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Quality of Life Research

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10-05-2019

The role of family functioning and self-esteem in the quality of life of adolescents referred for psychiatric services: a 3-year follow-up

Auteurs: Thomas Jozefiak, Hanne K. Greger, Hans M. Koot, Christian A. Klöckner, Jan L. Wallander

Gepubliceerd in: Quality of Life Research | Uitgave 9/2019

Abstract

Purpose

To investigate, in adolescents referred for psychiatric services, the associations of initial self-esteem and family functioning with level and change of quality of life (QoL) over a 3-year period, over and above the effect of their emotional problems.

Methods

Of 1648 eligible 13–18 years old patients attending the child and adolescent psychiatric clinic (CAP) at least once, 717 (54.8% females) were enrolled at baseline (a response rate of 43.5%). Self- and parent reports on the McMaster Family Assessment Device were obtained. Adolescents reported self-esteem on the Rosenberg Scale, and emotional problems on the Symptom Check List-5. Adolescents completed the Inventory of Life Quality in Children and Adolescents (ILC). After 3 years, 570 adolescents again completed the ILC, and for 418 adolescents parent information was available. The longitudinal analysis sample of 418 adolescents was representative of the baseline sample for age, gender, emotional problems, and QoL. We used modified growth-model analysis, adjusted for SES, age, gender and time of contact with CAP, where residual variances for ILC at baseline and follow-up were fixed to 0.

Results

A poorer family functioning at baseline, reported by parents, was significantly associated with worsening QoL during the 3 years follow-up period (p = 0.001).

Conclusions

Parents have important knowledge about their families that may reflect long-term influences on QoL development in adolescent psychiatric patients. Health care providers and policy makers should optimize treatment outcomes by addressing family functioning in adolescents with emotional problems.

vorige artikel Mapping the Strengths and Difficulties Questionnaire onto the Child Health Utility 9D in a large study of children

volgende artikel Sports participation and health-related quality of life: a longitudinal observational study in children

We used Mplus 8 for our analysis with the following syntax:

Model:

intercept slope | QOL_T1QOL_T2; !Comment: This line defines a growth model with two time points, centered on T1

QOL_T1QOL_T2= 0; !Comment: This lines fixes the residuals of the two measurements of QOL to 0

intercept slope ON emotional_problems self_esteem family_functioning_child family_functioning_parents ses time age gender;

!Comment: This line regresses intercept (= QOL_T1) and the slope (= difference between QOL_T2 and QOL_T1) on the predictors and the variables we wanted to adjust the effects for.

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Titel: The role of family functioning and self-esteem in the quality of life of adolescents referred for psychiatric services: a 3-year follow-up
Auteurs: Thomas Jozefiak
Hanne K. Greger
Hans M. Koot
Christian A. Klöckner
Jan L. Wallander
Publicatiedatum: 10-05-2019
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02197-7

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