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PubMed1993

Therapeutic recreation programmes for children with epilepsy.

Amongst children with epilepsy, research has shown that most have a negative self-concept and consequently a low level of self-esteem. This elusive concept of the self is constantly being assessed and reassessed by each child throughout the process of social development. Early literature has suggested that children with disabilities, especially chronic medical or biological disabilities, typified by epilepsy and diabetes, are more susceptible to the development of psychopathology and negative self-concepts. This paper reports that intervention in the form of therapeutic recreation programmes can help rectify this problem of negative self-concept and low self-esteem in children with epilepsy. The Piers-Harris Self Concept Scale, a Self Report Inventory on six dimensions of self-concept, was assessed both pre- and post-therapeutic recreational intervention to show significant improvement in the child's self-concept and acceptance of their epilepsy. Educational components within the programme have demonstrated significant learning and increased treatment compliance--particularly with long-term medications. The Adolescent Psychosocial Seizure Inventory, an adolescent version of the Washington Psycho-Social Seizure Inventory (WPSI), both of which have been validated as a reliable clinical assessment for use in Australia, has provided further evidence to suggest that improvements occur in children's self-concept as a consequence of therapeutic recreation, however use of this protocol appears limited to adolescents over the age of 13 years.

Adolescent↗
PubMed1999

The acceptance of lonely others: effects of loneliness and gender of the target person and loneliness of the perceiver.

The reactions of lonely people toward other lonely people and the relationship between loneliness and self-concepts were examined. The 2-way and 3-way interaction effects showed that low lonely perceivers reacted more negatively toward the lonely target person. The relationship between loneliness and self-concept was examined using a multidimensional measure of self-concept. Results showed that loneliness correlated negatively with self-concept. In multiple regression analyses, the most significant predictors of loneliness were self-concept of relations with same gender and opposite gender peers and general self-concept.

Adult↗
PubMed2005

Self-perception of physical competences in preadolescent overweight Chinese children.

OBJECTIVE: To compare self-perceptions of physical competences in overweight and in normal weight preadolescent Chinese children. DESIGN: Cross-sectional study. SETTING: Three primary schools and a university hospital in Hong Kong. SUBJECTS: A total of 634 children, comprising 558 (462 normal weight, 96 overweight) aged 8-12 y randomly sampled from three primary schools, and 76 similar age overweight children recruited from the community for a diet and exercise intervention programme. MEASUREMENTS: Height, weight and percentage body fat were measured. Self-perceptions of physical competences were determined by Physical Self-Descriptive Questionnaire (PSDQ). Corresponding actual physical competences were measured by physical fitness tests. RESULTS: Overweight children perceived themselves to have significantly more body fat than normal weight children, with poorer appearance, sports competence, endurance, coordination, flexibility, overall physical self-concept and self-esteem, but to be no less healthy, no less physically active and no less strong. Overweight children performed less well than normal weight children in measures of endurance, coordination and flexibility but better in strength. Poor self-perception of physical competences appeared only partly related to deficiencies in actual physical competences. CONCLUSION: Overweight children have poorer self-perception of their physical competences but do not perceive themselves to be less strong, healthy or physically active than normal weight children. Exercise programmes for overweight children could be more effective if designed with the knowledge of these self-perceptions.

Body Composition↗
PubMedDate not supplied

Transformation of story to practice: an innovative approach to long-term care.

The negative effects of institutionalization in a long-term care facility include depersonalization, decreased self-concept and self-esteem, and decreased psychological well being. To modify these effects, an innovative narrative approach to long-term care in the format of story telling and listening is proposed. Narrative practice, in the format of story telling and listening, leads to an ethics-based care that prioritizes the resident's personal meanings, values staff-patient relationships, and permits the resident to define quality care. The purpose of this article is to demonstrate how the functions of storytelling can be applied in the long-term care setting using the themes that emerge in the life story of a particular resident. These themes, findings of a phenomenological study, were incorporated into the resident's care plan by staff and, consequently, quality of care improved. Recognizing the value of story and incorporating the themes that emerge into a personalized care plan transforms nursing practice.

Aged↗
PubMed2006

Sources of motivation, interpersonal conflict management styles, and leadership effectiveness: a structural model.

