Self‐concept in children with spina bifida compared with typically developing children

Abstract

The literature was systematically reviewed to determine if children with spina bifida have lower self-concept compared with their peers with typical development. Relevant trials were identified by searching electronic databases, supplemented by citation tracking. Of 803 papers initially identified, 15 met the inclusion criteria. Meta-analysis revealed children with spina bifida scored significantly lower than children with typical development for the domains of global self-worth (d=)0.39, 95% confidence interval [CI] )0.65 to )0.12); physical appearance (d=)0.26, 95% CI )0.46 to )0.06); athletic competence (d=)0.45, 95% CI )0.67 to )0.22); social acceptance (d=)0.33, 95% CI )0.55 to )0.11); and scholastic competence (d=)0.43, 95% CI )0.66 to )0.21). There was no difference between the groups for the behavioural conduct domain. Children with spina bifida on average have a lower self-concept than their peers with typical development. Clinicians need to take account of this information in planning the assessment and treatment of this group.

Transition from childhood to adolescence: Quality of life changes 6 years later in patients born with anorectal malformations

“…For example, in a metanalysis, Shields et al [12] considered seven studies of young people with spina bifida and report that they show significant lower scores than healthy peers in the domains of global self-worth, physical appearance, athletic competence, social acceptance, and scholastic competence. Similarly, in a recent metanalytic comparison of children and adolescents with chronic illness, Pinquart [13] reported that young people with a chronic illness had a less positive body image than their healthy peers, although the average size of differences was small.…”

Hafif Derecede Zihinsel Yetersizliği Olan Çocuklarda Beden Eğitimi ve Sporun Benlik Algısı Üzerindeki Etkisi

“…To Campell (1990), self concept and self esteem in adolescents are closely related to such factors as academic success, sportive performance, drug addiction, early pregnancy, the quality of communication with peers and acquisition of specific coping skills (quoted by Aktuğ, 2006). It was explored in literature that individuals who need special education have lower self concept than normal individuals (Shields et al, 2006;Korkmaz, 2007;Shields et al, 2008). We can suggest that it is both socially and individually important to attempt to increase self concept of the children with mild mental disability through various instruments or that they have high self concept as in children or adolescents with normal growth.…”

Quality of Life and Psychosocial Well-Being in Youth With Neuromuscular Disorders Who Are Wheelchair Users: A Systematic Review

“…Four criteria (Table 1) were adapted from the STROBE quality appraisal checklist 37 and risk of bias assessment tools specific to observational 38 and prevalence studies 39 , being selection and response bias, use of valid and reliable outcome measures, and interpretation bias. Two authors (VT and SP) independently assessed studies for risk of bias as high, low or uncertain.…”

“…Screening the reference lists of the remaining 76 papers yielded one further potentially eligible paper. Full text assessment led to the exclusion of 62 papers, reasons being that they did not include or separately report 12-22year old participants' data (38) or data for those with NMD (9), did not include or describe participants' ambulatory status (9), reported proxyrated outcomes only (5) or could not be sourced (1). All authors reached consensus for the 15 papers that met the inclusion criteria.…”