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A Study on the Factors Affecting Self-Concept of Children and Adolescents with Epilepsy
J Korean Acad Child Adolesc Psychiatry 2017;28(4):252-259
Published online October 1, 2017
© 2017 Korean Academy of Child and Adolescent Psychiatry.

Su Hee Ha1, Hee-Yeon Choi1, Hyang Woon Lee2, and Eui-Jung Kim1

1Department of Psychiatry, College of Medicine, Ewha Womans University, Seoul, Korea
2Department of Neurology, College of Medicine, Ewha Womans University, Seoul, Korea
Correspondence to: Eui-Jung Kim, Department of Psychiatry, College of Medicine, Ewha Womans University, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Korea
Tel: +82-2-2650-5164, Fax: +82-2-2650-2649, E-mail:
Received June 19, 2017; Revised August 14, 2017; Accepted August 30, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: The purpose of this study was to investigate the impact of clinical and psychological factors on the self-concept of children and adolescents with epilepsy.
Methods: Children and adolescents with epilepsy (n=60; age range=9–17 years) completed questionnaires about their epilepsy-related variables, self-concept, depressive symptoms, anxiety, family functions, and behavioral problems. The T-test and one-way analysis of variance were used to examine the variables affecting the total self-concept scores. To determine the independent variables by adjusting the significant variables, a stepwise regression analysis was performed.
Results: In the correlational analysis, age, depressive symptoms, anxiety, social problems, attention problems, and internalizing problems had significantly negative correlations with self-concept. On the other hand, IQ and family functions showed positive correlations with self-concept. Age (β=–0.177, p=0.015), depressive symptoms (β=–0.487, p<0.001), anxiety (β=–0.298, p=0.008), and attention problems (β= –0.138, p=0.048) were analyzed as independent factors to assess their impact on self-concept, and were found to account for 78.3% of the variance in self-concept by stepwise regression analysis.
Conclusion: Parents and clinicians should pay attention to improving the self-concept of children and adolescents with epilepsy, especially if they have problems with depression, anxiety, or attention.
Keywords : Epilepsy; Self concept; Child; Adolescent; Depression; Anxiety; Attention.

October 2017, 28 (4)
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