Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 10/2017

15-06-2017

Predictors of health-related quality of life in maltreated children and adolescents

Auteurs: Sabine Weber, Andreas Jud, Markus A. Landolt, Lutz Goldbeck

Gepubliceerd in: Quality of Life Research | Uitgave 10/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Research on the consequences of child maltreatment has primarily focused on behavior and mental health; the children’s overall well-being has not received the same attention. A number of studies have investigated health-related quality of life (HRQoL) among victims of child maltreatment, but there is still a lack of knowledge about predictors of HRQoL in maltreated children and adolescents. This study seeks to bridge the gap by drawing data from the German multi-site study Child Abuse and Neglect Case-Management (CANMANAGE).

Methods

Parents or caregivers of 350 children and adolescents completed a proxy version of the Kidscreen-10-Index, a multidimensional instrument measuring child HRQoL. An additional 249 children age 8 years and older completed a self-report version. Multiple regression analyses were performed to identify potential predictors for both self- and proxy-rated HRQoL.

Results

Comparisons with the reference group revealed a significantly lower mean proxy-rated HRQoL, the self-rated HRQoL of the study sample was not significantly impaired. Predictors of impaired self-reported HRQoL were older age, self-reported posttraumatic stress symptoms (PTSS), and self-reported emotional and behavioral symptoms. Predictors of impaired proxy-reported HRQoL again were older age, self-reported PTSS, and emotional and behavioral symptoms in the child/adolescent, as reported by the caregiver, as well as low socioeconomic status. Multivariate analysis explained 20% and 38% of the variability in self-reported and proxy-rated HRQoL, respectively.

