scholarly journals The Association between Behavioral Problems with SelfEsteem and Self-Concept in Pediatric Patients with Thalassemia

Author(s):  
Seyed Mohamad Kazem Nourbakhsh ◽  
Minoo Atamanesh ◽  
Mohammad Effatpanah ◽  
Mona Salehi ◽  
Morteza Heidari

Objective: High prevalence of behavioral and psychological disorders in children with thalassemia can be associated with a decrease in the self-esteem of patients and can completely alter the person's self-concept. The aim of this study was to determine the prevalence of behavioral problems and its relationship with self-esteem and self-concept in patients with thalassemia major aged 6 to 18 years. Method: In a cross-sectional study, 30 patients with thalassemia major at the age of 6 to 18 years were enrolled. behavioral problems, self-esteem, and self-concept were evaluated by the child's behavioral check list at the ages of 6 to 18 years (CBCL 6-18), the Coopersmith's Self-Esteem Inventory, and the Piers-Harris Children's Self-Concept Scale. Results: A total of 10.0% of patients had behavioral disorders, 3 (10.0%) desirable self-esteem, 15 (50.0%) moderate self-esteem, and 12 (40.0%) poor self-esteem. There was a strong but adverse correlation between behavioral disorder score and both self-esteem score (correlation coefficient equal to -0.886, p value = 0.001) and self-concept score (correlation coefficient equal to -0.498, p value = 0.001), and thus those patients with behavioral disorder had less appropriate self-esteem and self-concept. Conclusion: The incidence of behavioral disorders is associated with decreased self-esteem and poor self-concept in these patients. Therefore, improvement in behavioral disorders can be expected by improving self-esteem and selfconcept in such patients.

2017 ◽  
Vol 5 (1) ◽  
pp. 32-39
Author(s):  
Dedeh Husnaniyah

Tuberkulosis Paru merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis. Dampak TB Paru adalah penurunan daya tahan tubuh, kelemahan fisik, merugikan secara ekonomis dan dapat mengakibatkan isolasi sosial. Keadaan tersebut dapat mempengaruhi harga diri penderita TB Paru. Perubahan harga diri pada penderita TB Paru dapat mempengaruhi keberhasilan pengobatan, sehingga dibutuhkan adanya dukungan keluarga. Tujuan Penelitian ini adalah untuk mengidentifikasi pengaruh dukungan keluarga terhadap harga diri penderita TB Paru di Wilayah Puskesmas Eks Kawedanan Indramayu tahun 2015. Jenis penelitian ini adalah deskriptif analitik dengan rancangan penelitian cross sectional study. Pengambilan sampel dilakukan dengan tekhnik total sampling sebayak 45 responden. Hasil penelitian menunjukkan bahwa penderita TB Paru yang memiliki harga diri tinggi sebanyak 23 responden (51,1%) dan yang memiliki harga diri rendah sebanyak 22 responden (48,9%), penderita TB Paru yang mendapatkan dukungan keluarga sebanyak 26 responden (57,8 %) dan yang tidak mendapatkandukungan keluarga sebanyak 19 (42,2 %). Responden yang mendapatkan dukungan keluarga lebih banyak yang memiliki harga diri tinggi dibandingkan dengan responden yang tidak mendapatkan dukungan keluarga yaitu 69,6% dengan nilai p value = 0,047 (< 0,05). Simpulan dari penelitian ini adalah terdapat hubungandukungan keluarga denganharga diri penderita TB Paru. Hasil penelitian ini diharapkan dapat menjadi masukan bagi pemegang program TB untuk memberikan konseling terkait pentingnya dukungan keluarga bagi penderita TB Paru.


2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Udi Wahyudi ◽  
Bram Burnamajaya

