title: Measuring the self-esteem of adolescents with mental health problems: theory meets practice.
abstract: Occupational therapists frequently address the self-esteem of young clients despite little empirical evidence that the clients have low self-esteem to begin with, and that occupational therapy intervention is effective in addressing self-esteem. This article examines the self-esteem of 39 adolescents with mental health problems referred to a pre-vocational programme in an effort to compare clinical practice with empirical findings. The Self-Perception Profile for Adolescents and the Importance Rating Scale for Adolescents are employed to compare the self-esteem of the adolescents with mental health problems with the normative sample, prior to (n = 39) and upon completion of the pre-vocational programme (n = 14). Results indicate no difference between the two groups' self-esteem and no change in self-esteem scores following participation in the pre-vocational programme. Global self-esteem is significantly correlated with physical appearance and behavioural conduct (n = 39). Competence-importance discrepancy scores are significantly related to global self-esteem (n = 14). This finding supports the theory that it is the domain of self-concept which is low and important to the adolescent which will influence his/her self-esteem. These results are consistent with previous studies. Possible explanations for the discrepancy between clinical perceptions and objective findings are discussed. Implications for practice are presented.
authors.affiliation: Child and Parent Resource Institute, 600 Sanatorium Road, London, Ontario, N6H 3W7. Colleen.Willoughby@css.gov.on.ca
authors.forename: C
authors.initials: C
authors.lastname: Willoughby
authors.forename: H
authors.initials: H
authors.lastname: Polatajko
authors.forename: C
authors.initials: C
authors.lastname: Currado
authors.forename: K
authors.initials: K
authors.lastname: Harris
authors.forename: G
authors.initials: G
authors.lastname: King
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D002648:Child; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008603:Mental Health; D009788:Occupational Therapy; D011594:Psychometrics; D012649:Self Concept; D011795:Surveys and Questionnaires; D014830:Vocational Guidance