Adolescents with Craniofacial Anomalies: Psychosocial Adjustment as a Function of Self-Concept

2006 ◽  
Vol 43 (4) ◽  
pp. 392-400 ◽  
Author(s):  
Monica J. Bilboul ◽  
Alice W. Pope ◽  
Heather T. Snyder

Objective To evaluate associations between self-concept and psychosocial adjustment among adolescents with craniofacial anomalies. Design Retrospective chart review. Setting Reconstructive plastic surgery department in urban medical center. Participants Forty-nine adolescents with congenital craniofacial anomalies, aged 14 to 18 years, and their parents. Main Outcome Measures Psychosocial adjustment (internalizing problems and social competence), assessed by self-report and parent-report forms of the Child Behavior Checklist; appearance self-concept and global self-worth, assessed by the Self-Perception Profile for Adolescents. Results Both appearance self-concept and global self-worth were associated with psychosocial adjustment; however, global self-worth remained associated with adjustment when the effects of appearance self-concept were controlled, whereas appearance self-concept was no longer associated with adjustment when global self-worth was controlled. Demographic variables (ethnicity, socioeconomic status, and adolescent gender) largely failed to moderate the associations between self-concept and adjustment. Conclusions Adolescent dissatisfaction with appearance is linked to psychosocial adjustment problems only when it is part of a negative overall view of the self.

2005 ◽  
Vol 42 (5) ◽  
pp. 548-555 ◽  
Author(s):  
Heather T. Snyder ◽  
Monica J. Bilboul ◽  
Alice W. Pope

Objective To assess rates of psychosocial adjustment problems in adolescents with craniofacial anomalies (CFAs) and to evaluate the correspondence between adolescent and parent reports of adjustment. Design Retrospective chart review. Setting Reconstructive plastic surgery department in urban medical center. Participants Sixty-four adolescents aged 14 to 18 years with CFAs and their parents. Main Outcome Measures Child Behavior Checklist, Youth Self-Report. Results Adolescent and parent reports were compared with published norms. Adolescents with CFAs did not differ from norms on rates of self-reported problems in the clinical range. Parents of sons and daughters with CFAs reported elevations in the clinical range for deficits in social and scholastic competence; parents of daughters also reported higher clinical rates of withdrawn and somatic problems. Correlations between adolescent and parent reports were generally higher than seen in norms, especially for boys. Parents and adolescents did not differ in reported rates of problems in the clinical range. Conclusions Adolescents with CFAs showed elevated risk for problems with academics and peer relationships; there was limited evidence for clinical levels of other adjustment problems. When parent and adolescent reports differed, parents reported more problems.


2005 ◽  
Vol 42 (5) ◽  
pp. 556-559 ◽  
Author(s):  
Alice W. Pope ◽  
Karen Tillman ◽  
Heather T. Snyder

Objective To evaluate the association between parenting stress during infancy and child psychosocial adjustment during toddlerhood, within a sample of children with craniofacial anomalies (CFAs). Design Retrospective chart review. Setting Urban medical center department of reconstructive plastic surgery. Participants Parents of 47 children aged birth to 24 months at time 1 and 24 to 46 months at time 2. Main Outcome Measures Parenting Stress Index/Short Form completed at times 1 and 2; Child Behavior Checklist completed at time 2. Results Relative to norms, more parents of children with CFAs experienced serious levels of parenting stress at times 1 and 2; however, fewer children with CFAs experienced serious levels of adjustment problems. Parenting stress during infancy predicted psychosocial adjustment in toddlerhood but was mediated by parenting stress in toddlerhood. Parents high on stress at both assessments showed clinical levels of total parenting stress and parent-child dysfunctional interaction when their children were infants; their toddlers showed higher levels of maladjustment than those with parents elevated on parenting stress during only infancy. Conclusions Elevated levels of parenting stress during infancy may be stable through toddlerhood for families having a child with a CFA. The relation between parenting stress and child adjustment is likely to be reciprocal. These findings should be replicated with a larger sample and multiple informants.


1988 ◽  
Vol 11 (2) ◽  
pp. 115-124 ◽  
Author(s):  
Ellice Ann Forman

The effects of two types of environmental influences on the self-concept of LD students were examined: social support and school placement. The 51 children and adolescents who participated in the study were receiving LD services in self-contained classes or resource rooms, or had been diagnosed as learning disabled but were not yet receiving services. Social support and self-concept were assessed using two self-report measures developed by Harter (1985). Students with higher levels of perceived social support were found to score higher in general self-worth, athletic competence, scholastic competence, and behavioral conduct than students with fewer social supports. In addition, support from classmates was the most important predictor of high self-concept. School placement was not found to be related to self-concept. The findings of this study suggest that future research needs to examine the social contextual factors that may foster positive self-concepts in LD students.


