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Published on: January 30, 2018
Self-perception and behavioural outcomes of early acquired brain injury
Louise M Crowe1,2,3,4, Vicki Anderson1,2,3,4, Cathy Catroppa1,3,4
1Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.
Insights
Children with early acquired brain injury (ABI) show typical self-esteem but more behavioral issues. Socioeconomic status impacts self-perception and behavior in these children.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Child Psychiatry
Background:
- Acquired brain injury (ABI) is common in young children.
- Psychosocial impacts of early ABI, particularly on self-perception and self-esteem, are not well-established.
Purpose of the Study:
- To investigate self-perception, self-esteem, and behavior in children with early ABI.
- To compare children with ABI to typically developing controls (TDCs).
Main Methods:
- Compared 47 children with ABI (onset before age six) to 17 TDCs (aged 6-12).
- Utilized the Harter Self-Perception Profile for children and the Child Behavior Checklist for parents.
- Analyzed interactions between socioeconomic status (SES), self-perception, and behavior.
Main Results:
- No significant differences in self-perception or self-esteem between children with ABI and TDCs.
- Parents of children with ABI reported more internalizing and externalizing behaviors.
- Children with externalizing behaviors and social skill deficits had more negative self-perceptions.
- Higher SES correlated with more positive appearance self-perception; lower SES correlated with more externalizing behaviors and social problems.
Conclusions:
- The relationship between early ABI, self-perception, and self-esteem is complex.
- Behavioral problems in children with ABI are linked to lower feelings of competence.
- Socioeconomic status plays a significant role in the self-perception and behavioral outcomes of children with early ABI.
Abstract:
Acquired brain injury (ABI) occurs commonly in young children. Despite this, the psychosocial implications of ABI in young children are not established, with little understood about the impacts on self-perception and self-esteem. In this study we investigated self-perception, self-esteem and behaviour of children with early ABI. Children with an ABI (n = 47) before six years were compared to 17 typically developing controls (TDCs) matched on demographics. Children were aged 6-12 years and completed the Harter Self-Perception Profile. One parent completed the Child Behavior Checklist. No differences for self-perception and self-esteem were found between the groups. Parents of children with an early ABI reported more internalizing and externalizing behaviours. Children with more externalizing behaviour and social skill problems had more negative self-perceptions. Interaction effects were seen between socioeconomic status (SES) and child self-perception and behaviour. Specifically, children from families of higher SES had a more positive perception of their appearance and children from lower SES backgrounds had more externalizing behaviours and social problems. The study suggests that the relationship between ABI and self-perception and self-esteem is complicated and that children with behavioural problems have lowered feelings of competence. SES has an important role in self-perception and behavioural outcomes.
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