Do the self-concept and quality of life decrease in CP patients? Focussing on the predictors of self-concept and quality of life.
OBJECTIVE
To find out if the quality of life (QOL) and self-concept of the children with cerebral palsy (CP) was different from that of children without disability, to investigate predictive variables that could affect self-concept and QOL.


METHODS
A total of 40 children with CP and 46 age-matched peers were included. The baseline characteristics including sex, type of CP, the level of disability according to Gross Motor Function Classification System (GMFCS) were recorded. Education levels of both children and parents, demographic features of parents, features of living area, usage of devices and associated impairments were filled out. Self-concept was measured using Piers-Harris Self-concept (PH) Scale. Quality of life was measured by Pediatric Quality of Life Inventory 4.0 (PedsQL). The physical and psychosocial health subscale scores of PedsQL (P-PedsQL and PS-PedsQL) were recorded.


RESULTS
Significant differences in mean scores favouring the control group were found for PH scale, PedsQL scale (p < 0.001). P-PedsQL and PS-PedsQL of the CP group were lower than the control group (p < 0.001). PS-PedsQL report was significant predictor of self-concept. The presence of incontinence and GMFCS level were significant predictors of PedsQL and PPedsQL, respectively.


CONCLUSIONS
Self-concept and QOL of the CP children were lower than the children without CP. Presence of incontinence, self-concept rating and GMFCS level were important to predict domains of QOL.
Department of Physical Medicine and Rehabilitation, Suleyman Demirel University, Isparta, Turkey. feraysoyupek@yahoo.com
Feray
F
Soyupek
Evrim
E
Aktepe
Serpil
S
Savas
Ayhan
A
Askin
D000293:Adolescent; D016022:Case-Control Studies; D002547:Cerebral Palsy / Q000523:psychology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D014549:Urinary Incontinence / Q000523:psychology