General Self-image Research Articles

L’image de soi de l’alcoolodépendant à travers l’échelle tennessee du concept de soi: Étude comparative entre hommes et femmes

Self-image is a central problem in alcoholism. Most theories about the relationships between the self-image of alcoholics and their behaviour have been derived from -clinical observations rather than empirical research. Most observations have pointed out that alcoholics are prone to underevaluation of themselves and that low self-image is the basis of much of the problem drinker's behaviour. All the research on self-image has concluded that alcoholics have a lower self-image than non-alcoholics. Some empirical research has been conducted on the self-image of alcoholics; it has, however, been carried out only a few times, restricted to small samples, and concerned with a limited number of aspects of self-image. Moreover, most of these studies are not recent, and it seems that this area of research is not well covered. Even though the hypothesis of a bad self-image in alcoholics was validated by various older studies, the representation of alcoholism has since changed. Because of this evolution, the ways in which the disease has been viewed have changed. One can question to what extent changes in society can influence the self-image of alcoholics. This question seems all the more pertinent for alcoholic women, given the evolution of the female condition since the Seventies. The objectives of this study are to evaluate the self-image of alcoholics and non-alcoholics, and to compare the self-image of male and female alcoholics. Our hypotheses are that: 1) the self-image of an alcoholic is more negative than that of a non-alcoholic, and that: 2) female alcoholics have a more negative self-image than male alcoholics. Two groups of 30 subjects each were made up: a group of alcoholics recruited in an alcohol-dependency unit and a group of non-alcoholics recruited in a public place. The comparison of socio-demographic data between the alcoholic group and the control group does not show a significant difference except for age and level of schooling. The average age of the control group is younger than that of the alcoholic group. The level of schooling of the control group is higher than that of the alcoholic group. These differences can be explained by the mode of recruitment of the participants. The significant differences between the alcoholic men and women are at the level of the number of Years of alcoholism, the age at which the disorder began and the number of detoxification episodes. These differences are probably due to cultural background. Indeed, the age at which alcoholism begins is later in women and they consult more quickly than men. The two groups were assessed using the Tennessee Self Concept Scale and the Self Esteem Inventory. Other tests were used to control factors capable of influencing self-image (depression, socio-demographic data). The results show that the alcoholics have a more negative self-image than the control group. The alcoholics perceived themselves significantly less favourably on the identity (what I am), self-satisfaction (how I feel about myself), and behaviour (what I do) scores than did those in the control group. The alcoholics also saw themselves in a significantly more negative light than did those in the control group on the scores relating to physical self (body, health.), moral-ethical self (moral worth), personal self (evaluation of personality), family self (adequacy and value as a family member) and social self (adequacy and worth in interaction with others). The self-criticism subscale provided further evidence that the alcoholics were more open and self-critical than were those in the control group. Female alcoholics had a lower self-image than male alcoholics, but not in every aspect. There was a significant difference between the scores of alcoholic women and alcoholic men, for three of the subscales measured by the Tennessee Self Concept Scale: "general self-image", "personal self" and "self-criticism". The alcoholic women perceived themselves more negatively when it came to "self-satisfaction", "personal self" and "social self". They were however more positive than the men in the sectors of "identity", "behaviour", "physical self", "moral-ethical self", and "family self". The alcoholic men were more openly self-critical than the alcoholic women. Our results confirm the conclusions of empirical studies and of clinical observations. Alcoholics see themselves as generally inadequate and unworthy of respect. The changes in representations of this disease seem to have influenced the alcoholic's self-image, but it remains however very negative. The alcoholics'negative self-image is generalised and not specific to personality and behaviour. The -representation of alcoholism seems to have contributed to an improvement in the self-esteem and self-image of alcoholics, and in particular of female alcoholics. Even if the self-image of alcoholic women remains more negative than that of alcoholic men, it tends to bring back the self-image of alcoholic women to a level close to that of the men.