126 leaders and 624 employees were sampled to test the relationship between sources of motivation and conflict management styles of leaders and how these variables influence effectiveness of leadership. Five sources of motivation measured by the Motivation Sources Inventory were tested-intrinsic process, instrumental, self-concept external, self-concept internal, and goal internalization. These sources of work motivation were associated with Rahim's modes of interpersonal conflict management-dominating, avoiding, obliging, complying, and integrating-and to perceived leadership effectiveness. A structural equation model tested leaders' conflict management styles and leadership effectiveness based upon different sources of work motivation. The model explained variance for obliging (65%), dominating (79%), avoiding (76%), and compromising (68%), but explained little variance for integrating (7%). The model explained only 28% of the variance in leader effectiveness.

Adolescent↗
PubMed1985

Examining Sedlacek's nontraditional variables of minority student success in a summer enrichment program for health careers.

Nontraditional variables associated with minority student success in the health sciences have been identified by Sedlacek and his associates. These eight variables-positive self-concept, realistic self-appraisal, understanding and dealing with racism, long-range goals, availability of a strong support person, leadership, community service and medical interests-are examined with respect to their incorporation into the summer enrichment programs for talented minority students conducted at the University of Tennessee Center for the Health Sciences (UTCHS) during the years 1982-1984. Student comments and illustrations from the summer program's curriculum are provided for five of Sedlacek's variables to demonstrate how the UTCHS program is able to further the development of these nontraditional variables as well as to strengthen the cognitive abilities of students in basic science, mathematics, and communication. Evaluations of the summer program have revealed that the students have an increased academic self-concept, a more realistic view of the requirements to become a health professional, and an enhanced awareness of the health care environment.

Adolescent↗
PubMed2005

Understanding affective and cognitive self-evaluations about the body for adolescent girls.

OBJECTIVE: The aim of this study was to understand relations between cognitive and affective self-evaluations about the body for adolescent girls in the context of their diverse experiences of the body. METHOD: The project involved adolescent girls (N = 141), including underweight to overweight schoolgirls, and hospitalized girls with anorexia nervosa (AN). Materials were brief, reliable inventories of self-concepts about body, movement and appearance, and feelings about the body. RESULTS: Measurement models confirmed the related yet discrete self-concepts about the body, movement and appearance, and feeling OK, guilt, worry, disgust, and anger about the body. Self-concepts and feelings were not correlated with body weight, and were sensitive and specific for girls with AN versus low-weight schoolgirls. Relations among self-concepts and feelings about the body vary with the context. In particular, self-concepts and feelings about the body were incongruent for AN girls with acute experiences of making self-evaluations of their bodies. DISCUSSION: It is clear that self-evaluations by adolescent girls do not necessarily reflect actual body weight. Findings suggest that associations between thoughts and feelings about the body vary with diverse experiences of the body. Results support brief, reliable, and valid indicators of self-concepts and feelings about the body that are vital in the design of prevention, intervention, and monitoring, and the evaluation of programmes for girls in clinical and educational settings.

Adolescent↗
PubMed1995

The concept of "self".

This paper discusses several different points of view in an effort to define the elusive and often confusing concept of "self", and to differentiate it from "ego", a term which has, at times, been used synonymously with it. The concept of self is then discussed in relation to its usefulness in normal, healthy individuals as well as those with psychological problems.

Adult↗
PubMed2006

Psychosocial functioning, self-perception and body image and their auxologic correlates in growth hormone and oestrogen-treated young adult women with Turner syndrome.

BACKGROUND: Few data are available on the psychosocial status of growth hormone (GH) and oestrogen treated women with Turner syndrome (TS). In this study, we evaluated psychosocial functioning, self-concept and body image in GH and oestrogen treated young adult women with TS and we studied the relationship with auxological parameters. PATIENTS AND METHODS: Thirty women with TS (mean +/- SD age: 22.1 +/- 2.4 years), all treated with GH and oestrogens if indicated, and an age-matched reference group of 44 non-Turner female students (age: 20.5 +/- 2.1 years) completed 3 questionnaires evaluating, respectively, behavioural and emotional problems (Young Adult Self Report), self-concept (Self Perception Profile for College Students) and body-image (Body Attitude Scale). RESULTS: TS patients did not report more behavioural and emotional problems compared to the non-TS females except for attention problems; they even reported fewer problems on some subscales (somatic complaints, thought problems, delinquent behaviour). TS patients did not differ from the non-TS female group in their bodily satisfaction. TS patients, particularly patients with a 45,X karyotype, perceived themselves as less socially competent. BMI was significantly related to the appraisal score of the Body Attitude Scale, whereas height was not related to any of the evaluated psychosocial parameters. CONCLUSION: The psychosocial adaptation of young adult women with TS, diagnosed at an early age and treated during childhood with GH and oestrogens if indicated, appears to be quite satisfactory. Follow-up of adult TS patients should not neglect the problem of overweight and associated psychosocial consequences.

