Adolescents with craniofacial anomalies : Psychosocial adjustment as a function of self-concept

To evaluate associations between self-concept and psychosocial adjustment among adolescents with craniofacial anomalies. Retrospective chart review. Reconstructive plastic surgery department in urban medical center. Forty-nine adolescents with congenital craniofacial anomalies, aged 14 to 18 years,...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2006-07, Vol.43 (4), p.392-400
Main Authors: BILBOUL, Monica J, POPE, Alice W, SNYDER, Heather T
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Adolescent Behavior
Biological and medical sciences
Birth defects
Craniofacial Abnormalities - psychology
Dentistry
Female
Humans
Male
Medical sciences
Otorhinolaryngology. Stomatology
Personal appearance
Psychological aspects
Psychological Tests
Retrospective Studies
Self Concept
Self esteem
Self image
Sex Factors
Social Adjustment
Social identity
Social integration
Teenagers
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Summary:To evaluate associations between self-concept and psychosocial adjustment among adolescents with craniofacial anomalies. Retrospective chart review. Reconstructive plastic surgery department in urban medical center. Forty-nine adolescents with congenital craniofacial anomalies, aged 14 to 18 years, and their parents. Psychosocial adjustment (internalizing problems and social competence), assessed by self-report and parent-report forms of the Child Behavior Checklist; appearance self-concept and global self-worth, assessed by the Self-Perception Profile for Adolescents. Both appearance self-concept and global self-worth were associated with psychosocial adjustment; however, global self-worth remained associated with adjustment when the effects of appearance self-concept were controlled, whereas appearance self-concept was no longer associated with adjustment when global self-worth was controlled. Demographic variables (ethnicity, socioeconomic status, and adolescent gender) largely failed to moderate the associations between self-concept and adjustment. Adolescent dissatisfaction with appearance is linked to psychosocial adjustment problems only when it is part of a negative overall view of the self.
ISSN:1055-6656
1545-1569
DOI:10.1597/05-084R.1