Comparison of self-concept of children with cerebral palsy and children without impairments

Abstract

Introduction: Self-esteem or self-concept is a feeling of self-appreciation. A positive self-concept is essential to maintain normal psychological health. Cerebral palsy results in functional impairments that limit the individual's activities. This could lead to a negative self-concept among these children. Aim: To compare the self-concept of children having cerebral palsy with the children having no impairment. Material and Methods: The study was an observational case-control type of study with n = 56 (28 in each group). The self-concept of the children (age 10-16 years) was assessed using Harter's Self Perception Profile for Children. The mean of each subscale was compared between the two groups using the Mann-Whitney U-test on SPSS version 20. The males and females were compared in each group. Results: There was a significant difference in the two graphs with respect to the aspects of physical appearance ( P = 0.000), behavioral conduct ( P = 0.024), social competence ( P = 0.001), and athletic competence ( P = 0.000). Males with cerebral palsy showed a lower sense of self-concept in the field of social competence ( P = 0.002), athletic competence ( P = 0.00), and physical appearance ( P = 0.016). On the other hand, females with cerebral palsy showed comparatively lower self-concept in the fields of athletic competence ( P = 0.000) and physical appearance ( P = 0.000). Conclusion: Children having cerebral palsy showed reduced self-concept in the domains of social competence, behavioral conduct, physical appearance, and athletic competence. Gender-based differences were observed in the two groups.