Adolescent↗
PubMed1996

Presurgical satisfaction with facial appearance in orthognathic surgery patients.

Orthognathic surgery and orthodontic therapy are most often performed to improve the patient's appearance. However, not all patients are satisfied with the result though the procedure may be considered successful by the orthodontist and the maxillofacial surgeon. It has been suggested that the patient's satisfaction with his or her facial appearance before the surgery can predict later satisfaction with orthognathic procedures. The present study examined the role of several potential predictor variables in satisfaction with facial appearance before orthognathic treatment. The variables, identified in previous research, included severity of facial disharmony, self-concept, psychological distress, gender, age, and socioeconomic status. Questionnaires were gathered from 54 patients in 10 orthodontic practices in Connecticut and New York. Contrary to expectations, gender, age and socioeconomic status failed to predict patients' presurgical satisfaction with appearance. Self-concept, psychological distress, and orthodontists' ratings of total facial appearance (from a lateral view) were bivariate predictors of satisfaction. When all variables were analyzed with a multiple regression analysis, however, only self-concept emerged as a significant independent predictor of satisfaction with appearance. This accounted for 15% of the variance in satisfaction. Orthodontists' ratings of facial views, considered here objective measures of disharmony, were predictive neither of satisfaction with appearance nor of self-concept. It is suggested that self-concept may be a predictor of postsurgical as well as presurgical satisfaction with appearance and that self-concept itself may be unaffected by severity of facial disharmony, at least in young adults. Orthodontists may need to pay special attention to those patients with poor self-concept, because these patients may be more likely to report unsatisfactory surgical outcomes.

Adolescent↗
PubMed1984

A comparison of remedial, failure, and successful secondary school students across self-perception and past and present school performance variables.

Three groups of Grades 9-10 adolescents were compared across a combination of self-perception and school performance variables (past and present). The three groups studied were (1) students in remedial math and English classes (Remedials), (2) unsuccessful regular-stream students failing three or more subjects (Failures), and (3) successful regular-stream students failing no more than one course (Controls). The sample of 96 students was predominantly female, and subjects were enrolled in a general nonuniversity preparatory program at a commercial high school in an inner-city working-class district. Five sets of measures were used: Self-Perception Measures (Peer, Family, and Academic Self-Concept scales, as well as self-report measures of Study Habits and Educational Aspirations), Current, Past and Follow-up School Performance Measures (academic and nonacademic), and Attribution Measures (student and teacher attributions of reason for failure). Results indicated significant differences between the three groups on several variables. Compared with the Controls, both Remedials and Failures had lower Academic Self-Concepts and lower Reading Levels, but only the Remedials had significantly lower levels of Intellectual Functioning, in addition to lower Math Achievement Levels than the Controls. The Failure group was significantly lower than the other two groups on Family Self-Concept, Attendance, and Overall Grade Percentage (both at the initial and follow-up periods), and they had records showing a higher frequency of elementary school Behavior Problems. Thus it was suggested that school failure was related to emotional difficulties to a significantly greater degree for the Failure group as compared to the Remedial group, which was characterized by more straightforward academic and intellectual deficits. Finally, Failures and Remedials and their teachers tended to attribute the student's failure in particular courses fairly equally to either the student's difficulty in grasping the subject matter, or to insufficient effort, whereas those Controls who were failing a course tended to blame their failure on "Teacher Problems."

Achievement↗
PubMed1989

Perceptions of self-care in Sweden: a cross-cultural replication.

This cross-cultural study attempted to replicate the nursing phenomena of self-care and self-concept using two self-reporting instruments. Both instruments were translated from English into Swedish and administered on a convenience basis to 187 Swedish subjects, 117 women and 70 men, ages 19-66, compulsory to university educated, and residing in the southern districts of Sweden. Swedish mean self-care scores were lower (112.5) than the United States normative group of university nursing and psychology students, but the mean was comparable to East German (113.6) reported from an earlier study. Self-concept scores were similar to Nebraska teachers and East Germans. Alpha coefficients were used to assess reliability, ANOVA for differences, and item correlation of self-care agency were organized by factor analysis with four subfactors identified. The derived subscales appeared to identify potentially useful factors to aid in unravelling the complexity of the self-care agency construct. Study limitations were addressed. Cross-cultural directives for international nursing are discussed.

Adult↗
PubMed1985

Self-labeling by educably mentally retarded high school students in their mainstream and special education classes.

