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Developmental, Gender, and Health-Related Variations in Self-Competence and Depressed Mood Among School-Aged Urban Children with Asthma: A Pilot Study

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Abstract

This pilot study examined associations among asthma status, gender, self-competence, and depressed mood across 2 years of middle childhood in a sample of 57 urban children. Results revealed no differences across health status in self-competence and depressed mood. Girls showed a significant increase in levels of self-competence from Year -1 to 2. Higher levels of self-competence were associated with lower levels of depressed mood at Year 1, at Year 2, and from Year 1 to 2. Self-competence accounted for a larger amount of the variance in depressed mood for girls than for boys. Changes in levels of self-competence were significantly associated with changes in depressed mood for girls only. Results suggest meaningful gender-based differences in the socioemotional trajectories of school-aged children, which should be considered when designing preventative interventions in urban environments.

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REFERENCES

  • Alexander, K., & Entwisle, D. (1988). Achievement in the first two years of school: Patterns and processes. Monographs of the Society for Research in Child Development, 53(2, Serial No. 218).

  • Bennett, D. S. (1994). Depression among children with chronic medical problems: A meta-analysis. Journal of Pediatric Psychology, 19(2), 149–169.

    Google Scholar 

  • Blyth, D. A., Simmons, R. G., & Carlton-Ford, S. (1983). The ad-justment of early adolescents to school transitions. Journal of Early Adolescence, 3, 105–120.

    Google Scholar 

  • Boston Public Health Commission. (2000). The Health of Boston 1998: AReport on Boston Residents and Neighborhood. Office of Research, Health Assessment, and Data Systems.

  • Bukowski, W. M., & Newcomb, A. F. (1983). The association be-tween peer experiences and identity formation in early adolescence. Journal of Early Adolescence, 3, 265–274.

    Google Scholar 

  • Burke, P., Meyer, V., Kocoshis, S., Orenstein, D. M., Chandra, R., Nord, D. J., et al., (1989). Depression and anxiety in pediatric inflammatory bowel disease and cystic fibrosis. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 948–951.

    Google Scholar 

  • Cadman, D., Boyle, M., Szatmari, P., & Offord, D. R. (1987). Chronic illness, disability, and mental and social well-being: Findings of the Ontario Child Health Study. Pediatrics, 79, 805–813.

    Google Scholar 

  • Carlson, G., & Cantwell, D. (1980). Unmasking masked depression in children and adolescents. American Journal of Psychiatry, 137, 445–449.

    Google Scholar 

  • Christiaanse, M. E., Lavigne, J. V., & Lerner, C V. (1989). Psy-chosocial aspects of compliance in children and adolescents with asthma. Developmental and Behavioral Pediatrics, 10(2), 75–80.

    Google Scholar 

  • Cicchetti, D., & Toth, S. L. (1998). The development of depression in children and adolescents. American Psychologist, 53(2), 221–241.

    Google Scholar 

  • Cole, D. A. (1991). Preliminary support for a competence-based model of depression in children. Journal of Abnormal Psychology, 100, 181–190.

    Google Scholar 

  • Cole, D. A., Martin, J. M., Peeke, L. G., Seroczynski, A. D., & Hoffman, K. (1998). Are cognitive errors of underestimation predictive or reflective of depressive symptoms in children: A longitudinal study. Journal of Abnormal Psychology, 107, 481–496.

    Google Scholar 

  • Cole, D. A., & Turner, J. (1993). Models of cognitive mediation and moderation in self-reported child depression. Journal of Abnormal Psychology, 102, 271–281.

    Google Scholar 

  • Eccles, J. S., Adler, T. F., & Meese, J. L. (1984). Sex differences in achievement: A test of alternative theories. Journal of Personality and Social Psychology, 46, 26–43.

    Google Scholar 

  • Eccles, J. S., Wigfield, A., Harold, R., & Blumenfeld, P. (1993). Age and gender differences in children's achievement self-perceptions during the elementary school years. Child Devel-opment, 64, 830–847.

    Google Scholar 

  • Fantuzzo, J. W., McDermott, P. A., Manz, P. H., Hampton V. R., & Burdick. (1996). The Pictorial Scale of Perceived Competence and Social Acceptance: Does it work with low-income urban children? Child Development, 67, 1071–1084.

    Google Scholar 

  • Fleming, J. E., & Offord, D. R. (1990). Epidemiology of childhood depressive disorders: Acritical review. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 571–580.

