Factors Influencing Self-Concept of Adolescents with Epilepsy
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Abstract
This cross-sectional descriptive study was designed to investigate the self-concept of adolescents with epilepsy and its influencing factors of gender, severity of epilepsy, and family functioning on the self-concept of adolescents with epilepsy guided by Bracken’s Self-Concept Model. A total of 82 adolescents with epilepsy, 12-18 years of age,were selected by purposive sampling from pediatric neurology outpatient clinics from three tertiary care medical centers, who had a minimum standard score above 70 on the Peabody Picture Vocabulary Test, Fourth Edition. Participants completed the Demographic Questionnaire, Epilepsy Severity Scale, Piers-Harris Self-Concept Scale,3rd Edition, and General Functioning 12-item Subscale. Neurology clinic charts were reviewed for the type and frequency of seizures, and the number of antiepileptic drugs.The data were analyzed using descriptive statistics and multiple regression. The findings revealed that the participants had an average level of self-concept overall and in most domains. However, they had a low level in two domains of self-concept: happiness and satisfaction, and intellectual and school status. Epilepsy severity and family functioning could co-predict overall self-concept by 7.10 % significantly, while there was no correlation between gender and self-concept. Based on the study findings, nursing implications should screen individuals' self-concept (particularly happiness and satisfaction, intellectual and school status), and emphasize the severity of epilepsy and family functioning to promote adolescents with epilepsy for a positive self-concept.
Keywords : Adolescents, Epilepsy, Self-concept
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
Fiest KM, Sauro KM, Wiebe S, Patten SB, Kwon CS,Dykeman J, et al. Prevalence and incidence of epilepsy: a systematic review and meta-analysis of international studies. Neurology. 2017;88(3):296-303. doi:10.1212/WNL.0000000000003509
Information Division Ramathibodi Hospital. The statistics of children with epilepsy receiving treatment at the pediatric outpatient department, Ramathibodi Hospital; 2017.
Information Division Neurological Institute of Thailand.The statistics of children with epilepsy receiving treatment at the pediatric outpatient department, Neurological Institute of Thailand; 2017.
Puka K, Tavares TP, Anderson KK, Ferro MA, Speechley KN. A systematic review of quality of life in parents of children with epilepsy. Epilepsy Behav. 2018;82:38-45.doi: 10.1016/j.yebeh.2018.03.008.
Coppola G, Operto FF, Matricardi S, Verrotti A.Monitoring and managing depression in adolescents with epilepsy: current perspectives. Neuropsychiatr Dis Treat.2019;15:2773–80. doi: 10.2147/NDT.S192714
Kirabira J, Forry JB, Kinengyere AA. A systematic review protocol of stigma among children and adolescents with epilepsy.Syst Rev. 2019. doi: 10.1186/s13643-019-0940-9
Ekinci O, Isik UU, Gunes S, Yildirim C, Killi Y, Guler G. Self-concept in children and adolescents with epilepsy:the role of family functioning, mothers’ emotional symptoms. Journal of Brain & Development. 2016;38:714-22. doi: 10.1016/j.braindev.2016.02.015
Ha SH, Choi H, Lee HW, Kim E. A study on the factors affecting self-concept of children and adolescents with epilepsy. J Korean Acad Child Adolesc Psychiatry. 2017;28(4):252-9. doi: 10.5765/jkacap.2017.28.4.252
Bracken BA, Lamprecht S. Positive self-concept: an equal opportunity construct. Sch Psychol Q. 2003;18(2):103-21. doi: 10.1521/scpq.18.2.103.21859
Lee S, Choi E, Kwon S, Eom S. Self-concept and gender effects in Korean adolescents with epilepsy. Epilepsy Behav. 2016;61:102-6. doi: 10.1016/j.yebeh.2016.05.016
Scatolini FL, Zanni KP, Pfeifer LI. The influence of epilepsy on children’s perception of self-concept. Epilepsy Behav. 2017;69:75-9. doi: 10.1016/j.yebeh.2016.11.026
Chew J, Carpenter J, Haase MA. Living with epilepsy in adolescence – a qualitative study of young people’s experiences in Singapore: peer socialization, autonomy,and self-esteem. Child: Care Health Dev. 2019;45:241-50. doi: 10.1111/cch.12648
Dall’Oglio I, Gasperini G, Carlin C, Biagioli V, Gawronski O, Spitaletta G, et al. Self-care in pediatric patients with chronic conditions: a systematic review of theoretical models. Int J Environ Res Public Health. 2021;18(7):3513. https://doi.org/10.3390/ijerph18073513
Noikoon L. Predictive factors on self-care of school-age Leukemic children [thesis]. Pathum Thani: Thammasat University; 2008. (in Thai)
Yu CG, Lee A, Wirrell E, Sherman EM, Hamiwka L.Health behavior in teens with epilepsy: how do they compare with controls? Epilepsy Behav. 2008;13:90–5.doi: 10.1016/j.yebeh.2007.12.018
Yang C, Hao Z, Yu D, Xu Q, Zhang L. The prevalence rates of medication adherence and factors influencing adherence to antiepileptic drugs in children with epilepsy:a systematic review and meta-analysis. Epilepsy Res.2018;142:88-99. doi: 10.1016/j.eplepsyres.
