Abstract
This study examined the ways in which normal, depressed, and conduct-disordered adolescents differ with regard to self-image. Normal and psychiatrically hospitalized adolescents completed the Offer Self Image Questionnaire for Adolescents (OSIQ). Patients were grouped on the basis of their DSM-III diagnoses, and their OSIQ scores were compared. Major depressive disorder, particularly the first episode, was associated with poor self-evaluation in multiple areas, while conduct disorder was associated with almost no specific self-image deficits. For younger (12- to 15-year-old) adolescents, a repeated episode of depression was associated with a poorer selfimage than was a diagnosis of dysthymic disorder or a typical depression, but a better self-image than a single episode of depression, suggesting that at this age, repeated episodes are met with internal adaptation rather than continued self-devaluation. Adolescents who received a diagnosis of both conduct disorder and major depression reported an overall level of self-image disturbance between those with either of these disorders alone, suggesting that acting-out behaviors may attenuate the self-devaluing experience of depression. Results are discussed in terms of current issues in adolescent development and developmental psychopathology.
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References
American Psychological Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, D.C: Author.
Brennan, T. G., & O'Loideain, D. S. (1980). A comparison of normal and disturbed adolescent Offer Self Image Questionnaire responses in an Irish cultural setting.Journal of Youth and Adolescence, 9, 11–18.
Carlson, R. (1965). Stability and change in the adolescent's self-image.Child Development, 36, 659–666.
Carlson, G. A., & Cantwell, D. P. (1980). Unmasking masked depression in children and adolescents.American Jounral of Psychiatry.137, 445–449.
Casper, R. C., Offer, D., & Ostrov, E. (1981). The self-image of adolescents with acute anorexia nervosa.Journal of Pediatrics, 98, 651–656.
Coche, E., & Taylor, S. (1974). Correlations between the Offer Self Image Questionnaire for Adolescents and the Minnesota Multiphasic Personality Inventory in a psychiatric hospital population.Journal of Youth and Adolescence, 3, 145–152.
Cytryn, L., McKnew, D., Jr., & Bunney, W. E. (1980). Diagnosis of depression in children: A reassessment.American Journal of Psychiatry, 137, 22–25.
Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). SCL-90: An outpatient psychiatric rating scale-Preliminary report.Psychopharmacology Bulletin, 9, 13–28.
Dudley, H. K., Jr., Craig, E. M., & Mason, J. M. (1981). The measurement of adolescent personality dimensions The MMPI and the Offer Self Image Questionnaire for Adolescents.Adolescence, 16, 453–469.
Engel, M. (1959). The stability of the self-concept in adolescence.Journal of Abnormal and Social Psychology, 58, 211–215.
Hoffman, N. G., & Overall, P. B. (1978). Factor structure of the SCL-90 in a psychiatric population.Journal of Consulting and Clinical Psychology, 46, 1187–1191.
Howard, K. L. & Gordon, R. A. (1961). Empirical note on the “number of factors” problem in factor analysis.Psychological Reports, 12, 247–250.
Kaplan, H. B. (1975).Self attitudes and deviant behavior. Pacific Palisades, California: Goodyear.
Koenig, L., Howard, K. I., Offer, D., & Cremerius, M. (1984). Psychopathology and adolescent self-image. In D. Offer, E. Ostrov, & K. I. Howard (Eds.),Patterns of adolescent self-image (pp. 57–71). San Francisoco: Jossey-Bass.
Kovacs, M., & Beck, A. T. (1977). An empirical-clinical approach toward a definition of childhood depression. In J. G. Schulterbrandt & A. Raskin (Eds.),Depression in childhood; Diagnosis, treatment and conceputal models (pp. 1–25). New York: Raven Press.
Lesse, S. (1974). Depressive equivalents and multivariant masks of depression. In S. Lesse (Ed.),Masked depression (pp. 3–23). New York: Jason Aronson.
Linville, P. W. (1987). Self-complexity as a cognitive buffer against stress-related illness and depression.Journal of Personality and Social Psychology, 52, 663–676.
Offer, D., & Howard, K. I. (1972). An empirical analysis of the Offer Self Image Questionnaire for Adolescents.Archives of General Psychiatry, 27, 529–533.
Offer, D., Ostrov, E., & Howard, K. I. (1977).The Offer Self Image Questionnaire for Adolescents: A manual. Chicago: Michael Reese Hospital and Medical Center.
Offer, D., Ostrov, E., & Howard, K. I. (in press).The teenage world. New York: Plenum Press.
Ostrov, E., Offer, D., & Howard, K. I. (1982). Values and self-conceptions held by normal and delinquent adolescent males.Journal of Psychiatric Treatment and Evaluation, 4, 503–509.
Petersen, A. C., & Kellam, S. G. (1977). Measurement of the psychological well-being of adolescents: The psychometric properties and assessment procedures of the How I Feel.Journal of Youth and Adolescence, 6, 229–247.
Puig-Antich, J. (1982). The use of RDC criteria for major depressive disorder in children and adolescents.Journal of the American Academy of Child Psychiatry, 21, 291–293.
Rogers, C. R., & Dymond, R. F., (1954).Psychotherapy and personality change. Chicago: University of Chicago Press.
Rosenberg, M. (1965).Society and the adolescent self-image. Princeton, New Jersey: Princeton University Press.
Teri, L. (1982). Depression in adolescence: Its relationship to assertion and various aspects of self-image.Journal of Clinical Child Psychology, 11, 101–106.
Toolan, J. M. (1974). Masked depression in children and adolescents. In S. Lesse (Ed.),Masked depression (pp. 141–164). New York: Jason Aronson.
Weiner, I. B. (1970).Psychological disturbance in adolescence. New York: Wiley.
Zucherman, M., & Monashkin, I. (1957). Self-acceptance and psychopathology.Journal of Consulting Psychology, 21, 145–148.
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Koenig, L.J. Self-image of emotionally disturbed adolescents. J Abnorm Child Psychol 16, 111–126 (1988). https://doi.org/10.1007/BF00910505
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DOI: https://doi.org/10.1007/BF00910505