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Peter L. Appleton, Nick C. Elis, Philip E. Minchom, Val Lawson, Vicki Böll, Pat Jones, Depressive Symptoms and Self-Concept in Young People with Spina Bifida, Journal of Pediatric Psychology, Volume 22, Issue 5, October 1997, Pages 707–722, https://doi.org/10.1093/jpepsy/22.5.707
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Abstract
Examined self-reported depressive symptoms in 72 young people with spina bifida, ages 9 to 18:11, and matched able-bodied comparison subjects, using the Dimensions of Depression Profile for Children and Adolescents(Harter&Nowakowski, 1987). Independent variables included gender, self-perceptions (including physical appearance), and perceived social support. Young people with spina bifida were at greater risk of depressive mood, low self-worth, and suicidal ideation. Girls, independent of disability, were at greater risk of depressive mood, low self-worth, and self-blame. Multiple regression analyses suggest that global self-worth serves as a mediating variable for the effect of physical appearance self-concept on depressed mood (particularly in young people with spinabifida), and that perceived parental social support has a direct effect on depressed mood (particularly in girls).