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21-05-2016 | Original Article

Self-Esteem of 8–14-Year-Old Children with Psychiatric Disorders: Disorder- and Gender-Specific Effects

Auteurs: Stephanie Stadelmann, Madlen Grunewald, Charlotte Gibbels, Sonia Jaeger, Tina Matuschek, Steffi Weis, Annette Maria Klein, Andreas Hiemisch, Kai von Klitzing, Mirko Döhnert

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2017

Abstract

In this study, we investigated the relation between global and domain-specific self-esteem and psychiatric disorders. A sample of 577 children aged 8–14 years was recruited via psychiatric hospitals and from the general population. Parents were given a diagnostic interview to assess children’s psychiatric diagnoses (current/past). Parents and children completed questionnaires on child symptoms. Children completed a questionnaire on global and domain-specific self-esteem (scales: scholastic competence, social acceptance, athletic performance and physical appearance, global self-esteem). Self-esteem of children with current psychiatric disorders was lower than that of healthy controls (η _p ² between 0.01 and 0.08). Concerning scholastic competence, social acceptance and global self-esteem, children with past psychiatric disorders scored also lower than healthy controls. Different current psychiatric disorders showed specific but small effects on dimensions of self-esteem (β between −0.08 and 0.19). Moreover, we found a gender × group interaction, indicating that girls with depressive and adjustment disorders were specifically impaired in their global self-esteem and perception of their physical appearance. Findings might help clinicians to focus on particular domains of self-esteem during the diagnostic process and to define adequate treatment goals.

vorige artikel Further Psychometric Evaluation of the Child Disgust Scale

volgende artikel Predicting Depression and Anxiety from Oppositional Defiant Disorder Symptoms in Elementary School-Age Girls and Boys with Conduct Problems

Harter S (1999) The construction of the self: a developmental perspective. Guilford Press, New York

Paradise AW, Kernis MH (2002) Self-esteem and psychological well-being: implications of fragile self-esteem. J Soc Clin Psychol 21(4):345–361. doi:10.1521/jscp.21.4.345.22598 CrossRef

Orth U, Robins RW (2014) The development of self-esteem. Curr Dir Psychol Sci 23(5):381–387. doi:10.1177/0963721414547414 CrossRef

Ferro MA, Boyle MH (2013) Self-concept among children and adolescents with a chronic illness: a meta-analytic review. Health Psychol 32:839–848. doi:10.1037/a0031861 CrossRefPubMed

Sukumaran S, Vickers B, Yates P et al (2003) Self-esteem in child and adolescent psychiatric patients. Eur Child Adolesc Psychiatry 12(4):190–197. doi:10.1007/s00787-003-0312-8 CrossRefPubMed

Trzesniewski KH, Donnellan MB, Moffitt TE et al (2006) Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Dev Psychol 42:381–390. doi:10.1037/0012-1649.42.2.381 CrossRefPubMed

Leary M, Baumeister RF (2000) The nature and function of self-esteem: sociometer theory. Adv Exp Soc Psychol 32(32):1–62CrossRef

Rosenberg M (1979) Conceiving the self. Basic Books, New York

Harter S (1985) Manual for the self-perception profile for children. University of Denver, Denver

10.

Harter S (2012) The self-perception profile for children: manual and questionnaires (grades 3–8): revision of the self-perception profile for children, 1985. https://portfolio.du.edu/SusanHarter/page/44210

11.

Orth U, Robins RW (2013) Understanding the link between low self-esteem and depression. Curr Dir Psychol Sci 22(6):455–460. doi:10.1177/0963721413492763 CrossRef

12.

Orth U, Robins RW, Roberts BW (2008) Low self-esteem prospectively predicts depression in adolescence and young adulthood. J Pers Soc Psychol 95(3):695–708. doi:10.1037/0022-3514.95.3.695 CrossRefPubMed

13.

King CA, Naylor MW, Segal HG et al (1993) Global self-worth, specific self-perceptions of competence, and depression in adolescents. J Am Acad Child Adolesc Psychiatry 32(4):745–752. doi:10.1097/00004583-199307000-00007 CrossRefPubMed

14.

Steiger AE, Allemand M, Robins RW et al (2014) Low and decreasing self-esteem during adolescence predict adult depression two decades later. J Pers Soc Psychol 106(2):325–338. doi:10.1037/a0035133 CrossRefPubMed

15.

Guillon M, Crocq M, Bailey P (2003) The relationship between self-esteem and psychiatric disorders in adolescents. European Psychiatry 18(2):59–62. doi:10.1016/S0924-9338(03)00002-6 CrossRefPubMed

16.

