Original Article

The Association between Behavioral Problems with Self-Esteem and Self-Concept in Pediatric Patients with Thalassemia

Abstract

Objective: High prevalence of behavioral and psychological disorders in children with thalassemia can be associated with a decrease in the self-esteem of patients and can completely alter the person's self-concept. The aim of this study was to determine the prevalence of behavioral problems and its relationship with self-esteem and self-concept in patients with thalassemia major aged 6 to 18 years.

Method: In a cross-sectional study, 30 patients with thalassemia major at the age of 6 to 18 years were enrolled. behavioral problems, self-esteem, and self-concept were evaluated by the child's behavioral check list at the ages of 6 to 18 years (CBCL 6-18), the Coopersmith's Self-Esteem Inventory, and the Piers-Harris Children's Self-Concept Scale.

Results: A total of 10.0% of patients had behavioral disorders, 3 (10.0%) desirable self-esteem, 15 (50.0%) moderate self-esteem, and 12 (40.0%) poor self-esteem. There was a strong but adverse correlation between behavioral disorder score and both self-esteem score (correlation coefficient equal to -0.886, p value = 0.001) and self-concept score (correlation coefficient equal to -0.498, p value = 0.001), and thus those patients with behavioral disorder had less appropriate self-esteem and self-concept.

Conclusion: The incidence of behavioral disorders is associated with decreased self-esteem and poor self-concept in these patients. Therefore, improvement in behavioral disorders can be expected by improving self-esteem and self-concept in such patients.

1. Cakaloz B, Cakaloz I, Polat A, Inan M, Oguzhanoglu NK. Psychopathology in thalassemia major. Pediatr Int. 2009;51(6):825-8.
2. Shaligram D, Girimaji SC, Chaturvedi SK. Psychological problems and quality of life in children with thalassemia. Indian J Pediatr. 2007;74(8):727-30.
3. Adam S, Afifi H, Thomas M, Magdy P, El-Kamah G. Quality of Life Outcomes in a Pediatric Thalassemia Population in Egypt. Hemoglobin. 2017;41(1):16-20.
4. Siddiqui SH, Ishtiaq R, Sajid F, Sajid R. Quality of life in patients with thalassemia major in a developing country. J Coll Physicians Surg Pak. 2014;24(7):477-80.
5. Naderi M, Hormozi MR, Ashrafi M, Emamdadi A. Evaluation of Mental Health and Related Factors among Patients with Beta-thalassemia Major in South East of Iran. Iran J Psychiatry. 2012;7(1):47-51.
6. Aydinok Y, Erermis S, Bukusoglu N, Yilmaz D, Solak U. Psychosocial implications of Thalassemia Major. Pediatr Int. 2005;47(1):84-9.
7. Messina G, Colombo E, Cassinerio E, Ferri F, Curti R, Altamura C, et al. Psychosocial aspects and psychiatric disorders in young adult with thalassemia major. Intern Emerg Med. 2008;3(4):339-43.
8. Messina G, Colombo E, Cassinerio E, Ferri F, Curti R, Altamura C, et al. Psychosocial aspects and psychiatric disorders in young adult with thalassemia major. Intern Emerg Med. 2008;3(4):339-43.
9. Achenbach T.M. Manual for the child behavior check list/2-3 and 1992 profile. Burlington: University of Vermont; 1992.
10. Yochman A, Parush S, Ornoy A. Responses of preschool children with and without ADHD to sensory events in daily life. Am J Occup Ther. 2004;58(3):294-302.
11. Ahadi B. Comparison of Behavior Problems and School Achievement between Children with and without Motor Problems. Archives of Rehabilitation. 2009;10(1):32-37.
12. Herz L, Gullone E. The relationship between self-esteem and parenting style: A cross-cultural comparison of Australian and Vietnamese Australian adolescents. Journal of cross-cultural psychology. 1999;30(6):742-61.
13. Alexopoulos DS, Foudoulaki E. Construct validity of the Piers-Harris Children's Self-concept Scale. Psychol Rep. 2002;91(3 Pt 1):827-38.
14. Alaei Karhrudy F, Kiani M, Izadi A, Alavi Majd H. Comparison of typical adolescent self-concept and delinquent boys ages 12 to 14 years in Tehran. J NURS Midwif. 2010; 20(69):10–5.
15. Poormansouri S, Ahmadi M, Shariati A, Keikhaei B. Quality of life, depression, anxiety and stress in over-18-year-old patients with beta-Thalassemia major. Sci J Iran Blood Transfus Organ. 2016; 13 (1) :72-82.
16. Hosseini SH. Comparison of Islastronomy in Patients aged 15 to 25 years old with β-thalassemia major who referred to Bouali Sina Hospital in Sari during 2003-2004 with control group. JMUMS 2007;7(59):51-60.
17. Hongally C, Benakappa AD, Reena S. Study of behavioral problems in multi-transfused thalassemic children. Indian J Psychiatry. 2012;54(4):333-6.
18. Tomaj OK, Estebsari F, Taghavi T, Borim Nejad L, Dastoorpoor M, Ghasemi A. The Effects of Group Play Therapy on Self-Concept Among 7 to 11 Year-Old Children Suffering From Thalassemia Major. Iran Red Crescent Med J. 2016;18(4):e35412.
19. Kiani J, Pakizeh A, Ostovar A, Namazi S. Effectiveness of Cognitive Behavioral Group Therapy (CBGT) in increasing the self esteem & decreasing the hopelessness of β-Thalassemic adolescents. ISMJ. 2010;13(4):241-52.
Files
IssueVol 16 No 1 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijps.v16i1.5377
Keywords
Self-Esteem Self-Concept Thalassemia
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Nourbakhsh SMK, Atamanesh M, Effatpanah M, Salehi M, Heidari M. The Association between Behavioral Problems with Self-Esteem and Self-Concept in Pediatric Patients with Thalassemia. Iran J Psychiatry. 2021;16(1):36-42.