Marfan Syndrome in Europe

Objectives: Marfan syndrome (MFS) is a relatively frequent systemic connective tissue disorder with an important physical morbidity and mortality. The influences of MFS on physical problems, perception of severity, and impact on the quality of life and psychosocial well-being have been studied only limitedly. The aim of this study was to assess the association between the severity derived from the reported symptoms and subjectively experienced severity of MFS (expressed as a global judgment), with special emphasis regarding impact on relationships and pregnancies, psychosocial adjustment, and differences between the seven European countries. Methods: A questionnaire designed specifically for this study and translated in each of the native languages was sent to 2,080 members of one of the patient support groups in Belgium, Denmark, France, Germany, The Netherlands, Switzerland, and the United Kingdom. 857 MFS patients of 13 years and older completed the questionnaire and were included in the data analysis. Results: Physical impairments were scored by perception of severity of physical symptoms by the patients (physical severity perception score) and by their perception of the influence of MFS on their life (subjective severity score). Main discrepancy between physical severity perception and subjective severity score was the higher percentage of patients scoring in physical severity perception as severe (53.5%) compared to subjectively severe (26.5%). 61% of those who scored on the physical severity score as severely affected were designated as being mildly-moderately affected on subjective scoring. Both severity scores increased significantly with age. Two hundred-twenty women have carried 430 pregnancies (1.95 pregnancies/woman), with cardiovascular complications in 1.6%. Prenatal studies for MFS were rejected by 7.6% of MFS patients of 25 years and older, 33.6% were undecided, and 48.5% favored prenatal diagnosis for MFS if available. A positive general self-image was reported by 91.5% of patients. However, more than 90% stated that MFS had a negative influence on their sexual relationships, which they ascribed to negative perception of their body image. Conclusions: MFS has significant impact on daily life activities, but the majority of patients come to terms with their condition. Acceptance is mainly determined by subjective severity, and less by physical symptoms as reported by the patients themselves. It is important to stimulate a positive attitude towards MFS.

Clinical recovery in cognitive functioning and self-image among adolescents with major depressive disorder and conduct disorder during psychiatric inpatient care.

This prospective study examined psychosocial and cognitive functioning among adolescents with major depressive disorder and conduct disorder under comprehensive psychiatric inpatient care. Nonverbal and general cognitive performance, self-image, and overall psychosocial functioning improved in both groups. Nevertheless, more changes in self-image and family functioning were found among patients with major depressive disorder. Mental health services should still have the capability of offering long-term residential care for adolescents with the most severe mental disturbance.

Percepción materna del ajuste socioemocional de sus hijos preescolares: Estudio descriptivo y comparativo de familias separadas e intactas con alto y bajo nivel de ajuste marital

Se estudió la percepción que tienen las madres del ajuste emocional y conductual de sus hijos preescolares en 77 familias con escala IPCS: a) 21 separadas viviendo en período crítico post-separación parental (FS), b) 45 intactas con alto nivel de ajuste marital (FIa), y c) 11 intactas con un bajo nivel de ajuste marital (FIb). Se encontraron diferencias significativas entre los niños de FS y FIa en ajuste socioemocional y conductual global, agresividad, retraimiento, inmadurez, comportamiento extraño, ansiedad e imagen disminuida. No se encontraron diferencias significativas en ninguna de las variables estudiadas entre los niños de familias FS y FIb, ni entre FIb y FIa. Se discute el impacto de la separación de los padres en el desarrollo socioemocional de niños preescolares en relación con desarrollo socioemocional de niños que viven en una familia cuyos padres tiene un buen ajuste marital o en familias que presentan conflicto marital.

Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. A multicenter study of 244 patients.