Schweitzer RD, Seth-Smith M, Callan V (1992) The relationship between self-esteem and psychological adjustment in young adolescents. J Adolesc 15(1):83–97. doi:10.1016/0140-1971(92)90067-F CrossRefPubMed

17.

Silverstone PH, Salsali M (2003) Low self-esteem and psychiatric patients: part I—the relationship between low self-esteem and psychiatric diagnosis. Ann Gen Hosp Psychiatry 2(2). doi:10.1186/1475-2832-2-2

18.

Pelkonen M, Marttunen M, Kaprio J et al (2008) Adolescent risk factors for episodic and persistent depression in adulthood A 16-year prospective follow-up study of adolescents. J Affect Disord 106:123–131CrossRefPubMed

19.

Beck AT (1967) Depression: clinical, experimental, and theoretical aspects. Hoeber, New York

20.

American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, text rev. American Psychiatric Association, Washington, DC

21.

Cole DA, Jaquez F, Maschman T (2004) Social origins of depressive cognitions: a longitudinal study of self-perceived competence in children. Cogn Ther Res 25(4):377–395CrossRef

22.

Cole D, Martin J, Powers B (1997) A competency-based model of child depression: a longitudinal study of peer, parent, teacher, and self-evaluations. J Child Psychol Psychiatry 38(5):505–514CrossRefPubMed

23.

Kim J, Cicchetti D (2006) Longitudinal trajectories of self-system processes and depressive symptoms among maltreated and nonmaltreated children. Child Dev 77(3):624–639. doi:10.1111/j.1467-8624.2006.00894.x CrossRefPubMedPubMedCentral

24.

Sowislo JF, Orth U (2013) Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychol Bull 139(1):213–240. doi:10.1037/a0028931 CrossRefPubMed

25.

Harter S, Marold DB, Whitesell NR (1992) Model of psychosocial risk factors leading to suicidal ideation in young adolescents. Dev Psychopathol 4(01):167–188. doi:10.1017/S0954579400005629 CrossRef

26.

Derdikman-Eiron R, Indredavik MS, Bratberg GH et al (2011) Gender differences in subjective well-being, self-esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: findings from the Nord-Trøndelag health study. Scand J Psychol 52(3):261–267. doi:10.1111/j.1467-9450.2010.00859.x CrossRefPubMed

27.

Ekornas B, Lundervold AJ, Tjus T et al (2010) Anxiety disorders in 8-11-year-old children: motor skill performance and self-perception of competence. Scand J Psychol 51(3):271–277. doi:10.1111/j.1467-9450.2009.00763.x CrossRefPubMed

28.

Chansky TE, Kendall PC (1997) Social expectancies and self-perceptions in anxiety-disordered children. J Anxiety Disord 11(4):347–363. doi:10.1016/S0887-6185(97)00015-7 CrossRefPubMed

29.

Smári J, Pétursdóttir G, Porsteinsdóttir VIN (2001) Social anxiety and depression in adolescents in relation to perceived competence and situational appraisal. J Adolesc 24(2):199–207. doi:10.1006/jado.2000.0338 CrossRefPubMed

30.

Muris P, Meesters C, Fijen P (2003) The self-perception profile for children: further evidence for its factor structure, reliability, and validity. Personal Individ Differ 35(8):1791–1802. doi:10.1016/S0191-8869(03)00004-7 CrossRef

31.

Owens JS, Goldfine ME, Evangelista NM et al (2007) A Critical Review of Self-perceptions and the Positive Illusory Bias in Children with ADHD. Clin Child Fam Psychol Rev 10(4):335–351. doi:10.1007/s10567-007-0027-3 CrossRefPubMed

32.

Hoza B, Pelham WE, Dobbs J et al (2002) Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts? J Abnorm Psychol 111(2):268–278. doi:10.1037//0021-843X.111.2.268 CrossRefPubMed

33.

Kelly PC, Cohen ML, Walker WO et al (1989) Self-esteem in children medically managed for attention deficit disorder. Pediatrics 83(2):211–217PubMed

34.

Klimkeit E, Graham C, Lee P et al (2006) Children should be seen and heard: self-report of feelings and behaviors in primary-school-age children with ADHD. J Atten Disord 10(2):181–191. doi:10.1177/1087054706289926 CrossRefPubMed

35.

Donnellan MB, Trzesniewski KH, Robins RW et al (2005) Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychol Sci 16(4):328–335. doi:10.1111/j.0956-7976.2005.01535.x CrossRefPubMed

36.

Haas S, Waschbusch D, King S et al (2015) Examining the role of callous-unemotional traits in the attributional styles and self competence evaluations of children with conduct problems and ADHD. J Psychopathol Behav Assess 37:196–206CrossRef

37.

