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Depressive Symptoms and Self-Concept in Young People with Spina Bifida
Authors:Appleton, Peter L.   Elis, Nick C.   Minchom, Philip E.   Lawson, Val   Boll, Vicki   Jones, Pat
Affiliation:Clwydian Community Care NHS Trust, University of Wales Bangor, Wrexham Maelor Hospital NHS Trust, Clwyd County Council

2 All correspondence should be addressed to Peter L.aAppetton, School of Psychology, University of Wales, Bangor, Wales, United Kingdom. LL57 2DG

Abstract:Examined self-reported depressive symptoms in 72 young peoplewith spina bifida, ages 9 to 18:11, and matched able-bodiedcomparison subjects, using the Dimensions of Depression Profilefor Children and Adolescents(Harter&Nowakowski, 1987). Independentvariables included gender, self-perceptions (including physicalappearance), and perceived social support. Young people withspina bifida were at greater risk of depressive mood, low self-worth,and suicidal ideation. Girls, independent of disability, wereat greater risk of depressive mood, low self-worth, and self-blame.Multiple regression analyses suggest that global self-worthserves as a mediating variable for the effect of physical appearanceself-concept on depressed mood (particularly in young peoplewith spinabifida), and that perceived parental social supporthas a direct effect on depressed mood (particularly in girls).
Keywords:depressive symptoms   spina bifida   child   disability   self-concept   social support.
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