An outcome questionnaire was constructed to evaluate patient satisfaction and performance and to discriminate among patients with adolescent idiopathic scoliosis. To determine reliability and validity in a new quality-of-life instrument for measuring progress among scoliosis patients. Meta-analysis of the surgical treatment of adolescent idiopathic scoliosis determined that a uniform assessment of outcome did not exist. In addition, patient measures of well-being as opposed to process measures (e.g., radiographs) were not consistently reported. This established the need for a standardized questionnaire to assess patient measures in conjunction with process measures. The instrument consists of 24 questions divided into seven equally weighted domains as determined by factor analysis: pain, general self-image, postoperative self-image, general function, overall level of activity, postoperative function, and satisfaction. The questionnaire takes approximately 5 minutes to complete and is taken at predetermined time intervals. A total of 244 of patients from three different sites responded to the questionnaire. The reliability based on internal consistency was confirmed with a Cronbach's alpha coefficient greater than 0.6 for each domain. In addition, acceptable correlation coefficient values greater than 0.68 were obtained for each domain by the test-retest method on normal controls. Similarly; to establish validity of the questionnaire, responses of normal high school students were compared with that of the patients. Consistent differences were noted in the domains between the two groups with P < 0.003. The largest differences were in pain (control, 29.96 +/- 0.20; patient, 13.23 +/- 5.55) and general level of activity (control, 14.96 +/- 0.20; patient, 12.16 +/- 3.23). Examination of the relationship between the domains and patient satisfaction showed that pain correlates with satisfaction to the greatest degree (Pearson's correlation co-efficient, r = -0.511; P < 0.001), followed by self-image (r = 0.412; P < 0.001). This questionnaire addresses patient measures for evaluation of outcome in adolescent idiopathic scoliosis surgery by examining several domains. It also allows for dynamic monitoring of scoliosis patients as they become adults. This is a validated instrument with good reliability measures.

Self-Reported Worries Among Long-Term Survivors of Childhood Cancer and Their Peers

This study examined sell-reported worries of long-lerm survivors or' childhood cancer. Three stages of analysis were conducted. Stage I included a comparative analysis of long-term survivors and young people without a history oi cancer. Stage 2 drew on a hospital-based sample of long-term survivors and a qualitative analysis of the open-ended comments from a panel of 20 additional survivors, to examine the reliability and validity of the results from Stage I. Stage 3 examined factors that influenced variation in degree of worries among survivors in the first sample. Hie findings suggest that in several related areas of general health and self-image, the survivors worried less than the comparison sample did. However, in areas related specifically to cancer, the survivors1 degree of worry was higher than the degree reported by the comparison sample. These results are discussed in the context of the debate about the prevalence of psychopathology and psychological distress among long-term survivors of childhood cancer.

The Patterned Inconsistency of Traits: Mapping the Differential Effects of Social Roles on Self-Perceptions of the Big Five

Role-related differences in self-perceptions on the Big Five are evaluated for 262 participants who described their general self-image and several role identities on the Big Five Inventory (BFI). As expected, considerable Correlational consistency among the self-perceptions coexisted with normative mean-level differences between the general self-image and the role identities on all five BEI scales. Several normative differences in self-description were predicted from four broad features of roles: the number of interactants involved in a role, the ease with which role relationships may be terminated, the presence of a legitimized chain of authority, and the level of intimacy typically expressed in the role.

Self-concept, school self-image, satisfaction, and involvement in an alternative high school

Alternative education emphasizes students' psychological development and academic achievement. The present paper reports a case study of the psychological correlates of students' adjustment to a small urban free school. It was expected that: (a) students would have high general self-concept, school selfimage, satisfaction, and involvement; (b) self-concept would discriminate between those high and low in school adjustment: and (c) there would be a positive relationship between school self-image, satisfaction, and involvement. Forty male and thirty female students voluntarily answered the New Morning Student Questionnaire (1972) and the Tennessee Self-Concept Scale (Fitts, 1965). Results showed that students were psychologically well adjusted; they had a somewhat higher self-concept than the norm for high school students; self-concept was a good predictor of school self-image and satisfaction; and there was a positive relationship between school self-image, satisfaction, and involvement.