Twenge JM, Campbell WK (2003) “Isn’t it fun to get the respect that we’re going to deserve?”—narcissism, social rejection, and aggression. Pers Soc Psychol Bull 29(2):261–272. doi:10.1177/0146167202239051 CrossRefPubMed

38.

Baumeister RF, Smart L, Boden J (1996) Relation of threatened egotism to violence and aggression: the dark side of high self-esteem. Psychol Rev 103(1):5–33. doi:10.1037/0033-295X.103.1.5 CrossRefPubMed

39.

Arcelus J, Vostanis P (2005) Psychiatric comorbidity in children and adolescents. Curr Opin Psychiatry 18(4):429–434. doi:10.1097/01.yco.0000172063.78649.66 CrossRefPubMed

40.

Harter S, Whitesell NR (2003) Beyond the debate: why some adolescents report stable self-worth over time and situation, whereas others report changes in self-worth. J Pers Soc Psychol 71(6):1027–1058. doi:10.1111/1467-6494.7106006

41.

Hoare P, Elton R, Greer A et al (1993) The modification and standardisation of the Harter self-esteem questionnaire with Scottish school children. Eur Child Adolesc Psychiatry 2(1):19–33. doi:10.1007/BF02098827 CrossRefPubMed

42.

Orvaschel H, Beeferman D, Kabacoff R (1997) Depression, self-esteem, sex, and age in a child and adolescent clinical sample. J Clin Child Psychol 26(3):285–289. doi:10.1207/s15374424jccp2603_7 CrossRefPubMed

43.

Ferro MA, Boyle M (2013) Longitudinal invariance of measurement and structure of global self-concept: a population-based study examining trajectories among adolescents with and without chronic illness. J Pediatr Psychol 38(4):425–437. doi:10.1093/jpepsy/jss112 CrossRefPubMed

44.

Jacobs JE, Lanza S, Osgood DW et al (2002) Changes in children’s self-competence and values: gender and domain differences across grades one through twelve. Child Dev 73(2):509–527. doi:10.1111/1467-8624.00421 CrossRefPubMed

45.

Kendler KS, Gardner CO, Ca Prescott (1998) A population-based twin study of self-esteem and gender. Psychol Med 28(6):1403–1409. doi:10.1017/S0033291798007508 CrossRefPubMed

46.

Twenge JM, Campbell WK (2002) Self-esteem and socioeconomic status: a meta-analytic review. Personal Soc Psychol Rev 6(1):59–71. doi:10.1207/S15327957PSPR0601_3 CrossRef

47.

Kling KC, Hyde JSSCJ, Buswell BN (1999) Gender differences in self esteem: a meta-analysis. Psychol Bull 125:470–500. doi:10.1037/0033-2909.125.4.470 CrossRefPubMed

48.

Rohde P, Lewinsohn PM, Seeley JR (1990) Are people changed by the experience of having an episode of depression? A further test of the scar hypothesis. J Abnorm Psychol 99(3):264–271. doi:10.1037/0021-843X.99.3.264 CrossRefPubMed

49.

Coyne JC, Gallo SM, Klinkman MS et al (1998) Effects of recent and past major depression and distress on self-concept and coping. J Abnorm Psychol 107(1):86–96. doi:10.1037/0021-843X.107.1.86 CrossRefPubMed

50.

Quante M, Hesse M, Döhnert M et al (2012) The LIFE child study: a life course approach to disease and health. BMC Pub Health 12(1):1021. doi:10.1186/1471-2458-12-1021 CrossRef

51.

Lampert T, Müters S, Stolzenberg H, Kroll LE, KiGGS Study Group (2014) Messung des sozioökonomischen Status in der KiGGS-Studie. Erste Folgebefragung (KiGGS Welle 1) [Measurement of socioeconomic status in the KiGGS study. First follow-up KiGGS wave 1]. Bundesgesundheitsblatt 57:762–770. doi:10.1007/s00103-014-1974-8 CrossRef

52.

Kaufmann J, Birmaher B, Brent B et al (1996) Kiddie-Sads-Present and Lifetime Version (K-SDAS-PL) (vol version 1.0 of October 1996). The Department of Psychiatry, University of Pittsburgh School of Medicine

53.

Axelson D, Birmaher B, Zelazny J et al (2009) K-SADS-PL 2009 working draft. Advanced Center for Intervention and Services Research (ACISR) for Early Onset Mood and Anxiety Disorders, Western Psychiatric Institute and Clinic

54.

Delmo C, Weiffenbach O, Gabriel M et al (2001) Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) Diagnostisches Interview, 5. Auflage der deutschen Forschungsversion, erweitert um ICD-10-Diagnostik [5th edition of the German research version with the addition of ICD-10-diagnosis], Frankfurt am Main, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters

55.

