Journal article
Self-concept and academic achievement in children with chronic kidney disease
Pediatric nephrology (Berlin, West), Vol.39(3), pp.819-827
03/2024
DOI: 10.1007/s00467-023-06106-6
PMCID: PMC10999179
PMID: 37594577
Abstract
BACKGROUND Within the pediatric population, a positive self-concept is associated with better academic achievement. Children with chronic kidney disease (CKD) are at risk for lower quality of life and academic underachievement. Little is known about self-concept among children with CKD and how self-concept influences academic achievement. The objectives of the present study were to (1) describe patient-reported self-concept among children with CKD and (2) evaluate the relationship between self-concept and academic performance. METHODS This cross-sectional study included 23 children, aged 6-16 years, with mild to moderate CKD (cause of disease due to congenital anomalies of the kidney and urinary tract) and 26 age-matched comparators. Participants completed the Self-Description Questionnaire (SDQ) and the Wide Range Achievement Test (WRAT-4). Linear regression models were used to evaluate self-concept as a predictor of academic achievement in the CKD cohort. RESULTS Self-concept ratings were comparable between children with CKD and non-CKD comparators; however, academic achievement trended lower for the CKD patients on measures of arithmetic (estimate = - 0.278, 95% confidence interval (CI) [- 0.530: - 0.026], t(45) = - 1.99, p = 0.053). All of the SDQ domains predicted WRAT-4 arithmetic performance, such that higher scores on the SDQ were associated with higher scores in mathematics. Kidney function did not have an effect on the relationship between self-concept and academic achievement. CONCLUSIONS Despite the presence of a chronic disease, children with CKD endorse a positive self-concept. Positive self-concept may predict academic success in this population. A higher resolution version of the Graphical abstract is available as Supplementary information.
Details
- Title: Subtitle
- Self-concept and academic achievement in children with chronic kidney disease
- Creators
- Silvia L VerhofsteAmy L ConradRebecca J JohnsonEmily J SteinbachJanice M StaberLyndsay A Harshman
- Resource Type
- Journal article
- Publication Details
- Pediatric nephrology (Berlin, West), Vol.39(3), pp.819-827
- DOI
- 10.1007/s00467-023-06106-6
- PMID
- 37594577
- PMCID
- PMC10999179
- NLM abbreviation
- Pediatr Nephrol
- ISSN
- 0931-041X
- eISSN
- 1432-198X
- Grant note
- DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases, award: K23DK110443, R01DK128835; DOI: 10.13039/100016251, name: Hemophilia Center of Western Pennsylvania; name: Clinical Research Unit at the University of Iowa, award: UL1TR002537; DOI: 10.13039/100000002, name: National Institutes of Health, award: R01DK128835
- Language
- English
- Electronic publication date
- 08/18/2023
- Date published
- 03/2024
- Academic Unit
- Pediatric Psychology; Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Biology; Hematology/Oncology; Radiation Oncology; Craniofacial Anomalies Research Center
- Record Identifier
- 9984455982302771
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