Bullying merupakan perilaku negatif yang dilakukan secara berulang-ulang oleh seseorang atau sekelompok orang yang bersifat menyerang karena adanya ketidakseimbangan kekuatan antara pihak yang terlibat.Tindakan bullying dapat berdampak buruk bagi korban maupun pelakunya di masa depannya. Dampak tersebut meliputi kesepian, pencapaian akademik yang buruk, kesulitan penyesuaian (adaptasi), meningkatnya risiko penggunaan zat, keterlibatan dalam tindakan kriminal dan kerentanan gangguan mental emosional seperti cemas, insomnia, penyalahgunaan zat, depresi, mempunyai self-esteem rendah, kesulitan interpersonal, gangguan konsep diri, dan depresi (ketidakberdayaan). Tujuan penelitian ini adalah untuk mengetahui hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode cross-sectional study dengan bentuk pendekatan rancangan correlation study. Sampel dalam penelitian ini berjumlah 183 orang didapat dari teknik randomsampling. Hasil penelitian menunjukkan bahwa berdasarkan hasil uji hubungan dengan menggunakan Chi-Square antara konsep diri dengan ketidakberdayaan didapatkan nilai ρ (0,000) lebih kecil daripada nilai α (0,05), sedangkan uji hubungan antara konsep diri dengan risiko bunuh diri didapatkan nilai ρ (0,013) lebih kecil daripada nilai α (0,05). Dengan demikian bahwa ada hubungan antara konsep diri dan ketidakberdayaan dengan risiko bunuh diri pada remaja yang mengalami bullying di SMA Negeri 7 Kota Bogor. Kata kunci: bullying, konsep diri, ketidakberdayaan, risisko bunuh diri SELF-CONCEPT AND INEQUALITY CONNECTED WITH RISK OF SELF-SUFFICIENT IN ADOLESCENTS WHO HAVE BULLYING ABSTRACTBullying is a negative behavior that is carried out repeatedly by a person or group of people who are attacking because of an imbalance of power between the parties involved. Bullying actions can have a negative impact on victims and perpetrators in the future. These impacts include loneliness, poor academic achievement, adaptation difficulties, increased risk of substance use, involvement in criminal acts and susceptibility to mental emotional disorders such as anxiety, insomnia, substance abuse, depression, low self-esteem, interpersonal difficulties, disturbances self concept, and depression (helplessness). The purpose of this study was to determine the relationship between self-concept and powerlessness with the risk of suicide in adolescents who experienced bullying in SMA Negeri 7 Kota Bogor. This research is a quantitative study using a cross-sectional study method with a correlation study design approach. The sample in this study amounted to 183 people obtained from random sampling techniques. The results showed that based on the results of the relationship test using Chi-Square between self-concept and powerlessness, the value of ρ (0,000) was smaller than the value of α (0.05), while the test of the relationship between self-concept and risk of suicide obtained a value of ρ (0.013 ) is smaller than the value of α (0.05). Thus that there is a relationship between self-concept and powerlessness with the risk of suicide in adolescents who experience bullying in SMA Negeri 7 Kota Bogor. Keywords: bullying, self-concept, helplessness, suicide risk


2020 ◽  
Vol 4 (2) ◽  
pp. 66
Author(s):  
Yusmawarnita Zai ◽  
Kandrinus Bu’ulolo ◽  
Novy Fajariani ◽  
Yasozatulo Hulu ◽  
Ruslan Efendi Gulo ◽  
...  

Stroke is a condition where a part of the brain is suddenly disturbed which is caused by a lack of blood supply, which causes an inhibition of metabolic processes. As a result of a stroke affects the psychological function of the patient, so the patient feels his level of self-esteem decreases or is low. The role and support of families play an important role in the rehabilitation process to provide health services for stroke patients. The aim is to find out the relationship of family support with the level of self esteem (self-esteem) in stroke patients at the Royal Prima Medan Hospital in 2019. The design used a "cross sectional study" approach with a population of 2,690 people. Samples were stroke patients at RSU Royal Prima medan, as many as 25 respondents using accidental sampling techniques and questionnaires as research instruments. The test used is the chi-square test. The results of the study Based on the chi-square test found p value (<0.05) statistically shows that there is a relationship between family support and the level of self esteem (self-esteem) in stroke patients specifically there is a relationship between informational support (p-value = 0.009), assessment support (p-value = 0.003), Instrumental support is obtained (p-value = 0.009), Emotional support (p-value = 0.004) with the level of self esteem (self-esteem) in stroke patients. This research shows that good family support will positively impact the level of self esteem (self-esteem) in stroke patients.


Author(s):  
Mehdi Amirkhani ◽  
Fatemeh Habibi ◽  
Azadeh Hakimi ◽  
Majid Najafi Kalyani ◽  
Javad Salami

Background: Identification of the role of factors such as self-esteem and self-efficacy and the investigation of their relationship among students can bring about improvement of educational planning and enhance the teaching outcome. This study aimed at investigating the relationship between self-esteem and self-efficacy among the students of medical sciences.Methods: The present study is an analytical-descriptive which was conducted as a cross-sectional study on 394 students of Fasa University of Medical Sciences in 2016. In order to collect the data two questionnaires were used namely, Coopersmith Self-Esteem Inventory (CSEI) and Rogers Self-concept Questionnaire. The data were analyzed using SPSS 22. The researchers used descriptive and inferential statistics such as t-test, chi-square one-way ANOVA, and correlation to analyze the data.Results: The mean and the standard deviation of self-esteem scores of female and male students were 38.23±6.80 and 37.51±6.67 respectively. The mean and the standard deviation of self-concept scores of female and male students were 9.49±3.53 and 9.43±4.14 respectively. The mean of self-concept scores of students of different majors had statistically significant difference with each other (0.011), whereas there was no statistically significant difference in self-esteem scores among students with different majors (0.442).Conclusions: Considering the statistically significant difference in students’ self-concept scores in different majors, it is suggested that we take right approaches to the improvement and enhancement of individuals’ self-concept and the creation of positive feedback.