2005 ◽  
Vol 42 (4) ◽  
pp. 349-354 ◽  
Author(s):  
Alice W. Pope ◽  
Heather T. Snyder

Objective To examine rates of psychosocial adjustment problems and competencies in a sample of children with congenital craniofacial anomalies (CFAs). Methods Retrospective chart review. Setting Urban hospital plastic surgery primary care unit. Patients A total of 724 children aged 2 to 18 years with completed Child Behavior Checklists in their medical charts. Main Outcome Measure Child Behavior Checklist. Results Higher rates of problems in the clinical range were seen for withdrawn, attention, social, thought, and internalizing problems and lower rates for externalizing and somatic complaints; specific patterns varied according to age and sex. Elevated rates of competency deficits were seen in some groups. Conclusions Most children with CFAs do not appear to experience psychosocial adjustment problems. Although elevated risk may be seen for certain problems, this group may be protected in other areas. Research identifying the mechanisms responsible for varying age and sex patterns of adjustment is needed.


1997 ◽  
Vol 34 (5) ◽  
pp. 396-401 ◽  
Author(s):  
Alice W. Pope ◽  
Johanna Ward

Objective: To identify aspects of psychosocial adjustment related to the self-perceived facial appearance of preadolescents with craniofacial abnormalities. Design: Concurrent relationships were evaluated using a within-group correlational design. Participants: Participants were 24 patients, aged 11 to 13, of a major craniofacial center and their parents who were contacted by telephone and agreed to participate. Main Outcome Measures: Self-report and parent-report questionnaires assessing psychosocial adjustment. Results: Self-perceived facial appearance was positively correlated with global self-worth, self-perceived social acceptance, and number of same-sex close friends, and negatively correlated with loneliness, parent-rated social problems, and parental advice/support and concern (all p's < .05 or better). Conclusions: Dissatisfaction with facial appearance was associated with peer relationship problems and low global self-esteem, but not with other aspects of self-concept or other types of adjustment problems.


1995 ◽  
Vol 15 (1) ◽  
pp. 17-43 ◽  
Author(s):  
Elisheva Ben-Artzi ◽  
Mario Mikulincer ◽  
Hanania Glaubman

The present work involves the reconceptualization of self-consciousness as a multifaceted process. In the first study, subjects were asked to freely describe the contents of their thoughts when thinking about themselves. Content analyses resulted in the definition of specific categories of self-consciousness which were found to overlap partly with basic dimensions of the self-concept. In the second study, a valid and reliable self-report questionnaire of self-consciousness was developed, comprising fourteen separate factors. In the third study, different patterns of self-consciousness were found to be associated with depression, anxiety, self-disclosure, and loneliness. The theoretical and empirical implications of conceptualizing self-consciousness as a multiple-content phenomenon are discussed.


Assessment ◽  
2019 ◽  
pp. 107319111985841 ◽  
Author(s):  
Jorien Vugteveen ◽  
Annelies de Bildt ◽  
Meinou Theunissen ◽  
Menno Reijneveld ◽  
Marieke Timmerman

In this study, validity aspects of the Strengths and Difficulties Questionnaire (SDQ) self-report and parent-report versions were assessed among Dutch adolescents aged 12 to 17 years (community sample: n = 962, clinical sample: n = 4,053). The findings mostly support the continued use of both SDQ versions in screening for psychosocial problems as (a) exploratory structural equation analyses partially supported the grouping of items into five scales; (b) investigation of associations between scales of the SDQ and the Child Behavior Checklist, Youth Self-Report, and Intelligence Development Scales-2 provided evidence for the SDQ versions’ convergent and divergent validity; and (c) receiver operating characteristics curves yielded evidence for both SDQ versions’ criterion validity by showing that these questionnaires can be used to screen for psychosocial problems, except for the adolescent-reported version for males. Regardless of the adolescent’s gender, the receiver operating characteristics curves showed both SDQ versions to be useful for screening for three specific types of problems: anxiety/mood disorder, conduct/oppositional deviant disorder, and attention-deficit/hyperactivity disorder. Additionally, parent-rated SDQ scores were found to be useful for screening for autism spectrum disorder.


1984 ◽  
Vol 54 (3) ◽  
pp. 923-929 ◽  
Author(s):  
Bernadette M. Gadzella ◽  
James David Williamson

This study investigated the relationships between study skills, self-concept, and academic achievement and whether the self-report measures contributed to the prediction of grade-point average for 110 university students. Analysis showed that study skills, self-concepts, and academic achievement correlated significantly with each other; rs ranged from .03 to .52. In addition to the total study skills score, two measures of study skills (oral reporting and interpersonal relations) and one measure of self-concept (personal self) contributed to the prediction of grade-point average.


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