Self Concept Perception in School-Age Children with Chronic Illness at Kalasin Hospital
DOI:
https://doi.org/10.64960/srimedj.v41i1.270178Keywords:
self concept perception, school-age children, chronic illnessAbstract
Objective: The purpose of this study was to study the self concept perception among school-age children with chronic illness at Kalasin Hospital.
Methods: This was a descriptive study. The sample consisted of 75 school-age children with chronic illness who received treatment at the pediatric ward of Kalasin Hospital between January and December 2024. Participants were selected using simple random sampling according to predetermined inclusion and exclusion criteria. The research instruments developed by the research team consisted of three parts: Part 1, a questionnaire on personal factors; Part 2, a 50-item health promotion scale for school-age children with chronic illness; and Part 3, a 30-item self concept perception scale for school-age children with chronic illness. The instruments were validated by three experts for content validity, with reliability coefficients of 0.60 and 0.81 for Parts 2 and 3, respectively. Data analysis was performed using statistical software, including frequency distribution, percentage, mean, standard deviation, independent t-test, and one-way ANOVA.
Results: The results showed that (1) school-age children demonstrated the highest mean score for self concept perception in the dimension of adjustment and acceptance at a good level, followed by overall body satisfaction also at a good level. The perceived impact of illness on self concept was at a moderate level, while negative feelings and shame showed the lowest mean score at a low level. (2) comparison of mean differences in self concept perception among participants with different gender, family status, and parental marital status showed no statistically significant differences in any dimension. (3) comparison of mean differences in self concept perception when categorized by age, educational level, duration of illness, and primary caregiver revealed no statistically significant differences across all factors.
Conclusions: The research findings can be applied to develop universal care programs or care guidelines to promote appropriate self concept perception, while considering individual needs and maintaining flexibility to adapt to specific contexts of each case.
References
Erikson EH. Identity: Youth and crisis. W. W. Norton & Company, 1968.
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice (4th ed.). Prentice-Hall, 2002.
Thompson JK, Heinberg LJ, Altabe M, Tantleff-Dunn S. Exacting beauty: Theory, assessment, and treatment of body image disturbance. American Psychological Association, 1999. doi:10.1037/10312-000
Lazarus RS, Folkman S. Stress, appraisal, and coping. Springer Publishing Company, 1984.
Pinquart M. Body image of children and adolescents with chronic illness: A meta-analytic comparison with healthy peers. Body Image 2013;10(2):141-8. doi:10.1016/j.bodyim.2012.10.008
Cash TF. Body image: Past, present, and future. Body Image 2004;1(1):1-5. doi:10.1016/S1740-1445(03)00011-1
Pruzinsky T, Cash TF. Understanding body images: Historical and contemporary perspectives. In: Cash TF, Pruzinsky T, (Eds.), Body image: A handbook of theory, research, and clinical practice. พิมพ์ครั้งที่ ?? Guilford Press, 2002: 3-12.
Watson D, Friend R. Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology 1969;33(4):448-57. doi:10.1037/h0027806
Festinger L. A theory of social comparison processes. Human Relations 1954;7(2):117-40. doi:10.1177/001872675400700202
Gilbert P. What is shame? Some core issues and controversies. In P. Gilbert & B. Andrews (Eds.), Shame: Interpersonal behavior, psychopathology, and culture. 1st ed. Oxford University Press. 1998:3-38, doi:10.1093/oso/9780195114799.003.0001
Leventhal H, Brissette I, Leventhal EA. The Common-Sense Model of self-regulation of health and illness. In: Cameron LD, Leventhal H, (Eds.). The Self-Regulation of Health and Illness Behaviour, 1st ed. Routledge, London, 2003:42-65.
Compas BE, Jaser SS, Dunn MJ, Rodriguez EM. Coping with chronic illness in childhood and adolescence. Annu Rev Clin Psychol 2012;8:455-80. doi: 10.1146/annurev-clinpsy-032511-143108.
Pinquart M. Do the parent-child relationship and parenting behaviors differ between families with a child with and without chronic illness? A meta-analysis. J Pediatr Psychol 2013;38(7):708-21. doi: 10.1093/jpepsy/jst020.
Varni JW, Limbers CA, Burwinkle TM. Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL 4.0 Generic Core Scales. Health Qual Life Outcomes 2007;5(1):43. doi:10.1186/1477-7525-5-43.
Paterson BL. The shifting perspectives model of chronic illness. J Nurs Scholarsh 2001;33(1):21-6. doi: 10.1111/j.1547-5069.2001.00021.x.
Stam H, Grootenhuis MA, Last BF. Social and emotional adjustment in young survivors of childhood cancer. Support Care Cancer 2001;9(7):489-513. doi:10.1007/s005200100271.
Maikranz JM, Steele RG, Dreyer ML, Stratman AC, Bovaird JA. The relationship of hope and illness-related uncertainty to emotional adjustment in pediatric transplant recipients. J Pediatr Psychol 2007;32(5):571-81. doi: 10.1093/jpepsy/jsl046.
Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: A systematic review. J Pediatr Psychol 2013;38(8):809-28. doi: 10.1093/jpepsy/jst049.
Brown B. Shame resilience theory: A grounded theory study on women and shame. Families in Society 2006;87(1):43-52. doi:10.1606/1044-3894.3483
World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013–2020. World Health Organization, 2013.
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