title: Self-esteem, self-concept, and quality of life in children with hemiplegic cerebral palsy.
abstract: OBJECTIVE
  To investigate self-esteem, self-concept and quality of life in children with hemiplegic cerebral palsy (HCP) compared with typically developing peers.
  
  
  METHODS
  Cross-sectional evaluation of 86 children (3-16 years; 54 boys; mean age 9.4 +/- 3.7 years) with HCP and age and sex-matched peers. Self-esteem/concept was measured with the Self-Perception Profile for Children (age 8-16; n = 55 pairs) and the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children (age 3-7 years; n = 31 pairs). Quality of life was measured with the Pediatric Quality of Life Inventory, version 4.
  
  
  RESULTS
  Significant differences in mean scores ([95%CI] P < .05) favoring the peer group were found for physical competence (HCP 2.8 [2.5, 3.0]; peer 3.2 [3.1, 3.3]), athletic competence (HCP 2.7 [2.5, 2.9]; peer 3.1 [3.0, 3.3]), and scholastic competence (HCP 2.8 [2.6, 3.0]; peer 3.1 [3.0, 3.3]), but favored children with HCP for maternal acceptance (HCP 3.1 [2.9, 3.3]; peer 2.7 [2.5, 3.0]). Quality of life was significantly higher for the peer group for both parent (HCP 54.5 [51.1, 58.0]; peer 80.6 [78.3, 82.9]) and child (HCP 67.6 [62.7, 72.6]; peer 80.6 [78.1, 83.1]) scales.
  
  
  CONCLUSIONS
  Children with HCP experience reduced quality of life and self-concept compared with typically developing peers.
authors.affiliation: Flinders University Rehabilitation Studies Unit, University of Adelaide, Adelaide, South Australia.
authors.forename: Remo N
authors.initials: RN
authors.lastname: Russo
authors.forename: Emma J
authors.initials: EJ
authors.lastname: Goodwin
authors.forename: Michelle D
authors.initials: MD
authors.lastname: Miller
authors.forename: Eric A
authors.initials: EA
authors.lastname: Haan
authors.forename: Tim M
authors.initials: TM
authors.lastname: Connell
authors.forename: Maria
authors.initials: M
authors.lastname: Crotty
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D011788:Quality of Life; D012649:Self Concept