2002
DOI: 10.1177/000992280204100105
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Self-Concept in Male and Female Adolescents with Congenital Heart Disease

Abstract: Cognitive achievement, behavioural problems, and various dimensions of personality were assessed in 48 male and female patients with congenital heart disease (CHD) aged from 12 to 16 years in comparison to a control group. The CHD group showed a lower speed of cognitive processing but seemed to have less state-anxiety and to possess a higher superego strength. Male adolescents with CHD presented with a reduced perceived capacity and self-esteem. This was not true for adolescent girls with CHD. The negative sel… Show more

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Cited by 42 publications
(32 citation statements)
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“…These symptoms might be attributed to more severe cardiac morbidity, which subsequently leads to more physical disability and inability to participate in sports and other social activities, which consequently reduces social participation and acceptance by peers. Low selfesteem and negative self-concept were previously reported in male adolescents with congenital heart disease and were also attributed to reduced physical ability interfering with peer relationships [10]. Situational anxiety levels were also reported to be increased in patients with congenital heart disease in another recent study [34], although a rather normal generalized anxiety pattern was reported in that study.…”
Section: Discussionmentioning
confidence: 69%
See 1 more Smart Citation
“…These symptoms might be attributed to more severe cardiac morbidity, which subsequently leads to more physical disability and inability to participate in sports and other social activities, which consequently reduces social participation and acceptance by peers. Low selfesteem and negative self-concept were previously reported in male adolescents with congenital heart disease and were also attributed to reduced physical ability interfering with peer relationships [10]. Situational anxiety levels were also reported to be increased in patients with congenital heart disease in another recent study [34], although a rather normal generalized anxiety pattern was reported in that study.…”
Section: Discussionmentioning
confidence: 69%
“…These morbidities significantly impact the child's neurodevelopmental functioning and diminish their quality of life [4]. Most studies investigating the rates of emotional and behavioral problems in children with heart disease have focused on congenital heart diseases, with no consensus among these reports about the profile of psychological morbidity in this population [5][6][7][8][9][10].…”
Section: Introductionmentioning
confidence: 99%
“…208,228 Physical limitations, including activity restrictions, have also been associated with poorer selfconcept and more behavioral problems. 229 It may be useful and beneficial for restrictions on physical and social activity to be reviewed. Counseling families to avoid overprotection and unnecessary restriction of a child or adolescent with CHD may be an important intervention.…”
Section: Activities Of Daily Livingmentioning
confidence: 99%
“…[3][4][5][6][7] However, other studies have reported lower levels of depression or found no differences between chronically ill and healthy adolescents. 8,9 These contrasting results have raised the question of which factors are related to higher levels of depression and poorer psychosocial adjustment in adolescents with CHD.…”
mentioning
confidence: 99%