Psychopathology and self-esteem in chronic illness
- 273 Downloads
Objective : To evaluate psychopathology and self-esteem in chronic illness. Methods: 60 children and their parents were selected to participate in an open study. 30 children had epilepsy and the other 30 had thalassemia. Both the groups consisted of children randomly selected from the Epilepsy Clinic and Thalassemia Centre respectively, of a teaching general hospital. The children and their parents were interviewed and also rated on Childhood Psychopathology Measurement Schedule (CPMS) and Rosenberg’s self esteem scale. The data was analysed using Pearson’s chi square test and Pearson’s correlation coefficient.Results : The children were seen to have high psychopathology on CPMS (average score: thalassemia group = 28.56, epilepsy group = 26.06). Depression was the subscale with the maximum elevation in both groups. Behavior problems were high in epilepsy. In addition, sadness and disinterest in life were common symptoms in thalassemia while irritability and panic were high in epilepsy. Children with epilepsy perceived a change in lifestyle after diagnosis. Self-esteem was moderately affected in both groups and this affected compliance with treatment in thalassemia.Conclusion : Chronic illness affects psychological health and self esteem in children. Hence, in addition to the physical aspects it is necessary also, to focus on the psychological health of the child in order to ensure compliance and thus treat the child comprehensively.
Key wordsChronic illness Psychopathology Self-esteem
Unable to display preview. Download preview PDF.
- 1.Perrin JM, Shonkoff PJ. Developmentl disabilities and Chronic illness : An overview. In Behrman RE; Kliegman RM. Jenson HB ed.Nelson’s Textbook of Pediatrics. 16th edn. Hardcourt Asia Pvt. Ltd., 2000; 51.Google Scholar
- 2.Leventhal JM. Psychosocial assessment of children with chronic physical disease.Pediatr Clin N Am 1984; 31 (1): 71–86.Google Scholar
- 5.Ghai PO. Disorders of Hemoglobin synthesis or structure. In Ghai PO, ed.Essential Pediatrics. New Delhi : Interprint. 1993.Google Scholar
- 7.Kalra V. Editorial. Supplement.Indian J Pediatr 2000; S1-S3:67.Google Scholar
- 8.Shah PU, D’souza C. Epilspey and social issues. In Singhai BS, Nag D, eds. Epilepsy in India. Indian Epilepsy Foundation and Lenbrook Pharmaceuticals. 2001; 381.Google Scholar
- 11.Malhotra S, Verma VK, Verma SK, Malhotra A. A Childhood Psychopathology Measurement Schedule: Development and standardization.Indian J Psychiatry 1998; 30:325–332.Google Scholar
- 12.Achenbach TM, Edelbrock CS. Manual for the Child Behaviour Checklist and Child Behaviour Profile. Burlington, UT, University of Vermont, 1983.Google Scholar
- 13.Rosenberg M. Society and adolescent self image. Princeton, New Jersey: Princeton University Press. 1965.Google Scholar
- 18.Steinhaeur PD, Mushin DN, Rae-Grant Q. Psychological aspects of chronic illness.Pediatr Clin N Am 1974; 21 (4): 825–840.Google Scholar