Evaluation of self-esteem and parent-child relationship in school-age children born preterm with very low birth weight and normal intelligence

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  • Shirakura Masahiro
    Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
  • Kamei Atsushi
    Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
  • Akasaka Manami
    Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
  • Nakakarumai Misato
    Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan
  • Oyama Kotaro
    Department of Pediatrics, School of Medicine, Iwate Medical University, Yahaba, Japan

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Other Title
  • 知的に正常な早産極低出生体重児における学齢期の自尊心に影響する因子と親子関係との関連について
  • チテキ ニ セイジョウ ナ ソウザン ゴクテイ シュッショウ タイジュウジ ニ オケル ガクレイキ ノ ジソンシン ニ エイキョウ スル インシ ト オヤコ カンケイ ト ノ カンレン ニ ツイテ

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We investigated the lifestyle, health, self-esteem, and parent-child relationships of school-age children with normal intelligence who were born preterm with very low birth weight. The subjects were 108 children who had been admitted to our neonatal intensive care unit between April 2002 and March 2011 and who had IQ in the normal range before entering the elementary school. Self-esteem was evaluated using Pope’s 5-scale test of self-esteem for children, and most of the subjects had favorable self-esteem. For the 96 children who completed the self-esteem evaluation, we performed multiple regression analysis with the scores of the 5 scales as dependent variables and 16 factors including perinatal-neonatal data and lifestyle and health factors as independent variables. Results revealed that these scores correlated significantly with birth weight, respiratory distress syndrome, periventricular leukomalacia, and age at the time of the investigation. Result of the family diagnostic test showed that most subjects had a good parent-child relationship. Correlations were found between each scale of self-esteem and many items of the mother-child relationship. A strong negative correlation ‹r=−0.7471, p<0.001› was found between “feeling of rejection” for mothers and “family scale” for boys. Conversely, “psychological intrusion”, “severe discipline”, and “request for accomplishment” had little relation to self-esteem.

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