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.
*Department of Psychology, University of Georgia, Athens, GA;
†Sibley Heart Center Cardiology, Children's Healthcare of Atlanta, Atlanta, GA; and
‡Department of Pediatrics, Emory University School of Medicine, Atlanta, GA;
§Department of Psychology, University of Georgia, Athens, GA.
Address for reprints: Ana M. Gutierrez-Colina, BA, Department of Psychology, University of Georgia, Psychology Building, Athens, GA 30602-3013; e-mail: firstname.lastname@example.org.
This study was supported by the Children's Healthcare of Atlanta Cardiac Research Committee.
Disclosure: The authors declare no conflict of interest.
Received February , 2014
Accepted May , 2014