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Longitudinal Model Predicting Self-Concept in Pediatric Chronic Illness.

Natacha D Emerson1, Holly E R Morrell1, Cameron Neece1

  • 1Department of Psychology, Loma Linda University, Loma Linda, CA.

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|April 18, 2018
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Summary
This summary is machine-generated.

This study found that participating in the MEND program and reducing depressive symptoms improved self-concept in adolescents with chronic illness (CI). Higher avoidant attachment was linked to better initial self-concept.

Keywords:
AdolescentsAttachmentChronic IllnessDepressionFamily FunctioningSelf-Conceptadolescentesapegoautoconceptodepresiónenfermedad crónicafuncionamiento familiar依恋家庭功能慢性病抑郁症自我概念青少年

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Area of Science:

  • Psychology
  • Pediatrics
  • Adolescent Health

Background:

  • Self-concept is crucial for psychosocial adjustment in adolescents with chronic illness (CI).
  • Predictors of self-concept in this population remain under-researched.
  • Depression and parent-child attachment influence self-concept in the general population.

Purpose of the Study:

  • To longitudinally evaluate the predictors of self-concept in adolescents with CI.
  • To examine the impact of depressive symptoms and parent-child attachment on self-concept over time.
  • To investigate these relationships within the context of a psychosocial, family-based intensive outpatient program.

Main Methods:

  • Longitudinal study using data from the Mastering Each New Direction (MEND) program.
  • Sample comprised 50 adolescents with CI (mean age 14.56 years).
  • Multilevel modeling was used to analyze changes in self-concept, depressive symptoms, and parent-child attachment.

Main Results:

  • Increased time in the MEND program and decreased depressive symptoms were associated with improved self-concept.
  • Higher baseline avoidant attachment to mothers and fathers correlated with higher initial self-concept.
  • Findings suggest potential links between autonomy, self-confidence, depression, and avoidant attachment.

Conclusions:

  • Targeting depressive symptoms and supporting adaptive attachment changes are key for promoting healthy self-concept in pediatric CI.
  • Interventions should consider the interplay between mental health, attachment, and self-concept in adolescents with chronic conditions.
  • Further research is needed to explore covariates and address limitations like sample size and attrition.