    Google Scholar 

  • Garber, J., Keiley, M. K., & Martin, N. C. (2002). Developmental trajectories of adolescents' depressive symptoms: Predictors of change. Journal of Consulting and Clinical Psychology, 70, 79–95.

    Google Scholar 

  • Gillaspy, S. R., Hoff, A. L., Mullins, L. L., Van Pelt, J. C., & Chaney, J. M. (2002). Psychological distress in high-risk youth with asthma. Journal of Pediatric Psychology, 27, 363–372.

    Google Scholar 

  • Gizynski, M., & Shapiro, V. B. (1990). Depression and childhood illness. Child and Adolescent Social Work, 7, 179–197.

    Google Scholar 

  • Gladstone, T. R. G., & Kaslow, N. J. (1995). Cognitions, depres-sive symptoms, and development in children and adolescents: A meta-analytic review. Journal of Abnormal Psychology, 23, 597–606.

    Google Scholar 

  • Hammen, C., & Zupan, B. (1984). Self-schemas, depression, and the processing of personal information in children. Journal of Experimental Child Psychology, 37, 598–608.

    Google Scholar 

  • Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128–140.

    Google Scholar 

  • Harter, S. (1982). The Perceived Competence Scale for Children. Child Development, 53, 87–97.

    Google Scholar 

  • Harter, S. (1985). Manual for Self-Perception Profile for Children. Denver, CO: University of Denver Press.

    Google Scholar 

  • Harter, S. (1999). The construction of the self: A developmental perspective. New York: The Guilford Press.

    Google Scholar 

  • Holden, E. W., Chmielewski, D., Nelson, C. C., & Kager, V. A. (1997). Controlling for general and disease-specific effects in child and family adjustment to chronic childhood illness. Journal of Pediatric Psychology, 22(1),15–27.

    Google Scholar 

  • Hurtig, A. L., & White, L. S. (1986). Psychosocial adjustment in children and adolescents with sickle cell disease. Journal of Pediatric Psychology, 11, 411–427.

    Google Scholar 

  • Jacobs, J. E., Lanza, S., Osgood, W., Eccles, J. S., & Wigfield, A. (2002). Changes in children's self-competence and values: Gender and domain differences across Grades One through Twelve. Child Development, 73, 509–527.

    Google Scholar 

  • Kashani, J. H., Konig, P., Shepperd, J. A., Wilfley, D., & Morris, D. A. (1988). Psychopathology and self-concept in asthmatic children. Journal of Pediatric Psychology, 13(4), 509–520.

    Google Scholar 

  • Kashani, J. H., Lababidi, Z., & Jones, R. S. (1982). Depression in children and adolescents with cardiovascular symptomatol-ogy: The significance of chest pain. Journal of the American Academy of Child Psychiatry, 21, 187–189.

    Google Scholar 

  • Kashani, J. H., Venzke, R., & Miller, E. A. (1981). Depression in children admitted to hospital for orthopaedic procedures. British Journal of Psychiatry, 138, 21–25.

    Google Scholar 

  • Kellerman, J., Zeltzer, L., Ellenberg, L., Dash, J., & Rigler, D. (1980). Psychological effects of illness in adolescence, I. Anx-iety, self-esteem, and perception of control. Journal of Pediatrics, 97, 126–131.

    Google Scholar 

  • Kjellman, B. & Gustafsson, P.M. (2000). Asthma from childhood to adulthood: Asthma severity, allergies, sensitization, living conditions, gender influence and social consequences. Respiratory Medicine, 94, 454–465.

    Google Scholar 

  • Koinis Mitchell, D., & Murdock, K. K. (2002). Self-competence and coping in children with asthma. Children's Health Care, 31, 273–293.

    Google Scholar 

  • Kovacs, M., Brent, D., Steinberg, T. F., Paulauskas, S., & Reid, J. (1986). Children's self-reports of psychological adjustment and coping strategies during first year of insulin-dependent diabetes mellitus. Diabetes Care, 9, 472–479.

    Google Scholar 

  • Lavigne, J. V., & Faier-Routman, J. (1992). Psychological adjust-ment to pediatric physical disorders: A meta-analytic review. Journal of Pediatric Psychology, 17}, 133–157.

    Google Scholar 

  • Marsh, H. W. (1989). Age and sex effects in multiple dimensions of self-concept: Preadolescence to early adulthood.Journal of Educational Psychology, 81}, 417–430.

