The Association Between Behavioral Problems With Self-Esteem and Self-Concept in Pediatric Patients With Thalassemia

Objective: high prevalence of behavioral and psychological disorders in children with thalassemia can be associated with a decrease in the self-esteem of patients and can completely alter the person's self-concept. the aim of this study was to determine the prevalence of behavioral problems and its relationship with self-esteem and self-concept in patients with thalassemia major aged 6 to 18 years. method: in a cross-sectional study, 30 patients with thalassemia major at the age of 6 to 18 years were enrolled. behavioral problems, self-esteem, and self-concept were evaluated by the child's behavioral check list at the ages of 6 to 18 years (cbcl 6-18), the coopersmith's self-esteem inventory, and the piers-harris children's self-concept scale. results: a total of 10.0% of patients had behavioral disorders, 3 (10.0%) desirable self-esteem, 15 (50.0%) moderate self-esteem, and 12 (40.0%) poor self-esteem. there was a strong but adverse correlation between behavioral disorder score and both self-esteem score (correlation coefficient equal to -0.886, p value = 0.001) and self-concept score (correlation coefficient equal to -0.498, p value = 0.001), and thus those patients with behavioral disorder had less appropriate self-esteem and self-concept. conclusion: the incidence of behavioral disorders is associated with decreased self-esteem and poor self-concept in these patients. therefore, improvement in behavioral disorders can be expected by improving self-esteem and self-concept in such patients.