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Clinical Pediatrics, Vol. 41, No. 1, 17-24 (2002)
DOI: 10.1177/000992280204100105

Self-Concept in Male and Female Adolescents with Congenital Heart Disease

Ulrike Salzer-Muhar, MD

Department of Pediatric Cardiology, University Children's Hospital, Währinger Görtel 18-20, 1090, Vienna, Austria

Marion Herle, MS

Department of Pediatrics, University Children's Hospital, General Hospital, Vienna, Austria

Peter Floquet, MS

Michael Freilinger, MD

Susanne Greber-Platzer, MD

Department of Pediatric Cardiology, University Children's Hospital, General Hospital, Vienna, Austria

Alfons Haller, MD

Werner Leixnering, MD

Department of Pediatrics, University Children's Hospital, General Hospital, Vienna, Austria

Manfred Marx, MD

Department of Pediatric Cardiology, University Children's Hospital, General Hospital, Vienna, Austria

Elisabeth Wurst, PhD

Department of Pediatrics, University Children's Hospital, General Hospital, Vienna, Austria

Michael Schlemmer, MD

Department of Pediatric Cardiology, University Children's Hospital, General Hospital, Vienna, Austria

Cognitive achievement, behavioural problems, and various dimensions of personality were assessed in 48 male and female patients with congenital heart disease (CHD) aged from 12 to 16 years in comparison to a control group. The CHD group showed a lower speed of cognitive processing but seemed to have less state-anxiety and to possess a higher superego strength. Male adolescents with CHD presented with a reduced perceived capacity and self-esteem. This was not true for adolescent girls with CHD. The negative self-concept of boys with CHD may be partly explained by reduced physical ability interfering with peer relationships.


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