Perceived physical appearance and adjustment of adolescents with congenital/acquired limb deficiencies: A path-analytic model

Investigated perceived physical appearance as a hypothesized predictor of psychological adjustment in 44 adolescents with congenital or acquired limb deficiencies within a path-analytic conceptual model. Standardized assessment instruments measuring perceived physical appearance, depressive symptoms, trait anxiety, general self-esteem, perceived scholastic competence, athletic competence, social acceptance, and close friendship were completed by the adolescents. In support of the a priori conceptual model, path-analysis findings indicate that the effect of perceived physical appearance on psychological distress is mediated by general self-esteem. Exploratory analysis suggests that the effect of perceived physical appearance on general self-esteem may be attenuated by potentially modifiable perceived competence/adequacy domains. Strategies for enhancing adaptation within the conceptual model are discussed.