[Medical inpatient rehabilitation influences on self-esteem and self-efficacy of chronically ill adolescents].
BACKGROUND
In this article the development of self-esteem and self-efficacy in adolescents with chronic physical illness with and without psychological symptoms is measured over one year, following a medical inpatient rehabilitation treatment of four to six weeks. Gender- and diagnosis-related differences are analyzed.


METHODS
243 chronically ill adolescents were interviewed at the beginning of their rehabilitation treatment. After one year data of 99 chronically ill adolescents are available (age: M=14.6; SD=1.70), 50 boys. Self-esteem was measured using the revised Rosenberg Self-Esteem Scale. The revised Allgemeine Selbstwirksamkeitsskala was chosen for assessing self-efficacy at school and other social contexts. At the beginning of rehabilitation, psychological symptoms were identified using the German version of the Strengths and Difficulties Questionnaire.


RESULTS
Therapy of chronically ill adolescents in medical rehabilitation affects their self-esteem positively, with differences in self-esteem found between adolescents who show clinically relevant psychological symptoms and those who do not. Only minor changes are however noticed in ratings of self-efficacy at school and other social contexts. Gender- and diagnosis-related differences have not been found.
Kiera
S
S
Universität Bremen, Zentrum für Klinische Psychologie und Rehabilitation. skiera@uni-bremen.de
Stachow
R
R
Petermann
F
F
Tiedjen
U
U
D000293:Adolescent; D002908:Chronic Disease / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data*; D008297:Male; D015995:Prevalence; D012649:Self Concept; D020377:Self Efficacy; D016896:Treatment Outcome; D055815:Young Adult