Saß H, Wittchen H, Zaudig M et al (2003) Diagnostisches und Statistisches Manual Psychischer Störungen Textrevision (DSM-IV-TR). Hogrefe, Göttingen

56.

World Health Organization (1993) ICD-10, the ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. World Health Organization, Geneva

57.

Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586. doi:10.1111/j.1469-7610.1997.tb01545.x CrossRefPubMed

58.

Klasen H, Woerner W, Wolke D et al (2000) Comparing the German Versions of the Strengths and Difficulties Questionnaire (SDQ-Deu) and the Child Behavior Checklist. Eur Child Adolesc Psychiatry 9(4):271–276. doi:10.1007/s007870070030 CrossRefPubMed

59.

Weiß R, Weiß B (2006) Sprachfreier Grundintelligenztest Skala 2—revision (CFT-20-R). Hogrefe, Göttingen

60.

Aiken LS, West SG (1991) Multiple regression: testing and interpreting interactions. Sage, Atlanta

61.

Kraemer HC, Blasey CM (2004) Centring in regression analyses: a strategy to prevent errors in statistical inference. Int J Methods Psychiatric Res 13:141–151. doi:10.1002/mpr.170 CrossRef

62.

Steiger AE, Fend HA, Allemand M (2015) Testing the vulnerability and scar models of self-esteem and depressive symptoms from adolescence to middle adulthood and across generations. Dev Psychol 51(2):236–247. doi:10.1037/a0038478 CrossRefPubMed

63.

Shahar G, Davidson L (2003) Depressive symptoms erode self-esteem in severe mental illness: a three-wave, cross-lagged study. J Consult Clin Psychol 71(5):890–900. doi:10.1037/0022-006X.71.5.890 CrossRefPubMed

64.

Havighurst RJ (1974) Developmental tasks and education. David McKay Company, New York

65.

Treuting JJ, Hinshaw SP (2001) Depression and self-esteem in boys with attention-deficit/hyperactivity disorder: associations with comorbid aggression and explanatory attributional mechanisms. J Abnorm Child Psychol 29(1):23–39. doi:10.1023/A:1005247412221 CrossRefPubMed

66.

Phares V, Steinberg AR, Thompson JK (2004) Gender differences in peer and parental influences: body image disturbance, self-worth, and psychological functioning in preadolescent children. J Youth Adolesc 33(5):421–429CrossRef

67.

van den Berg PA, Mond J, Eisenberg M et al (2010) The link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health 47(3):290–296. doi:10.1016/j.jadohealth.2010.02.004 CrossRefPubMedPubMedCentral

68.

Kovacs M, Devlin B (1998) Internalizing disorders in childhood. J Child Psychol Psychiatry 39(1):47–63. doi:10.1017/S0021963097001765 CrossRefPubMed

69.

de Pauw SSW, Mervielde I, de Clercq BJ et al (2009) Personality symptoms and self-esteem as correlates of psychopathology in child psychiatric patients: evaluating multiple informant data. Child Psychiatry Hum Dev 40(4):499–515. doi:10.1007/s10578-009-0140-2 CrossRefPubMed

70.

Kraemer HC (2003) A new approach to integrating data from multiple informants in psychiatric assessment and research: mixing and matching contexts and perspectives. Am J Psychiatry 160(9):1566–1577CrossRefPubMed

71.

Class Q, D’Onofrio B, Singh A et al (2012) Current parental depression and offspring perceived self-competence: a quasi-experimental examination. Behav Genet 42:787–797. doi:10.1007/s10519-012-9550-1 CrossRefPubMedPubMedCentral

72.

Jacquez F, Cole DA, Searle B (2004) Self-perceived competence as a mediator between maternal feedback and depressive symptoms in adolescents. J Abnorm Child Psychol 32(4):355–367CrossRefPubMed

73.

Ferro MA, Boyle M (2015) The impact of chronic physical illness, maternal depressive symptoms, family functioning, and self-esteem on symptoms of anxiety and depression in children. J Abnorm Child Psychol 43:177–187. doi:10.1007/s10802-014-9893-6 CrossRefPubMed

Titel: Self-Esteem of 8–14-Year-Old Children with Psychiatric Disorders: Disorder- and Gender-Specific Effects
Auteurs: Stephanie Stadelmann
Madlen Grunewald
Charlotte Gibbels
Sonia Jaeger
Tina Matuschek
Steffi Weis
Annette Maria Klein
Andreas Hiemisch
Kai von Klitzing
Mirko Döhnert
Publicatiedatum: 21-05-2016
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 1/2017
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-016-0651-6

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