Psychological and quality of life outcomes in pediatric populations: a parent-child perspective
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Psychological and quality of life outcomes in pediatric populations: a parent-child perspective. / Moreira, Helena; Carona, Carlos; Silva, Neuza; Frontini, Roberta; Bullinger-Naber, Monika; Canavarro, Maria Cristina.
in: J PEDIATR-US, Jahrgang 163, Nr. 5, 01.11.2013, S. 1471-8.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Psychological and quality of life outcomes in pediatric populations: a parent-child perspective
AU - Moreira, Helena
AU - Carona, Carlos
AU - Silva, Neuza
AU - Frontini, Roberta
AU - Bullinger-Naber, Monika
AU - Canavarro, Maria Cristina
N1 - Copyright © 2013 Mosby, Inc. All rights reserved.
PY - 2013/11/1
Y1 - 2013/11/1
N2 - OBJECTIVES: To compare the levels of quality of life (QoL) and psychological adjustment of children with different chronic health conditions with healthy children; to compare the QoL of parents of children with a chronic condition with parents of healthy children; and to examine the role of parents' QoL and children's psychological adjustment (ie, internalizing/externalizing problems) on children's QoL.STUDY DESIGN: The sample comprised 964 family dyads composed of 1 parent and 1 child/adolescent aged 8-18 years with diabetes (n = 85), asthma (n = 308), epilepsy (n = 68), cerebral palsy (n = 94), obesity (n = 110), or no medical conditions (n = 299). The children completed self-report measures of QoL and psychological adjustment, and the parents completed a questionnaire on QoL.RESULTS: Children with epilepsy and obesity reported the lowest levels of QoL and elevated levels of psychological problems, and parents of children with obesity reported the lowest levels of QoL. Adolescents reported worse adjustment than children. Regression models revealed that children's internalizing and externalizing problems were important, although distinct, explanatory factors of QoL across all groups.CONCLUSION: Children with chronic conditions, particularly epilepsy and obesity, are at increased risk for maladjustment. A routine assessment of QoL and psychological functioning should be performed in these children to better understand how specific conditions affect the lives of children with chronic conditions and their families. Family-oriented pediatrics should be considered, particularly in the treatment of obesity.
AB - OBJECTIVES: To compare the levels of quality of life (QoL) and psychological adjustment of children with different chronic health conditions with healthy children; to compare the QoL of parents of children with a chronic condition with parents of healthy children; and to examine the role of parents' QoL and children's psychological adjustment (ie, internalizing/externalizing problems) on children's QoL.STUDY DESIGN: The sample comprised 964 family dyads composed of 1 parent and 1 child/adolescent aged 8-18 years with diabetes (n = 85), asthma (n = 308), epilepsy (n = 68), cerebral palsy (n = 94), obesity (n = 110), or no medical conditions (n = 299). The children completed self-report measures of QoL and psychological adjustment, and the parents completed a questionnaire on QoL.RESULTS: Children with epilepsy and obesity reported the lowest levels of QoL and elevated levels of psychological problems, and parents of children with obesity reported the lowest levels of QoL. Adolescents reported worse adjustment than children. Regression models revealed that children's internalizing and externalizing problems were important, although distinct, explanatory factors of QoL across all groups.CONCLUSION: Children with chronic conditions, particularly epilepsy and obesity, are at increased risk for maladjustment. A routine assessment of QoL and psychological functioning should be performed in these children to better understand how specific conditions affect the lives of children with chronic conditions and their families. Family-oriented pediatrics should be considered, particularly in the treatment of obesity.
KW - Adaptation, Psychological
KW - Adolescent
KW - Child
KW - Chronic Disease
KW - Epilepsy
KW - Female
KW - Humans
KW - Male
KW - Obesity
KW - Parent-Child Relations
KW - Parents
KW - Quality of Life
KW - Questionnaires
KW - Regression Analysis
KW - Stress, Psychological
KW - Time Factors
U2 - 10.1016/j.jpeds.2013.06.028
DO - 10.1016/j.jpeds.2013.06.028
M3 - SCORING: Journal article
C2 - 23915795
VL - 163
SP - 1471
EP - 1478
JO - J PEDIATR-US
JF - J PEDIATR-US
SN - 0022-3476
IS - 5
ER -