03.018
Raty LK, Wilde Larsson BM, Soderfeldt BA. Health-related quality of life in youth: a comparison between adolescents and young adults with uncomplicated epilepsy and healthy controls. J Adolesc Health. 2003;33:252–8.https://doi.org/10.1016/S1054-139X(03)00101-0
Raty LK, Soderfeldt BA, Larsson G, Wilde Larsson BM.The relationship between illness severity, sociodemographic factors, general self-concept, and illness-specific attitude in Swedish adolescents with epilepsy. Seizure.2004;13:375-82. doi: 10.1016/j.seizure.2003.
011
Lee A, Hamiwka LD, Sherman EM, Wirrell, EC. Selfconcept in adolescents with epilepsy: biological and social correlates. Pediatr Neurol. 2008;38(5):335-9.doi:10.1016/j.pediatrneurol.2008.01.011
Ahn J, Lee S. Peer attachment, perceived parenting style,self-concept, and school adjustments in adolescents with chronic illness. Asian Nurs Res. 2016;10:300-4.https://doi.org/10.1016/j.anr.2016.10.003
Gorrese A, Ruggieri R. Peer attachment and self-esteem:a meta-analysis review. Pers Individ Differ. 2013;55:559-68. https://doi.org/10.1016/j.paid.2013.04.025
Lee B, Park HJ. The longitudinal relationship between self-esteem and peer relationship in adolescence: using autoregressive cross-lagged modeling. Korean J ChildStud. 2016;37(6);5-17. doi: 10.5723/kjcs.2016.37.6.5
Minev M, Petrova B, Mineva K, Petkova M, Strebkova R. Self-esteem in adolescents. Trakia J Sci. 2018;2:114-8. doi: 10.15547/tjs.2018.02.007
Nickels KC, Grossardt BR, Wirrelll EC. Epilepsy-related mortality is low in children: a 30 year population-based study in Olmsted County, MN. Epilepsia. 2012;53(12):2164-71. doi: 10.1111/j.1528-1167.2012.03661.x
Chew J, Haase MA, Carpenter J. Individual and family factors associated with self-esteem in young people with epilepsy: a multiple mediation analysis. Epilepsy Behav.2017;66:19-26. doi: 10.1016/j.yebeh.2016.09.039
Sakulrungjalas T, Kongsaktrakul, C, Visudtibhan, A,Chansatitporn N. Knowledge and attitude towards epilepsy among pediatric nurses in secondary and tertiary hospitals in Thailand. Journal of The Royal Thai Army Nurses.2017;18:131-9. (in Thai)
Epstein NB, Bishop DS, Levin S. The McMaster model of family functioning. J Marital Fam Ther. 1978;4(4):19-31. doi.org/10.1111/j.1752-0606.1978.tb00537.x
Rezaei-Dehaghai A, Keshvari M., Paki S. The relationship between family functioning and academic achievement in female high school students of Isfahan, Iran, in 2013–2014. Iran J Nurs Midwifery Res. 2018;23(3):183-7.doi: 10.4103/ijnmr.IJNMR_87_17.
Eseigbe EE, Nuhu FT, Sheikh TL, Adama SJ, Eseigbe P,Oguizu OJ. The perception of family function by adolescents with epilepsy in a rural Nigerian community.Epilepsy Res Treat. 2014;959274. doi: 10.1155/2014/959274.
Psihogios AM, Fellmeth H, Schwartzm LA, Barakat, LP.Family functioning and medical adherence across children and adolescents with chronic health conditions: a metaanalysis. J Pediatr Psychol. 2019;44(1):84–97. doi:10.1093/jpepsy/jsy044
Shi J, Wang L, Yao Y, Su N, Zhao X, Chen F. Family impacts on self-concept in Chinese college freshmen. Front Psychiatry. 2017;8(279). doi: 10.3389/fpsyt.2017.00279
Dunn LM, Dunn DM. Peabody Picture Vocabulary Test,4th ed [Manual]. United States of America: Pearson; 2007.
Rodenburg R, Meijer AM, Dekovic M, Aldenkamp AP.Family predictor of psychopathology in children with epilepsy. Epilepsia. 2016;47:601-14. doi: 10.1111/j.1528-1167.2006.00475.x
Piers EV, Shemmassian SK, Herzberg DS. Piers-Harris Self-Concept Scale, third edition (Pier-Harris3)[Manual]. California: Western Psychological Services;2018.
Boterhoven de Haan KL, Hafekost J, Lawrence D, Sawyer MG, Zubrick SR. Reliability and validity of a short version of the general functioning subscale of the McMaster Family Assessment Device. Family Process. 2015;54(1):116-23. https://doi.org/10.1111/famp.12113
Saengsuwan1 J, Boonyaleepan1 S, Srijakkot1 J,Sawanyawisuth K, Tiamkao S, Auevitchayapat N, et al.Public perception of epilepsy: a survey from the rural population in Northeastern Thailand. J Neurosci Behav Health. 2009;1(1):7-11.
Eddy CM, Rickards HE, Cavanna AE. The cognitive impact of antiepileptic drugs. Ther Adv Neurol Disord.2011;4(6):385-407. doi: 10.1177/1756285611417920
Wiseso W, Sarapt P. Focused ethnographic research and understanding of Thai family caregiving in Thai sociocultural context. The Journal of Faculty of Nursing Burapha University, 2020;28(2):122-34. (in Thai)
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