Self-concept and gender effects in Korean adolescents with epilepsy |
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| Institution: | 1. Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea;2. Department of Pediatrics, Kyungpook National University Children''s Hospital, Daegu, Republic of Korea;3. Department of Pediatrics, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea;1. Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey;2. Department of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey;1. Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, United States;2. Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, United States;3. Temple University School of Medicine, United States;4. The Children''s Hospital of Philadelphia, United States;5. Penn Epilepsy Center, United States;6. McLaughlin Centre for Population Health Risk Assessment, University of Ottawa, Ottawa, Canada;7. Leonard Davis Institute of Health Economics, University of Pennsylvania, United States;8. Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, United States;1. Necmettin Erbakan University, Meram School of Medicine, Department of Child and Adolescent Psychiatry, Turkey;2. Yozgat State Hospital, Department of Child and Adolescent Psychiatry, Turkey;3. Ankara Education and Research Hospital, Department of Child and Adolescent Psychiatry, Turkey;4. Necmettin Erbakan University, Meram School of Medicine, Department of Child Neurology, Turkey;1. Sector of Neuropsychology for Children and Adolescents, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands;2. Brain Center Rudolf Magnus, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands;3. Department of Pediatric Psychology and Social Work, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands;4. Bio Research Center for Children, Wekeromseweg 8, 6816 VS Arnhem, The Netherlands;5. Department of Child Neurology, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands;6. Department of Neurosurgery, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands;7. Academic Centre for Epileptology, Kempenhaeghe, Sterkselseweg 65, 5591 VE Heeze, The Netherlands;8. Donders Institute for Brain, Cognition and Behaviour, Radboud University, Kapittelweg 29, 6525 EN Nijmegen, The Netherlands;1. College of Nursing, Medical University of South Carolina, Charleston, SC, USA;2. Department of Neurosciences, Comprehensive Epilepsy Center, Medical University of South Carolina, Charleston, SC, USA;3. College of Nursing, University of South Carolina, Columbia, SC, USA;4. School of Nursing, Indiana University, Indianapolis, IN, USA |
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| Abstract: | PurposeWe aimed to determine whether adolescents with epilepsy (AWE) have a compromised self-concept, whether a lower self-concept is related to mental health, and whether there are sex differences in self-concept in AWE.MethodsA total of 179 AWE and 259 control adolescents without epilepsy participated in this cross-sectional, multicenter study. Self-concept was measured using the Harter's Self-Perception Profile for Children. Depressive symptoms and anxiety were assessed by the Hospital Anxiety Depression Scale (HADS). A group-by-sex interaction was evaluated using an analysis of covariance controlling for age.ResultsAdolescents with epilepsy had a lower level of self-concept, especially in domains of behavioral conduct (partial eta2: 0.257) and social acceptance (partial eta2: 0.116), than controls (p < 0.05). The level of self-concept did not differ by sex in the group with epilepsy. A group-by-sex interaction effect was found on social acceptance (p = 0.042). Unlike the control group, age was not correlated with self-concept in AWE. Physical appearance was negatively correlated with HADS-anxiety scores (r = − 0.291, p < 0.01) but only in girls with epilepsy. Epilepsy duration was correlated with social acceptance in boys (r = 0.211, p < 0.05) and physical appearance in girls (r = − 0.249, p < 0.05).ConclusionsAdolescents with epilepsy had a lower level of self-concept, especially in the domains of behavioral conduct and social acceptance, than controls. Sex differences in self-concept were identified in the control group but not in the group with epilepsy. Physical appearance was negatively correlated with anxiety in girls with epilepsy. |
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