Author(s):  
Emeka Kevin Mgbe ◽  
Chinenye Glory Mgbe ◽  
Chuks Enyereibe Ajare ◽  
Amaka Obiageli Nnamani

Introduction: Use of telecommunication equipment (cell phone or mobile phone, tablets, walkie-talkie, ipads, ipods, android) has been on the increase globally. There is an estimate of over 145 million active subscribers on record in Nigeria. Hence, there is need for correct information about the associated risk of Electromagnetic Field (EMF) exposure of equipment so as to curb its debilitating effects. Aim: To evaluate the level of awareness and perceived health risks of EMFs exposure (Radiation) among undergraduate students’ of various discipline. Materials and Methods: The Health Belief Model (HBM) was used with descriptive cross-sectional research design from March 2017 to November 2018 to evaluate awareness and perception of EMF radiation exposure. Structured questionnaire, focus group discussion and in-depth interviews with a predominantly 1-5 scale grading was applied for data collection. Data analysis was conducted using Statistical Package for Social Science (SPSS) version 14 with correlation coefficient (r) and Chi-square test (χ2) of p-value <0.05 as significant. Results: A total of 576 undergraduate students from six tertiary institutions in Enugu State, Eastern Nigeria were recruited for the study. A total of 43% were males while 57% were females. Even though majority (93.9%) of the respondents rightly defined the meaning of EMF as a wave that transmits energy through space or material medium, only 34.6% had significant awareness of the radiation effect of this equipment. About 82% of respondents kept their telecommunication equipment close to their body thereby increasing exposure to EMF. The correlation coefficient (r) is 0.806 and the p-value <0.05 shows that there is a high positive relationship between risk reduction strategies like use of hand-free/ear piece etc., and level of awareness among students. There was significant positive correlation between awareness of EMF radiation and faculty of studies as well between perceived EMF risk and year of study (Each p-value <0.05). Conclusion: Increase in the level of health education is a key to reduction of risk of EMF exposure (Radiation) among undergraduate telecommunication equipment users and this invariably applies to the entire general population.


Author(s):  
Von R. Mascarenhas ◽  
Delia D’Souza ◽  
Abhishek Bicholkar

Background: Imposter phenomenon (IP) is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have in spite of outstanding academic or professional accomplishment. It is desirable for Medical students and interns to have high self-esteem and low impostor characteristics in order to become successful medical practitioners. This study was carried out among the medical interns of a tertiary care medical college, to determine the prevalence of Impostor Phenomenon and its association with self-esteem.Methods: The present cross-sectional study was conducted among 150 medical interns. Clance’s impostor phenomenon scale and Rosenberg self-esteem scale were used to assess Impostor characteristics and self-esteem respectively. Data was collected using online survey method.Results: The majority (44.7%) of study participants had moderate IP characteristics, followed by 41.3% with high IP characteristics. Hours of sleep was found to be significantly associated with IP characteristics (p value<0.001). Self-esteem was found to be significantly and inversely correlated with age (r=-0.222), and positively correlated with hours of sleep (r=0.225). Impostor phenomenon and self-esteem were found to be moderately and inversely correlated (r=-0.519).Conclusions: A large number of medical interns were found to have high impostor phenomenon characteristics and low self-esteem. Impostor characteristics were found to be significantly associated with sleep, suggesting a relationship between feelings of fraudulence and skewed sleep patterns. A significant negative correlation between self-esteem and impostor phenomenon suggests that individuals with stronger IP characteristics had lower self-esteem, and vice versa. Low impostor phenomenon characteristics and high self-esteem are favourable for efficient medical practice. Measures to increase level of confidence and self-esteem among medical students and interns should be implemented. 


