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

摘要

Objective: High prevalence of behavioral and psychological disorders in children with thalassemia can be associatedwith a decrease in the self-esteem of patients and can completely alter the person's self-concept. The aim of this studywas to determine the prevalence of behavioral problems and its relationship with self-esteem and self-concept in patientswith 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 to18 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%) moderateself-esteem, and 12 (40.0%) poor self-esteem. There was a strong but adverse correlation between behavioral disorderscore 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 lessappropriate self-esteem and self-concept.Conclusion: The incidence of behavioral disorders is associated with decreased self-esteem and poor self-concept inthese patients. Therefore, improvement in behavioral disorders can be expected by improving self-esteem and selfconceptin such patients.