Conclusions

It is important to treat PTSS and emotional and behavioral symptoms in maltreated children, as these two phenomena are strong cross-sectional predictors of a child’s HRQoL. Trauma-focused cognitive behavioral therapies are one possible option to address the needs of such children.
Literatuur
1.
go back to reference Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & van IJzendoorn, M. H. (2015). The prevalence of child maltreatment across the globe: review of a series of meta-analyses. Child Abus Rev, 24, 37–50. doi: 10.​1002/​car.​2353. CrossRef Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & van IJzendoorn, M. H. (2015). The prevalence of child maltreatment across the globe: review of a series of meta-analyses. Child Abus Rev, 24, 37–50. doi: 10.​1002/​car.​2353. CrossRef
2.
go back to reference Edwards, V. J., Holden, G. W., Anda, R. F., & Felitti, V. J. (2003). Experiencing multiple forms of childhood maltreatment and adult mental health: results from the adverse childhood experiences (ACE) study. Am J Psychiatry, 160, 1453–1460. CrossRefPubMed Edwards, V. J., Holden, G. W., Anda, R. F., & Felitti, V. J. (2003). Experiencing multiple forms of childhood maltreatment and adult mental health: results from the adverse childhood experiences (ACE) study. Am J Psychiatry, 160, 1453–1460. CrossRefPubMed
4.
go back to reference Hillis, S. D., Anda, R. F., Felitti, V. J., & Marchbanks, P. A. (2001). Adverse childhood experiences and sexual risk behaviors in women: a retrospective cohort study. Family Plan Perspect. doi: 10.​2307/​2673783. Hillis, S. D., Anda, R. F., Felitti, V. J., & Marchbanks, P. A. (2001). Adverse childhood experiences and sexual risk behaviors in women: a retrospective cohort study. Family Plan Perspect. doi: 10.​2307/​2673783.
5.
go back to reference Bullinger, M. (2014). The concept of quality of life in medicine: Its history and current relevance [Das Konzept der Lebensqualität in der Medizin-Entwicklung und heutiger Stellenwert]. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 108, 97–103. doi: 10.​1016/​j.​zefq.​2014.​02.​006. CrossRefPubMed Bullinger, M. (2014). The concept of quality of life in medicine: Its history and current relevance [Das Konzept der Lebensqualität in der Medizin-Entwicklung und heutiger Stellenwert]. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 108, 97–103. doi: 10.​1016/​j.​zefq.​2014.​02.​006. CrossRefPubMed
7.
go back to reference Kalantar-Zadeh, K., Kopple, J. D., Block, G., & Humphreys, M. H. (2001). Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. J Am Soc Nephrol, 12, 2797–2806. PubMed Kalantar-Zadeh, K., Kopple, J. D., Block, G., & Humphreys, M. H. (2001). Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. J Am Soc Nephrol, 12, 2797–2806. PubMed
8.
go back to reference Li, C.-L., Chang, H.-Y., Hsu, C.-C., et al. (2013). Joint predictability of health related quality of life and leisure time physical activity on mortality risk in people with diabetes. BMC Publ Health, 13, 67. doi: 10.​1186/​1471-2458-13-67. CrossRef Li, C.-L., Chang, H.-Y., Hsu, C.-C., et al. (2013). Joint predictability of health related quality of life and leisure time physical activity on mortality risk in people with diabetes. BMC Publ Health, 13, 67. doi: 10.​1186/​1471-2458-13-67. CrossRef
9.
14.
15.
go back to reference Landolt, M. A. (2003). Die Bewältigung akuter Psychotraumata im Kindesalter. Praxis der Kinderpsychol Kinderpsychiatr, 52, 71–87. Landolt, M. A. (2003). Die Bewältigung akuter Psychotraumata im Kindesalter. Praxis der Kinderpsychol Kinderpsychiatr, 52, 71–87.
17.
go back to reference Landolt, M. A. (2012). Psychotraumatologie des Kindesalters: Grundlagen, Diagnostik und Interventionen. Göttingen: Hogrefe Verlag. Landolt, M. A. (2012). Psychotraumatologie des Kindesalters: Grundlagen, Diagnostik und Interventionen. Göttingen: Hogrefe Verlag.
19.
go back to reference Agorastos, A., Pittman, J. O. E., Angkaw, A. C., et al. (2014). The cumulative effect of different childhood trauma types on self-reported symptoms of adult male depression and PTSD, substance abuse and health-related quality of life in a large active-duty military cohort. Journal of Psychiatric Research, 58, 46–54. doi: 10.​1016/​j.​jpsychires.​2014.​07.​014. CrossRefPubMed Agorastos, A., Pittman, J. O. E., Angkaw, A. C., et al. (2014). The cumulative effect of different childhood trauma types on self-reported symptoms of adult male depression and PTSD, substance abuse and health-related quality of life in a large active-duty military cohort. Journal of Psychiatric Research, 58, 46–54. doi: 10.​1016/​j.​jpsychires.​2014.​07.​014. CrossRefPubMed
22.
38.
39.
40.
go back to reference Grip, K. K., Almqvist, K., Axberg, U., & Broberg, A. G. (2014). Perceived quality of life and health complaints in children exposed to intimate partner violence. J Fam Violence, 29, 681–692. doi: 10.​1007/​s10896-014-9622-5. CrossRef Grip, K. K., Almqvist, K., Axberg, U., & Broberg, A. G. (2014). Perceived quality of life and health complaints in children exposed to intimate partner violence. J Fam Violence, 29, 681–692. doi: 10.​1007/​s10896-014-9622-5. CrossRef
41.
go back to reference Jernbro C, Tindberg Y, Lucas S, Janson S (2015). Quality of life among Swedish school children who experienced multitype child maltreatment. Acta Paediatr (Oslo, Norway: 1992) 104:320–5. doi: 10.​1111/​apa.​12873 Jernbro C, Tindberg Y, Lucas S, Janson S (2015). Quality of life among Swedish school children who experienced multitype child maltreatment. Acta Paediatr (Oslo, Norway: 1992) 104:320–5. doi: 10.​1111/​apa.​12873
