Broder H, Strauss R P
Department of Dental Ecology, UNC School of Dentistry, University of North Carolina, Chapel Hill.
Cleft Palate J. 1989 Apr;26(2):114-7; discussion 117-8.
This study compares self-concept scores on the Primary Self-Concept Inventory (PSCI) of 58 7-year-old children. The experimental groups included the three following subgroups: those with visible defects (cleft lip), mixed visible and invisible defects (cleft lip and palate), and invisible defects (cleft palate). The control consisted of first grade students with no physical defects. Significant differences between the subjects with clefts and controls were found. Children with cleft lip and palate (visible and invisible defects) demonstrated the lowest self-concept scores. These test results suggest that early primary school age children experience significant stigma. Therefore, early evaluation of psychosocial stress factors for children with clefts is suggested. School personnel can contribute to addressing self-concept concerns of children with defects. Suggestions for further research are presented.
本研究比较了58名7岁儿童在初级自我概念量表（PSCI）上的自我概念得分。实验组包括以下三个亚组：有明显缺陷（唇裂）的儿童、有明显和隐性缺陷（唇腭裂）的儿童以及有隐性缺陷（腭裂）的儿童。对照组由没有身体缺陷的一年级学生组成。研究发现，患有腭裂的儿童与对照组之间存在显著差异。患有唇腭裂（明显和隐性缺陷）的儿童自我概念得分最低。这些测试结果表明，小学低年级儿童会经历明显的污名化。因此，建议对腭裂儿童的心理社会应激因素进行早期评估。学校工作人员可以帮助解决有缺陷儿童的自我概念问题。本文还提出了进一步研究的建议。
