Systematic review of self-concept measures for primary school aged children with cerebral palsy

Sau Kuan Cheong1, Leanne M Johnston

  • 1School of Psychology, Australian Catholic University, 1100 Nudgee Road, Banyo, Queensland 4014, Australia.

Insights

This review found no self-concept measures with adequate psychometric data for children with cerebral palsy (CP). The Self-Description Questionnaire-I and Self-Perception Profile for Children show promise, but more research is needed.

Area of Science:

  • Pediatric Psychology
  • Rehabilitation Medicine
  • Child Development

Background:

  • Self-concept is crucial for children's well-being and development.
  • Children with cerebral palsy (CP) may experience unique challenges affecting their self-concept.
  • Validated measures are needed to accurately assess self-concept in this population.

Purpose of the Study:

  • To systematically review self-concept measures with published psychometric data for primary school-aged children (8-12 years) with cerebral palsy (CP).
  • To evaluate the psychometric properties and clinical utility of identified self-concept measures.

Main Methods:

  • Systematic literature search of six electronic databases (PubMed, MEDLINE, CINAHL, PsycINFO, PsycARTICLES, Web of Science).
  • Inclusion criteria: self-concept measures, children aged 8-12 years, with CP, and available psychometrics.
  • Evaluation using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and the CanChild Outcome Measure Rating Form.

Main Results:

  • The search identified 271 papers, with five meeting inclusion criteria.
  • Five self-concept measures were reported: Rosenberg Self-Esteem Index, Self-Description Questionnaire-I, and three versions of the Self-Perception Profile for Children.
  • No measure demonstrated sufficient psychometric data for children with CP in English-language publications.

Conclusions:

  • Currently, no self-concept measures are fully validated for children with CP.
  • The Self-Description Questionnaire-I and Self-Perception Profile for Children are identified as potentially useful instruments.
  • Further research is essential to determine relevant self-concept components and rigorously evaluate existing measures for this population.

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