Self-esteem in children with physical disabilities

Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma

Persons with mental illness frequently encounter public stigma and may suffer from self-stigma. This review aims to clarify the concept of mental illness stigma and discuss consequences for individuals with mental illness. After a conceptual overview of stigma we discuss two leading concepts of mental illness stigma and consequences of stigma, focussing on self-stigma/empowerment and fear of stigma as a barrier to using health services. Finally, we discuss three main strategies to reduce stigma - protest, education, and contact – and give examples of current anti-stigma campaigns. Well-designed anti-stigma initiatives will help to diminish negative consequences of mental illness stigma.

Orthopedic disability and socioemotional functioning

BACKGROUND

The major aim of the study was to examine self-concept, emotional stability, and sociability of Turkish adolescents with orthopedic disability, and the links between these domains and sport participation.

METHOD

Participants of the study were 95 students in grades 5-12 (mean age, 15.44 +/- 2.40 years). They were recruited from two boarding schools established for youth with orthopedic disabilities. Parents of the adolescents participated in the study by completing a form to provide information about the child, his/her condition (e.g. first appearance, severity, treatment), and the household in general. Adolescents filled in self-report scales that were developed to measure self-concept, emotional stability, and sociability.

RESULTS

Hierarchical multiple regression indicated that regular engagement in sports significantly predicted self-concept of adolescents with orthopedic disability, and the predictive value of playing sport was significant even after differences in participant age, sex, and severity of the disability were taken into account. Emotional stability and sociability of adolescents with disability were predicted by sports playing but to a low degree.

CONCLUSION

Study findings underline the importance of understanding social aspects of disability, and the positive association between playing sports and an individuals positive beliefs about oneself.

Body image in adolescents with cerebral palsy

The study aims to describe important features of body image in adolescents with motor disabilities and compare them against similar features in able-bodied peers. Relational aspects of body image were given preference in a questionnaire distributed to 35 adolescents with cerebral palsy and 98 adolescents with no known disabilities. Similarities were shown, but also significant differences, indicating a less favourable body image in adolescents with cerebral palsy. It is paramount for young people who are constantly reminded of physical restrictions to experience body vitality. Professionals need to consider the importance of how they interact with young people when seeking to promote a positive body image.

Self-esteem of adolescents who were born prematurely

OBJECTIVE

To determine whether there are any differences between the self-esteem of a cohort of adolescents who were extremely low birth weight (ELBW) in comparison with term controls (Cs); and to test the associations between self-esteem and several predefined predictor variables.

BACKGROUND

Self-esteem is considered to play a significant role in psychological adjustment and scholastic success. Little information exists on how adolescents who were ELBW regard themselves.

DESIGN/METHODS

Longitudinal follow-up of a regional cohort of 132/169 (78%) ELBW survivors and 127/145 (88%) sociodemographically matched Cs, born between 1977 and 1982.

MEASURES

Harter Adolescent Self-Perception Profile (1988) with 9 dimensions, including Global Self-Worth, socioeconomic status (Hollingshead), height-for-age and weight-for-age z scores, and Wide Range Achievement Test---Revised (WRAT-R; Reading, Spelling, and Arithmetic).

DATA ANALYSIS

General linear model multiple analyses of covariance were performed to determine whether significant relationships existed between the 9 self-esteem dimensions and the independent variables of birth weight status and gender, and the covariates of age, socioeconomic status, physical development, and academic achievement.

RESULTS

Global Self Worth was similar for ELBW and Cs (means: 3.1 and 3.2). Multivariate effects revealed no interactions, but significant main effects emerged for birth weight status, gender, weight-for-age z scores, age in months, and for all 3 WRAT-R subtests, all effect sizes medium to large. Follow-up analysis of covariance revealed medium-size gender effects for athletic competence (means: 3.1 and 2.6), and physical appearance (means: 2.9 and 2.5), where boys rated themselves significantly higher on both domains; and age effects, where older teens rated themselves better for job competence. Significant but small effect sizes emerged for the following: 1) weight-for-age z scores, where heavier youth rated themselves higher on close friendships, 2) gender, where girls had higher ratings for close friendships, 3) birth weight, where Cs rated themselves higher on athletic competence, and 4) WRAT-R math effect, where children with higher math scores rated themselves better on scholastic competence.

CONCLUSIONS

Overall, ELBW teenagers do not differ significantly from C teenagers on most dimensions of self-esteem. Gender effects emerged on some Harter domains.