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Quality of Life Research

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04-03-2021

Adolescence and short stature: factors in adjustment to the diagnosis

Auteurs: Sara Casaña-Granell, Laura Lacomba-Trejo, Inmaculada Montoya-Castilla, Marián Pérez-Marín

Gepubliceerd in: Quality of Life Research | Uitgave 8/2021

Abstract

Purpose

Adolescence is a time of change when suffering from a medical condition such as short stature can impact the emotional well-being of adolescents. Our objective was to study the adjustment of adolescents with short stature (SS), analyzing the factors influencing it.

Method

In this cross-sectional study, we evaluated 101 adolescents with SS from different hospitals in Valencia, Spain, using instruments validated for the sample: anxious and depressive symptomatology (as a diagnostic adjustment measure), psychopathology, self-esteem, physical self-concept, psychological well-being, and parenting styles. Descriptive analyses, t-tests for independent samples, Pearson correlations, hierarchical regressions, and fuzzy set qualitative comparative analysis models (fsQCA) were performed.

Results

Emotional (β = 0.44; p = 0.001) and hyperactive (β = 0.20; p = 0.001) symptoms predicted anxiety, emotional symptomatology (β = 0.25; p = 0.022), self-esteem (β = − 0.37; p = 0.001), and promotion of autonomy (β = 0.30; p = 0.001) predicted depression, and hyperactivity (β = 0.45; p = 0.001), self-esteem (β = − 0.43; p = .001), and humor (β = − 0.36; p = 0.001) predicted emotional distress. The fsQCA results show that none of the variables is a necessary condition for anxiety, depression, or emotional distress. However, different combinations of these variables are sufficient conditions to explain 85% of the high levels of anxiety, 81% of the low levels, 62% of the high levels of depression, 64% of the low levels of depression, and 74% of the high levels of emotional distress and 61% of the low levels. The most important variables in the fsQCA models were symptomatology, self-esteem, and parental styles.

Conclusion

The patient’s family dynamics, self-esteem, and emotional difficulties were the most relevant factors in predicting adjustment.

vorige artikel Lower body extremity function is associated with health-related quality of life: a cross-sectional analysis of overweight and obese older adults with and without type 2 diabetes mellitus

volgende artikel Health-related quality of life in refugee youth and the mediating role of mental distress and post-migration stressors

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Titel: Adolescence and short stature: factors in adjustment to the diagnosis
Auteurs: Sara Casaña-Granell
Laura Lacomba-Trejo
Inmaculada Montoya-Castilla
Marián Pérez-Marín
Publicatiedatum: 04-03-2021
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 8/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-021-02798-1

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