A Study of School Adjustment, Self-concept, Self-esteem, General Wellbeing and Parent Child Relationship in Juvenile Idiopathic Arthritis
The Indian Journal of Pediatrics, 07/16/2012
Yadav A et al. – Juvenile Idiopathic Arthritis (JIA) significantly hampers the child’s self–esteem, self–concept, adjustment in school, general wellbeing and evokes disturbed parent–child relationship.Methods
- A total of 64 children (32 cases and 32 controls) were recruited for analysis.
- Self report questionnaires which included PGI General Wellbeing Measure, Adjustment Inventory for School Students, Parent Child Relationship Scale, Self Esteem Inventory and Self Concept Questionnaires were used to assess all the enrolled subjects.
- Cases had significantly lower general physical well being (p<0.001), self- esteem (p=0.039), social self-concept (p=0.023) and poorer social (p=0.002), educational (p=0.002) and overall (p=0.006) adjustment as compared to controls.
- Both parents of cases were significantly more demanding (p=0.028, p=0.004)and mothers were over protective (p=0.009) and pampering with object rewards (p=0.02).
- PGI wellbeing score and self concept correlated well with number of active joints and ESR.
- As the disease duration increased, fathers tended to neglect their children and with persistent disease activity (reflected by CRP positivity) even resorted to punishment or remained indifferent.