J Korean Acad Child Adolesc Psychiatry.  2017 Oct;28(4):252-259. 10.5765/jkacap.2017.28.4.252.

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

Affiliations
  • 1Department of Psychiatry, College of Medicine, Ewha Womans University, Seoul, Korea. christie@ewha.ac.kr
  • 2Department of Neurology, College of Medicine, Ewha Womans University, Seoul, Korea.

Abstract


OBJECTIVES
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 self-concept. Age (β=−0.177, p=0.015), depressive symptoms (β=−0.487, p<0.001), anxiety (β=−0.298, p=0.008), and attention problems (β= −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.

Keyword

Epilepsy; Self concept; Child; Adolescent; Depression; Anxiety; Attention

MeSH Terms

Adolescent*
Anxiety
Child*
Depression
Epilepsy*
Hand
Humans
Parents
Problem Behavior
Psychology
Self Concept
Social Problems
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