The Association between Behavioral Problems with Self-Esteem and Self-Concept in Pediatric Patients with Thalassemia

Objective: High prevalence of behavioral and psychological disorders in children with thalassemia can be associated with a decrease in the self-esteem of patients and can completely alter the person's self-concept. The aim of this study was to determine the prevalence of behavioral problems and...

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Bibliographic Details
Published in:Iranian journal of psychiatry 2021-01, Vol.16 (1), p.36-42
Main Authors: Seyed Mohamad Kazem Nourbakhsh, Atamanesh, Minoo, Effatpanah, Mohammad, Salehi, Mona, Heidari, Morteza
Format: Article
Language:English
Subjects:
Behavior disorders
Blood diseases
Chronic illnesses
Original
Pediatrics
Self esteem
Self-Concept
Teenagers
Thalassemia
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Summary:Objective: High prevalence of behavioral and psychological disorders in children with thalassemia can be associated with a decrease in the self-esteem of patients and can completely alter the person's self-concept. The aim of this study was to determine the prevalence of behavioral problems and its relationship with self-esteem and self-concept in patients with thalassemia major aged 6 to 18 years.Method: In a cross-sectional study, 30 patients with thalassemia major at the age of 6 to 18 years were enrolled. behavioral problems, self-esteem, and self-concept were evaluated by the child's behavioral check list at the ages of 6 to 18 years (CBCL 6-18), the Coopersmith's Self-Esteem Inventory, and the Piers-Harris Children's Self-Concept Scale.Results:A total of 10.0% of patients had behavioral disorders, 3 (10.0%) desirable self-esteem, 15 (50.0%) moderate self-esteem, and 12 (40.0%) poor self-esteem. There was a strong but adverse correlation between behavioral disorder score and both self-esteem score (correlation coefficient equal to -0.886, p value = 0.001) and self-concept score (correlation coefficient equal to -0.498, p value = 0.001), and thus those patients with behavioral disorder had less appropriate self-esteem and self-concept.Conclusion:The incidence of behavioral disorders is associated with decreased self-esteem and poor self-concept in these patients. Therefore, improvement in behavioral disorders can be expected by improving self-esteem and self-concept in such patients.
ISSN:1735-4587
2008-2215
DOI:10.18502/ijps.v16i1.5377