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.

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