Self-concept in children with spina bifida compared with typically developing children
Article first published online: 17 SEP 2008
Copyright © 2008 Mac Keith Press
Developmental Medicine & Child Neurology
Volume 50, Issue 10, pages 733–743, October 2008
How to Cite
Shields, N., Taylor, N. F. and Dodd, K. J. (2008), Self-concept in children with spina bifida compared with typically developing children. Developmental Medicine & Child Neurology, 50: 733–743. doi: 10.1111/j.1469-8749.2008.03096.x
- Issue published online: 17 SEP 2008
- Article first published online: 17 SEP 2008
- Accepted for publication 14th May 2008.
The literature was systematically reviewed to determine if children with spina bifida have lower self-concept compared with their peers with typical development. Relevant trials were identified by searching electronic databases, supplemented by citation tracking. Of 803 papers initially identified, 15 met the inclusion criteria. Meta-analysis revealed children with spina bifida scored significantly lower than children with typical development for the domains of global self-worth (d=−0.39, 95% confidence interval [CI] −0.65 to −0.12); physical appearance (d=−0.26, 95% CI −0.46 to −0.06); athletic competence (d=−0.45, 95% CI −0.67 to −0.22); social acceptance (d=−0.33, 95% CI −0.55 to −0.11); and scholastic competence (d=−0.43, 95% CI −0.66 to −0.21). There was no difference between the groups for the behavioural conduct domain. Children with spina bifida on average have a lower self-concept than their peers with typical development. Clinicians need to take account of this information in planning the assessment and treatment of this group.