PMID- 18346664
OWN - NLM
STAT- MEDLINE
DCOM- 20080516
LR  - 20151119
IS  - 1879-1972 (Electronic)
IS  - 1054-139X (Linking)
VI  - 42
IP  - 4
DP  - 2008 Apr
TI  - Self-esteem in children and adolescents after septic shock caused by Neisseria 
      meningitidis: scars do matter.
PG  - 386-93
LID - 10.1016/j.jadohealth.2007.09.026 [doi]
AB  - PURPOSE: To investigate self-esteem and its relation to scars, amputations, and 
      orthopedic sequelae in children and adolescents long term after meningococcal 
      septic shock (MSS) caused by Neisseria meningitidis. METHODS: The Dutch versions 
      of the Self-Perception Profile for Children (SPP-C; 8-11 years) and the 
      Self-Perception Profile for Adolescents (SPP-A; 12-17 years) were used to assess 
      self-esteem. The Patient and Scar Assessment Scale (PSAS) was used to evaluate 
      scar severity. RESULTS: MSS boys aged 8-11 years achieved higher, more favorable 
      scores on self-esteem, whereas same-aged MSS girls reported comparable levels of 
      self-esteem compared with the respectively same-aged reference boys and girls. 
      MSS boys and girls aged 12-17 years obtained unfavorable scores on self-esteem 
      compared with respectively same-aged reference boys and girls. Overall gender did 
      not have an effect on self-esteem. Severity of illness, age at time of illness, 
      and age at time of follow-up were not significant predictors of self-esteem. MSS 
      adolescents with scars reported lower global self-worth than MSS adolescents 
      without scars. The worse MSS children evaluated their scars, the worse their 
      outcomes on social acceptance. The worse MSS adolescents evaluated their scars, 
      the worse their outcomes on close friendship, but the better their outcomes on 
      social acceptance and behavioral conduct. CONCLUSION: In this cross-sectional 
      study, favorable outcomes for self-esteem were found in MSS children, whereas MSS 
      adolescents reported lower self-esteem compared with reference adolescents. 
      Adolescents with scars reported lower global self-worth than MSS adolescents 
      without scars.
FAU - Vermunt, Lindy C
AU  - Vermunt LC
AD  - Department of Child and Adolescent Psychiatry, Erasmus Medical Centre, Rotterdam, 
      The Netherlands.
FAU - Buysse, Corinne M
AU  - Buysse CM
FAU - Joosten, Koen F
AU  - Joosten KF
FAU - Oranje, Arnold P
AU  - Oranje AP
FAU - Hazelzet, Jan A
AU  - Hazelzet JA
FAU - Verhulst, Frank C
AU  - Verhulst FC
FAU - Utens, Elisabeth M
AU  - Utens EM
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20080207
PL  - United States
TA  - J Adolesc Health
JT  - The Journal of adolescent health : official publication of the Society for 
      Adolescent Medicine
JID - 9102136
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Cicatrix/*psychology
MH  - Cross-Sectional Studies
MH  - Humans
MH  - Meningococcal Infections/*complications/physiopathology
MH  - *Neisseria meningitidis/pathogenicity
MH  - Netherlands
MH  - *Self Concept
MH  - Shock, Septic/complications/etiology/physiopathology/*psychology
MH  - Surveys and Questionnaires
EDAT- 2008/03/19 09:00
MHDA- 2008/05/17 09:00
CRDT- 2008/03/19 09:00
PHST- 2007/04/11 00:00 [received]
PHST- 2007/08/28 00:00 [revised]
PHST- 2007/09/04 00:00 [accepted]
PHST- 2008/03/19 09:00 [pubmed]
PHST- 2008/05/17 09:00 [medline]
PHST- 2008/03/19 09:00 [entrez]
AID - S1054-139X(07)00430-2 [pii]
AID - 10.1016/j.jadohealth.2007.09.026 [doi]
PST - ppublish
SO  - J Adolesc Health. 2008 Apr;42(4):386-93. doi: 10.1016/j.jadohealth.2007.09.026. 
      Epub 2008 Feb 7.