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Children with surgically corrected hand deformities and upper limb deficiencies: self-concept and psychological

G-B Andersson1, C Gillberg, E Fernell

  • 1Department of Hand Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

The Journal of Hand Surgery, European Volume
|June 30, 2011
PubMed

Insights

Children with hand deformities generally have good self-concept, comparable to healthy peers. However, those with severe deformities reported higher self-esteem than those with milder ones.

Area of Science:

  • Pediatric psychology
  • Developmental psychology
  • Orthopedic surgery

Background:

  • Self-concept and psychological well-being are crucial for child development.
  • Children with congenital or acquired upper limb differences may face unique psychosocial challenges.

Purpose of the Study:

  • To investigate self-concept and psychological well-being in children with hand deformities and upper limb deficiencies.
  • To compare psychological outcomes between children with mild versus severe deformities.

Main Methods:

  • A cohort of 92 children (9-11 years) with hand deformities was assessed.
  • The Piers-Harris Children's Self-Concept Scale (PHCSCS) was administered.
  • Participants were categorized into mild and severe deformity subgroups.

Main Results:

  • The overall group with hand deformities exhibited good self-concept, similar to a healthy comparison group.
  • Children with severe deformities reported higher self-concept scores than those with mild deformities.
  • Severe deformity subgroup showed elevated scores in 'Intellectual and School Status', while the mild subgroup scored lower in 'Popularity' compared to controls.

Conclusions:

  • Congenital hand differences do not necessarily impede overall self-concept in school-aged children.
  • The visibility and complexity of the deformity may influence specific aspects of self-perception.
  • Psychological support should consider the nuances of deformity severity and its impact on social and academic self-perceptions.

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