Educably mentally retarded (EMR) students and nonhandicapped students from their mainstream classes completed semantic differential ratings of a stereotypic popular teen-ager, juvenile delinquent, and special education student. Subjects also rated their global self-concepts and situation-specific self-concepts within the mainstream and the special class settings. Ratings were done at the beginning (Time 1) and the end (Time 2) of a semester. Results showed that mainstream classes did not "de-label" EMR students. Within the mainstream class, the number of EMR students who saw themselves as similar to a special education student significantly increased over time. Moreover, at Time 2, EMR students were more likely to think of themselves as similar to a special education student in their mainstream class than in their special education class. However, EMR subjects' global self-concepts did not change. Implications for mainstreaming are discussed.

Adolescent↗
PubMed1993

Gender differences in the source and level of self-esteem of Chinese college students.

This research examined possible gender differences in the source and level of self-esteem of 99 male and 90 female undergraduates from mainland and China. There was little evidence of a gender difference in the level of overall self-esteem, but gender differences were evident in the subjects' ratings of the importance to their self-concept and their self-satisfaction with lower order facets of the self, indicating the necessity for using multidimensional measures of the self and for preserving the self-concept/self-esteem distinction.

Adult↗
PubMed1985

[Achievement concepts, mental status and psychological stability of the elderly].

Considerations within a broader theoretical framework are presented that relate psychic well-being and psychic stability of both older and younger persons to their self-concepts of achievement and ability: The better the "psychic well-being" and the higher the degree of "psychic stability", the more "favourable" or "positive", i.e. with more socially desired characteristics, are the various self-concepts of achievement and ability of both younger and older individuals. 87 psychiatric patients with a diagnosis of "depression", considered a population with lower levels in respect of "psychic stability" and "psychic well-being", had been compared to a sample group without psychiatric problems. Initial evaluations of available empirical findings, i.e. the data for three differentiated self-concepts of achievement and ability and a self-concept of sensitivity and general emotional state, obtained from a total of 174 subjects (91 aged 50-81, 83 aged 23-49), have failed to falsify our hypotheses but have, rather, substantiated them. The 87 psychiatric subjects from various age groups had significantly less "favourable" self-concepts of achievement and ability and a significantly less "positive" self-concept of sensitivity and general emotional state than the subjects in the parallel sample.

Achievement↗
PubMed1990

Perceived self-esteem among children diagnosed with precocious puberty.

Self-esteem is known to be altered in children with chronic illness. Do accelerated normal changes, such as those that occur in children with precocious puberty, also alter the child's self-esteem? Twenty-eight children with precocious puberty participated in a nonrandomized descriptive pilot study using a structured interview, the Piers-Harris Children's Self-Concept Scale, and self-portrait drawings. Results indicate that the overall self-esteem of the majority of children was within normal limits as measured by the Piers-Harris Children's Self-Concept Scale, but closer analysis found that many of the children had difficulty with peer relationships and increased levels of anxiety. These findings were supported by the results of the structured interview and the children's self-portraits. Nursing implications from this pilot study are discussed.

Adolescent↗
PubMed1980

Women who abuse their children: implications for pediatric practice.

Parents who abuse their children may not accept traditional therapy but may be influenced by the child's primary care physician. A comparative study of abusive and nonabusive mothers showed abusers to have lower self-concept and higher self-concept incongruence and inconsistency than nonabusers. They were also found to value authority over others more, and conformity and benevolence less, than nonabusers. Practically applied, the data lead the pediatrician to an educative and supportive role in which he or she may enhance self-esteem and lower unrealistic expectations in the course of treating the child. In addition, there seems to be a need to develop access to support groups, day care, and other avenues for the mother's personal growth. This may be done either within a pediatric practice or through liaison with community resources.

Adult↗
PubMed1982

Characteristics of abusive parents: a look at self-esteem.

Low self-esteem has often been cited in the child abuse literature as a characteristic of abusive parents. However, most of these references have been based on individual case studies and practitioner reports rather than explicitly designed inquiries that attempt to control bias associated with clinical observations. Data for this study were derived from a broader exploratory research project conducted within the states of Arkansas, Louisiana, and Texas. As part of the project, a total of 111 abusive parents were administered the Tennessee Self Concept Scale (TSCS). The TSCS score profiles for this group are examined along with a discussion of the implications of the findings for intervention services. The profiles permit a comparison between abusive parents' self-concepts, a group of normal self-concepts, and a group drawn from a mental hospital population. The departure of the abusive parents' self-concepts from the normal group and the apparent greater similarity to self-concepts of mental patients suggest a lengthier and more involved treatment than may have been formerly thought.

Adult↗