Perceived self-competence, psychosocial adjustment, and quality of life in pediatric patients with pacemakers

Ana M. Gutierrez-Colina, Cyd Eaton, Patricia Cheng, Margaret Strieper, Patrick Frias, Kevin Gooden, Ronald L. Blount

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES:: To compare participants' self-competence levels to normative data and examine self-competence as a potential protective factor against poorer health-related quality of life (HRQOL) and psychosocial adjustment in children with pacemakers. METHODS:: Twenty-seven children between the ages of 8 and 18 years and their caregivers were recruited from a pediatric pacemaker clinic. Participants completed self-report and parent-proxy measures of children's health-related quality of life (HRQOL), self-competence, and psychosocial functioning, which included externalizing and internalizing symptoms, adaptive skills, and behavioral symptoms. RESULTS:: Participants reported significantly lower levels of self-competence compared to healthy norms. Self-competence was significantly and positively correlated with most HRQOL domains. Few significant correlations emerged between self-competence and various domains of psychosocial functioning. CONCLUSION:: Self-competence may function as a protective factor against lower HRQOL in children with pacemakers. There was less evidence that self-competence may play a protective role against lower adaptive skills and higher externalizing, internalizing, and behavioral symptoms. Clinical implications of these findings, limitations of the study, and areas for future research are discussed.

Original languageEnglish (US)
Pages (from-to)360-366
Number of pages7
JournalJournal of Developmental and Behavioral Pediatrics
Volume35
Issue number6
DOIs
StatePublished - 2014
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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