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Self-concept of children with cerebral palsy measured using the population-specific myTREEHOUSE Self-Concept
Sau Kuan Cheong1, Cathryne P Lang1, Leanne M Johnston2
1School of Psychology, Australian Catholic University, 1100 Nudgee Road, Banyo, Queensland 4014, Australia.
Insights
Children with cerebral palsy (CP) generally have a sound self-concept, according to a new study using a CP-specific assessment. Cognitive function was linked to social and learning skills, but not age, gender, or motor abilities.
Area of Science:
- Pediatric Psychology
- Developmental Psychology
- Rehabilitation Medicine
Background:
- Self-concept is crucial for individual well-being.
- Research on self-concept in children with cerebral palsy (CP) is limited due to a lack of specific assessment tools.
- Understanding self-concept in children with CP is vital for targeted support.
Purpose of the Study:
- To investigate the self-concept of children with CP using the novel myTREEHOUSE Self-Concept Assessment.
- To examine the relationship between self-concept and factors like age, gender, motor, communication, and cognitive function in children with CP.
Main Methods:
- Employed the myTREEHOUSE Self-Concept Assessment and a standardized intelligence measure.
- Recruited 50 children with CP aged 8-12 years, with varying GMFCS-E&R levels.
- Analyzed self-concept across different performance perspectives and its association with demographic and functional variables.
Main Results:
- Most children with CP reported positive self-concept across all myTREEHOUSE Performance Perspectives.
- 60% of children scored in the Low range for the Personal Concern Score.
- Self-concept was not associated with age, gender, motor, or communication function.
- Cognitive function showed associations with Social Skills (Below Average > Average) and Learning Skills (Above Average > Average).
Conclusions:
- The study provides the first insights into the self-concept of children with CP using a dedicated instrument.
- Generally, children with CP exhibit a sound self-concept.
- Further research into environmental factors influencing self-concept development in this population is recommended.
Abstract:
Self-concept is an individual's perception of him/herself. Research into the self-concept of children with cerebral palsy (CP) has been sparse due to the lack of a population-specific self-concept instrument. Using the new myTREEHOUSE Self-Concept Assessment, this study investigated the self-concept of children with CP in relation to age, gender, motor, communication and cognitive function. Children with CP aged 8-12 years (n = 50; 29 males; mean 10 years 2 months; GMFCS-E&R I = 36, II = 8, III = 5, IV = 1) completed myTREEHOUSE and a standardised intelligence measure. Most children reported positive self-concept from all three myTREEHOUSE Performance Perspectives and over half (60%) fell within the Low range for the Personal Concern Score. Self-concept was not associated with age, gender, motor function, or communication function. However, for cognitive function, associations were observed for Social Skills (Below Average > Average cognitive function; Cohen's d = 1.07) and Learning Skills (Above Average > Average cognitive function; Cohen's d = 0.95) domains when rated from a Personal Performance Perspective. As the first study of the self-concept of children with CP using a CP-specific assessment, this study offers important insights into what children with CP think about themselves. Generally, the self-concept of children with CP was sound. Future research on environmental facilitators and barriers to robust self-concept development is recommended.
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