42.
go back to reference Ravens-Sieberer U, The KIDSCREEN Groupe Europe. (2006). The Kidscreen questionnaires: quality of life questionnaires for children and adolescents; Handbook. Lengerich: Pabst Science Publ. Ravens-Sieberer U, The KIDSCREEN Groupe Europe. (2006). The Kidscreen questionnaires: quality of life questionnaires for children and adolescents; Handbook. Lengerich: Pabst Science Publ.
44.
go back to reference Hamby, S. L., Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2004). The juvenile victimization questionnaire (JVQ): Administration and scoring manual. Durham: Crimes Against Children Research Center. Hamby, S. L., Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2004). The juvenile victimization questionnaire (JVQ): Administration and scoring manual. Durham: Crimes Against Children Research Center.
48.
go back to reference Hofbeck B (2010). Psychometrische Eigenschaften der deutschen Version des UCLA PTSD Reaction Index.[Unveröffentlichte Diplomarbeit]. München: Ludwig-Maximilians-Universität München Hofbeck B (2010). Psychometrische Eigenschaften der deutschen Version des UCLA PTSD Reaction Index.[Unveröffentlichte Diplomarbeit]. München: Ludwig-Maximilians-Universität München
49.
go back to reference Delmo C, Weiffenbach O, Gabriel M, Poustka F (2000). Kiddie-SADS present and lifetime version (K-SADS-PL). Auflage der deutschen Forschungsversion. Frankfurt am Main: Klinik für Psychiatrie und Psychotherapie des Kindes-und Jugendalters der Universität Frankfurt Delmo C, Weiffenbach O, Gabriel M, Poustka F (2000). Kiddie-SADS present and lifetime version (K-SADS-PL). Auflage der deutschen Forschungsversion. Frankfurt am Main: Klinik für Psychiatrie und Psychotherapie des Kindes-und Jugendalters der Universität Frankfurt
55.
go back to reference Löwe B, Spitzer RL, Zipfel S, Herzog W (2002). PHQ-D. Gesundheitsfragebogen fuer Patienten [German version of the patient health questionnaire]. Pfizer, Karlsruhe Löwe B, Spitzer RL, Zipfel S, Herzog W (2002). PHQ-D. Gesundheitsfragebogen fuer Patienten [German version of the patient health questionnaire]. Pfizer, Karlsruhe
56.
go back to reference Gräfe, K., Zipfel, S., Herzog, W., & Löwe, B. (2004). Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“. Diagnostica, 50, 171–181. CrossRef Gräfe, K., Zipfel, S., Herzog, W., & Löwe, B. (2004). Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“. Diagnostica, 50, 171–181. CrossRef
57.
go back to reference Foa, E. B. (1995). Manual for the posttraumatic stress diagnostic scale (PDS). Minneapolis: National Computer Systems. Foa, E. B. (1995). Manual for the posttraumatic stress diagnostic scale (PDS). Minneapolis: National Computer Systems.
59.
go back to reference Ravens-Sieberer, U., & Kurth, B.-M. (2008). The mental health module (BELLA study) within the German health interview and examination survey of children and adolescents (KiGGS): study design and methods. Eur Child Adolesc Psychiatry, 17(Suppl 1), 10–21. doi: 10.​1007/​s00787-008-1002-3. CrossRefPubMed Ravens-Sieberer, U., & Kurth, B.-M. (2008). The mental health module (BELLA study) within the German health interview and examination survey of children and adolescents (KiGGS): study design and methods. Eur Child Adolesc Psychiatry, 17(Suppl 1), 10–21. doi: 10.​1007/​s00787-008-1002-3. CrossRefPubMed
60.
go back to reference Wagner, G. G., Frick, J. R., & Schupp, J. (2007). The German socio-economic panel study (SOEP)-evolution, scope and enhancements. Schmollers Jahrb, 127, 139–169. doi: 10.​2139/​ssrn.​1028709. Wagner, G. G., Frick, J. R., & Schupp, J. (2007). The German socio-economic panel study (SOEP)-evolution, scope and enhancements. Schmollers Jahrb, 127, 139–169. doi: 10.​2139/​ssrn.​1028709.
63.
go back to reference IBM (2013). IBM SPSS Statistics for Windows, Version 22.0 IBM (2013). IBM SPSS Statistics for Windows, Version 22.0
64.
go back to reference Field, A. (2009). Discovering statistics using SPSS. London: Sage Publications Ltd. Field, A. (2009). Discovering statistics using SPSS. London: Sage Publications Ltd.
65.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.
69.
72.
go back to reference Wilkins, A. J., O’Callaghan, M. J., Najman, J. M., et al. (2004). Early childhood factors influencing health-related quality of life in adolescents at 13 years. J Paediatr Child Health, 40, 102–109. CrossRefPubMed Wilkins, A. J., O’Callaghan, M. J., Najman, J. M., et al. (2004). Early childhood factors influencing health-related quality of life in adolescents at 13 years. J Paediatr Child Health, 40, 102–109. CrossRefPubMed
73.
go back to reference Richards, M. M., Bowers, M. J., Lazicki, T., et al. (2007). Caregiver involvement in the intensive mental health program: influence on changes in child functioning. J Child Family Stud, 17, 241–252. doi: 10.​1007/​s10826-007-9163-0. CrossRef Richards, M. M., Bowers, M. J., Lazicki, T., et al. (2007). Caregiver involvement in the intensive mental health program: influence on changes in child functioning. J Child Family Stud, 17, 241–252. doi: 10.​1007/​s10826-007-9163-0. CrossRef
Metagegevens
Titel
Predictors of health-related quality of life in maltreated children and adolescents
Auteurs
Sabine Weber
Andreas Jud
Markus A. Landolt
Lutz Goldbeck
Publicatiedatum
15-06-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1615-4