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Journal of Pediatric Psychology 22(5) pp. 707-722, 1997
© 1997 Society of Pediatric Psychology

research-article

Depressive Symptoms and Self-Concept in Young People with Spina Bifida1

Peter L. Appleton2,, Nick C. Elis, Philip E. Minchom, Val Lawson, Vicki Böll and Pat Jones

Clwydian Community Care NHS Trust, University of Wales Bangor, Wrexham Maelor Hospital NHS Trust, Clwyd County Council

2 All correspondence should be addressed to Peter L.aAppetton, School of Psychology, University of Wales, Bangor, Wales, United Kingdom. LL57 2DG

Examined self-reported depressive symptoms in 72 young people with spina bifida, ages 9 to 18:11, and matched able-bodied comparison subjects, using the Dimensions of Depression Profile for Children and Adolescents(Harter&Nowakowski, 1987). Independent variables included gender, self-perceptions (including physical appearance), and perceived social support. Young people with spina bifida were at greater risk of depressive mood, low self-worth, and suicidal ideation. Girls, independent of disability, were at greater risk of depressive mood, low self-worth, and self-blame. Multiple regression analyses suggest that global self-worth serves as a mediating variable for the effect of physical appearance self-concept on depressed mood (particularly in young people with spinabifida), and that perceived parental social support has a direct effect on depressed mood (particularly in girls).

Key words: depressive symptoms; spina bifida; child; disability; self-concept; social support.


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