol.2008.01.011
  39. Berl MM, Terwilliger V, Scheller A, Sepeta L, Walkowiak J, Gaillard WD. Speed and complexity characterize attention problems in children with localization-related epilepsy. Epilepsia 2015;56:833-840. https://doi.org/10.1111/epi.12985
  40. Dunn DW, Kronenberger WG. Childhood epilepsy, attention problems, and ADHD: review and practical considerations. Semin Pediatr Neurol 2005;12:222-228. https://doi.org/10.1016/j.spen.2005.12.004
  41. Austin JK, Huberty TJ. Development of the Child Attitude Toward Illness Scale. J Pediatr Psychol 1993;18:467-480. https://doi.org/10.1093/jpepsy/18.4.467