Most research into psychological aspects of spinal cord injury (SCI) h
as focused on adult onset. This is a retrospective study of self-perce
ptions following a childhood onset of SCI. Self-esteem, depression and
self-perception were examined in 86 people who had a traumatic SCI be
fore the age of 16. Depression was measured using the Beck Depression
Inventory, and self-esteem using the Culture-Free Self-Esteem Inventor
y Self-perception was measured using a scale developed for this study,
consisting of 20 adjectives, with participants themselves on dimensio
ns of 'As I am', 'As I would be without the injury', and 'as I would b
e ideally'. The participants' self perceptions of the injured self and
the uninjured self were found to be significantly different on only n
ine of the 20 adjectives. Low self-perception was found to be associat
ed with low self-esteem and high depression levels, but independent of
age at injury, level of injury and gender. The change noted by the pa
rticipants between how they see themselves now and how they would have
been without the injury is not as great as might have been expected.