    Google Scholar 

  • Mistry, R. S., Vandewater, E. A., Huston, A. C., & McLoyd, V. C. (2002). Economic well-being and children's social adjustment: The role of family process in an ethnically diverse low-income sample. Child Development, 73}, 935–951.

    Google Scholar 

  • Mrazek, D. A., Schuman, W. B., & Klinnert, M. (1998). Early asthma onset: Risk of emotional and behavioral difficulties. Journal of Child Psychology and Psychiatry, 39(2), 247–254.

    Google Scholar 

  • McLoyd, V. (1998). Socioeconomic disadvantage and child devel-opment. American Psychologist, 53(2), 185–204.

    Google Scholar 

  • National Heart, Lung, and Blood Institute. (1997). Air power: self-management of asthma through group education. U.S. Department of Health and Human Services, National Institutes of Health: NIH Publication No. 85-2362.

  • Nelms, B. C. (1989). Emotional behaviors in chronically ill children. Journal of Abnormal Child Psychology, 17, 657–668.

    Google Scholar 

  • Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gen-der differences in depression in adolescence. Psychological Bulletin, 115, 424–443.

    Google Scholar 

  • Nolen-Hoeksema, S., Girgus, J. S., & Seligman, M. E. P. (1992). Pre-dictors and consequences of childhood depressive symptoms: A 5-year longitudinal study. Journal of Abnormal Psychology, 101, 405–422.

    Google Scholar 

  • Padur, J. S., Rapoff, M. A., Houston, B. K., Barnard, M., Danovsky, M., Olson, N., et al. (1995) Psychosocial adjustment and the role of functional status for children with asthma. Journal of Asthma, 32(5), 345–353.

    Google Scholar 

  • Rholes, W. S., Blackwell, J., Jordan, C., & Walters, C. (1980). A developmental study of learned helplessness. Developmental Psychology, 16, 616–624.

    Google Scholar 

  • Reynolds, C., & Kamphaus, R. (1992). The behavior assessment system for children. Circle Pines, Minnesota: American Guidance Service, Inc.

    Google Scholar 

  • Rosenberg, M. (1986). Self-concept from middle childhood through adolescence. In J. Suls & A. Greenwald (Eds), Psychological perspectives on the self (vol. 3, pp. 107–136). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Rosenberg, M., & Simmons, R. G. (1972). Black and White self-esteem: The urban school child. Washington, DC: American Sociological Association.

    Google Scholar 

  • Ryan, N. D., Puig-Antich, J., Ambrosini, P., Rabinovich, H., Robinson, D., Nelson, B.,et al. (1987). The clinical picture of major depression in children and adolescents. Archives of General Psychiatry, 44, 854–861.

    Google Scholar 

  • Rutter, M. (1986). The developmental psychopathology of depression: Issues and perspectives. In M. Rutter, C. E. Izard, & P. B. Read, (Eds.), Depression in young people: Clinical and developmental perspectives (pp. 3–30). New York: Guilford Press.

    Google Scholar 

  • Strunk, R. C., Ford, J. G., & Taggart, V. (2002). Reducing disparities in asthma care: Priorities for researchNational Heart, Lung, and Blood Institute workshop report. Journal of Allergy and Clinical Immunology, 109, 229–237.

    Google Scholar 

  • US Department of Health and Human Services. (1999). Trends in the well-being of America's children and youth. Washington, DC: Author.

  • Wade, S., Weil, C., Holden, G., Mitchell, H., Evans, R., Kruszon-Moran, D., et al. (1997). Psychosocial characteristics of inner-city children with asthma: A description of the NCICAS psy-chosocial protocol. Pediatric Pulmonology, 24, 263–276.

    Google Scholar 

  • Wigfield, A., Eccles, J. S., Yoon, K. S., Harold, R. D., Arbreton, A. J. A., & Blumenfeld, P. C. (1997). Changes in children's self-competence beliefs and subjective task values across elementary school years: A three-year study. Journal of Educational Psychology, 89, 451–469.

    Google Scholar 

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Mitchell, D.K., Murdock, K.K. & Berz, J.B. Developmental, Gender, and Health-Related Variations in Self-Competence and Depressed Mood Among School-Aged Urban Children with Asthma: A Pilot Study. Journal of Clinical Psychology in Medical Settings 11, 343–355 (2004). https://doi.org/10.1023/B:JOCS.0000045354.93521.9b

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