2022 ◽  
Vol 18 (4) ◽  
Author(s):  
Ali Dashtgard ◽  
Hossein Dehghani ◽  
Seyed Mostafa Mohsenizadeh ◽  
Hadi Zare Marzouni ◽  
Mohammad Alinezhad Moqaddam

Background: The COVID-19 pandemic and its subsequent changes in the community lifestyle can be associated with problems and complications. It seems very important to identify the problems caused by the COVID-19 pandemic accurately. Objectives: This study aimed to investigate behavioral changes in children due to the COVID-19 pandemic in South Khorasan in 2021. Methods: In this cross-sectional study, 312 children were studied. Inclusion criteria included all children under 12 years of age without apparent mental disorders and chronic diseases affecting behavioral changes. Exclusion criteria were parental separation, experiencing natural disasters in the last two years, losing a first-degree family member in the last two years, and any underlying disease in the child and first-degree family members. The questionnaires included a demographic questionnaire and the Ruther Children's Behavior Questionnaire, completed by parents online due to the COVID-19 epidemic and the new situation. Results: The results showed that the behavioral disorder prevalence was 37.2% (n = 116). The mean scores were 3.10 ± 2.23 for aggression-hyperactivity, 3.11 ± 3.08 for anxiety-depression, 2.65 ± 1.79 for social maladaptation, 2.34 ± 1.83 for antisocial behavior, and 1.59 ± 1.29 for attention deficit. There was no significant relationship between demographic indicators and behavioral disorders (P > 0.05). Conclusions: The results indicated an increase in the prevalence of behavioral disorders in children during the COVID-19 pandemic. Therefore, it seems necessary to identify influencing factors and find appropriate solutions to prevent such disorders.


2021 ◽  
Vol 15 (1) ◽  
pp. 147-157
Author(s):  
Lolita Sary ◽  
Teguh Pribadi ◽  
Mardhatilah Hasdianasari

Analysis of patterns of parenting and self-esteem among high school studentsBackground: Low self-esteem is a feeling of worthlessness. Family is one factor that determines an adolescent's personality. The form of adult parenting improves the child's personality when he is an adult.Purpose: To an analysis of patterns of parenting and self-esteem among high school studentsMethod: Quantitative research with time research in a cross-sectional study. The population in this study were grade X high school students at Bandar Lampung in 2019 with a sample of 198 respondents. The instrument of data collection in this study used a questionnaire. Data analysis using Chi-Square test.Results: The findings, most of the respondents were male, namely 173 (87.4%), respondents who had low self-esteem were 70 (35.4%), felt that their father was dominant in providing care 135 (68.2%), respondents Those who feel they have authoritarian parenting are 33 (16.7%), permissive parenting is 27 (13.6%), neglected parenting is 44 (22.2%), undemocratic parenting is 104 (82.5%) and (p-value = 0.000 and OR = 4.143), (p-value = 0.984), (p-value = 0.00 and OR = 4.100), (p-value = 0.000 and OR = 7.556).Conclusion: There is a relationship between authoritarian parenting, neglect, and self-esteem among high school students. There is no relationship between permissive parenting and self-esteem among high school students. Suggestions: School management and psychological counseling to pay attention more to the importance of parenting that deserves high self-esteem in adolescents.Keywords: Patterns of parenting; Self-esteem; High school studentsPendahuluan: Harga diri rendah  adalah perasaan  tidak berharga, tidak berarti dan  rendah  diri yang berkepanjangan   akibat evaluasi yang negatif terhadap  diri sendiri atau  kemampuan diri. Keluarga merupakan salah satu faktor yang mempengaruhi kepribadian seorang remaja. Bentuk pola asuh orangtua mempengaruhi pembentukan kepribadian anak saat dia dewasa.Tujuan: Untuk mengetahui hubungan pola asuh orang tua dengan harga diri pada siswa di SMK “A” Kota Bandar Lampung Tahun 2019.Metode: Jenis penelitian ini adalah kuantitatif dengan pendekatan waktu dalam penelitian ini secara cross sectional. Populasi dalam penelitian ini adalah seluruh siswa kelas X di SMK A Bandar Lampung  pada tahun 2019 dengan jumlah sampel 198 orang. Instrumen pengumpulan data dalam penelitian ini menggunakan kuesioner. Analisa data menggunakan uji Chi Square.Hasil: Sebagian besar responden merupakan laki-laki yaitu sebanyak 173 orang (87,4%), responden yang mengalami harga diri rendah sebanyak 70 orang (35,4%), orangtua responden yang dominan dalam pemberian pola asuh adalah bapak yaitu 135 orang (68,2%), responden yang memiliki pola asuh otoriter sebanyak 33 orang (16,7%), pola asuh permisif sebanyak 27 orang (13,6%), pola asuh diabaikan sebanyak 44 orang (22,2%), pola asuh demokratis sebanyak 94 orang (47,5%) dan (p-value = 0,000 dan OR= 4,143), (p-value = 0,984), (p-value = 0,000 dan OR= 4,100), (p-value = 0,000 dan OR= 7,556).Simpulan: Terdapat hubungan pola asuh otoriter, diabaikan dan demokratis dengan harga diri pada siswa di SMK “A” Kota Bandar Lampung Tahun 2019. Tidak terdapat hubungan pola asuh permisif dengan harga diri pada siswa di SMK “A” Kota Bandar Lampung Tahun 2019. Saran : Dalam penelitian ini diharapkan orangtua lebih memahami tentang pentingnya pola asuh yang tepat agar terbentuk harga diri yang tinggi pada anak remaja.


