Zashikhina Anna, Hagglof Bruno
Int J Adolesc Med Health. 2014;26(2):275-81. doi: 10.1515/ijamh-2013-0507.
This work aims to study self-esteem in adolescents with diabetes, asthma and epilepsy; compare the results with those of the representative sample of healthy adolescents; and evaluate the predictive value of certain demographic, family-related, and disease-related factors on self-esteem.
A total of 148 chronically ill adolescents and 301 matched healthy counterparts completed the Rosenberg Self Esteem Scale and the "I think I am" questionnaire. Adolescents' parents answered socio-economic status questions. Disease severity was evaluated by doctors of the outpatient clinic.
Comparison analysis of the three disease groups revealed highest self-esteem perception in adolescents with diabetes, and lowest in adolescents with epilepsy. Unexpectedly, adolescents with diabetes scored higher than their healthy counterparts. There were no significant differences between the reports of adolescents with asthma and controls. In the epilepsy group, self-esteem was predicted mostly by disease severity and socio-economic status in diabetes and asthma groups, as well as by age and gender.
The maintenance of positive self-esteem in adolescents with diabetes and asthma is a very reassuring finding. The other results of our study provide support for recognizing adolescents with epilepsy as a vulnerable group in the society. A multidisciplinary professional approach targeted on adolescents with epilepsy is needed, with focus on factors connected with maturation and gender issues.
本研究旨在探讨糖尿病、哮喘和癫痫青少年的自尊水平；将结果与健康青少年的代表性样本进行比较；并评估某些人口统计学、家庭相关和疾病相关因素对自尊的预测价值。
共有148名慢性病青少年和301名匹配的健康青少年完成了罗森伯格自尊量表和“我认为我是”问卷。青少年的父母回答了社会经济状况问题。疾病严重程度由门诊医生评估。
对三个疾病组的比较分析显示，糖尿病青少年的自尊感知最高，癫痫青少年的自尊感知最低。出乎意料的是，糖尿病青少年的得分高于其健康同龄人。哮喘青少年与对照组的报告之间没有显著差异。在癫痫组中，自尊主要由疾病严重程度和社会经济状况预测，在糖尿病和哮喘组中，还由年龄和性别预测。
糖尿病和哮喘青少年保持积极的自尊是一个非常令人欣慰的发现。我们研究的其他结果支持将癫痫青少年视为社会中的弱势群体。需要针对癫痫青少年采取多学科专业方法，重点关注与成熟和性别问题相关的因素。
