Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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A Study on the Factors Affecting Self-Concept of Children and Adolescents with Epilepsy

뇌전증 소아청소년 환아의 자아개념에 영향을 미치는 요인에 대한 연구

  • Ha, Su Hee (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Choi, Hee-Yeon (Department of Psychiatry, College of Medicine, Ewha Womans University) ;
  • Lee, Hyang Woon (Department of Neurology, College of Medicine, Ewha Womans University) ;
  • Kim, Eui-Jung (Department of Psychiatry, College of Medicine, Ewha Womans University)
  • 하수희 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 최희연 (이화여자대학교 의과대학 정신건강의학교실) ;
  • 이향운 (이화여자대학교 의과대학 신경과학교실) ;
  • 김의정 (이화여자대학교 의과대학 정신건강의학교실)
  • Received : 2017.06.19
  • Accepted : 2017.08.30
  • Published : 2017.10.01
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Abstract

Objective: The purpose of this study was to investigate the impact of clinical and psychological factors on the self-concept of children and adolescents with epilepsy. Methods: Children and adolescents with epilepsy (n=60; age range=9-17 years) completed questionnaires about their epilepsy-related variables, self-concept, depressive symptoms, anxiety, family functions, and behavioral problems. The T-test and one-way analysis of variance were used to examine the variables affecting the total self-concept scores. To determine the independent variables by adjusting the significant variables, a stepwise regression analysis was performed. Results: In the correlational analysis, age, depressive symptoms, anxiety, social problems, attention problems, and internalizing problems had significantly negative correlations with self-concept. On the other hand, IQ and family functions showed positive correlations with selfconcept. Age (${\beta}=-0.177$, p=0.015), depressive symptoms (${\beta}=-0.487$, p<0.001), anxiety (${\beta}=-0.298$, p=0.008), and attention problems (${\beta}=-0.138$, p=0.048) were analyzed as independent factors to assess their impact on self-concept, and were found to account for 78.3% of the variance in self-concept by stepwise regression analysis. Conclusion: Parents and clinicians should pay attention to improving the self-concept of children and adolescents with epilepsy, especially if they have problems with depression, anxiety, or attention.

Keywords

References

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