TY - JOUR
T1 - Self-concept, attitude toward illness and family functioning in adolescents with type 1 diabetes
AU - Ho, Josephine
AU - Lee, Arden
AU - Kaminsky, Laura
AU - Wirrell, Elaine
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2008
Y1 - 2008
N2 - Objectives: The primary objective of the present study was to assess self-concept in adolescents with type 1 diabetes, and to determine whether this is associated with attitudes toward having chronic disease, family functioning or severity of diabetes. The secondary objective was to assess the impact of family income, sex, age and age at diagnosis on adolescent self-concept. Methods: A cross-sectional, self-report survey of 48 adolescents with type 1 diabetes (22 boys and 26 girls; mean ± SD age at time of study 15.2±1.7 years [range 12.2 to 18.0 years]; mean age at diagnosis 9.2±3.3 years [range 1.3 to 14.9 years]) was performed using the Piers-Harris Children's Self-Concept (PHCSC scale, second edition; the Child Attitude Toward Illness Scale; and the Family Assessment Measure scale, version III. Demographic information including net family income and a symptom inventory form to assess disease severity was collected. Results: Adolescents' self-concept measured by the PHCSC scale was significantly positively correlated with a more positive attitude toward chronic illness as measured by the Child Attitude Toward Illness Scale. The PHCSC scale was found to have a significant negative correlation with the Family Assessment Measure scale score, indicating that a better self-concept was correlated with enhanced family functioning. Self-concept was not significantly correlated with disease severity, income of family, sex, age at diagnosis, age at time of study, episodes of diabetic ketoacidosis or episodes of hypoglycemia. Conclusions: Adolescents with better self-concept had more positive attitudes toward their chronic illness and enhanced family functioning. Although no correlation with diabetes disease severity was seen in the study population, interventions aimed at improving adolescent self-concept may have a positive impact on diabetes treatment by improving attitude toward living with type 1 diabetes.
AB - Objectives: The primary objective of the present study was to assess self-concept in adolescents with type 1 diabetes, and to determine whether this is associated with attitudes toward having chronic disease, family functioning or severity of diabetes. The secondary objective was to assess the impact of family income, sex, age and age at diagnosis on adolescent self-concept. Methods: A cross-sectional, self-report survey of 48 adolescents with type 1 diabetes (22 boys and 26 girls; mean ± SD age at time of study 15.2±1.7 years [range 12.2 to 18.0 years]; mean age at diagnosis 9.2±3.3 years [range 1.3 to 14.9 years]) was performed using the Piers-Harris Children's Self-Concept (PHCSC scale, second edition; the Child Attitude Toward Illness Scale; and the Family Assessment Measure scale, version III. Demographic information including net family income and a symptom inventory form to assess disease severity was collected. Results: Adolescents' self-concept measured by the PHCSC scale was significantly positively correlated with a more positive attitude toward chronic illness as measured by the Child Attitude Toward Illness Scale. The PHCSC scale was found to have a significant negative correlation with the Family Assessment Measure scale score, indicating that a better self-concept was correlated with enhanced family functioning. Self-concept was not significantly correlated with disease severity, income of family, sex, age at diagnosis, age at time of study, episodes of diabetic ketoacidosis or episodes of hypoglycemia. Conclusions: Adolescents with better self-concept had more positive attitudes toward their chronic illness and enhanced family functioning. Although no correlation with diabetes disease severity was seen in the study population, interventions aimed at improving adolescent self-concept may have a positive impact on diabetes treatment by improving attitude toward living with type 1 diabetes.
KW - Adolescents
KW - Family functioning
KW - Illness perceptions
KW - Self-concept
KW - Type 1 diabetes
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U2 - 10.1093/pch/13.7.600
DO - 10.1093/pch/13.7.600
M3 - Article
C2 - 19436558
AN - SCOPUS:57549084436
SN - 1205-7088
VL - 13
SP - 600
EP - 604
JO - Paediatrics and Child Health
JF - Paediatrics and Child Health
IS - 7
ER -