2019 ◽  
Vol 26 (12) ◽  
pp. 2179-2183
Author(s):  
Sana Fatima Baloch ◽  
Ikram Din Ujjan ◽  
Sadia Shahmeer ◽  
Nazia Hafeez ◽  
Kiran Amir ◽  
...  

Objective: To evaluate endocrine profile in transfusion dependent beta-thalassemia major patients. Study Design: Descriptive cross sectional study. Setting: Department of Pathology Liaquat University of Medical and Health Sciences, Jamshoro /Hyderabad and Thalassemia Centre Hyderabad. Period: 6 months from January 2018 to June 2018. Material & Methods: Cases already diagnosed with β- thalassemia major with recurrent blood transfusions (>20 transfusions or transfusion period over 2 years) both genders were included. All the patients went through routine laboratory checkups including Testosterone hormone, Luteinizing Hormone, and Follicle Stimulating Hormone. Data was recorded in preplanned proforma. Results: Overall 114 subjects were studied and their mean age was found to be 12.38+5.71 years. Females remained in majority as 56.1%. Mean of follicle stimulate hormone (FSH) and luteinizing hormone (LH) level were 4.60+4.88 and 5.39+8.39 respectively. Most of the patients, 35.1% had >300 of transfusion rate. Ferritin levels were significantly correlated with patients with history of transfusion rate >300; p-value 0.003. Testosterone level’s mean was considerably high among patients presented with transfusion rate of 201 to 300 and >300 transfusions; p-value 0.006. Likewise, mean of FSH and LH level was as well significantly high among the female subjects with history of transfusion rate of 201 to 300 and >300 transfusions; P-Values 0.019 and 0.026 respectively. Conclusion: Frequent hypogonadism was noted among thalassemia patients. Very low level average of FSH, LH and testosterone was seen.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1031
Author(s):  
Bikal Shrestha ◽  
Stuti Yadav ◽  
Subodh Dhakal ◽  
Pooja Ghimire ◽  
Yubika Shrestha ◽  
...  

Background: Self-esteem is vital to living a happy, confident and content life. Medical students experience various forms of stress due to academic, financial and social pressures which could affect their levels of self-esteem. This study aims to study the status of self-esteem among undergraduates of a medical college at Tribhuvan University, Nepal. Methods: After receiving the ethical approval from the Institutional Review Committee (IRC) of NAIHS; we conducted a descriptive cross-sectional study among the first- to fifth-year medical students from December 2020 to April 2021. 190 were selected for the study using a stratified random sampling technique. This study used the Rosenberg self-esteem scale to measure self–esteem of the participants. A Google Forms questionnaire was sent to the participants via email. Then, the data obtained were entered in the Google sheet and later analyzed using SPSS 27. A Chi-square test was used to identify potential differences in self-esteem scores among different variables. A p-value of < 0.05 was considered statistically significant.  Results: This study included a total of 180 participants, among which, 18.9% (13.19% to 24.61%; at 95% CI) students showed low self -esteem. 74.4% (68.02% to 80.78%; at 95% CI) students had normal self-esteem and 6.7% (3.05% to 10.35%; at 95% CI) students had high self-esteem. The mean self-esteem score was 19.19 (15.01 to 23.37; at 95% CI). Female participants suffered more than males from low self-esteem, and third-year students had the highest percentage of low self-esteem (30.77%). Conclusion: The majority (74.4%) of medical students had normal self-esteem. However, 18.9% students had low self-esteem, among which, third-year students suffered the most (30.77%). Likewise, females exhibited higher prevalence of low self-esteem compared to males. Interventions to boost the level of self-esteem should be carried out to help medical students become confident and efficient doctors.


Sign in / Sign up

Export Citation Format

Share Document