Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/45401 https://doi.org/10.1371/journal.pone.0153953 |
Resumo: | Short stature has been associated with psychosocial impairments, but whether treatments and achieved height impact on health-related quality of life (HrQoL) and psychological functioning of children/adolescents is still controversial. This study aimed to examine the effects of height deviation and treatment status on psychosocial adaptation outcomes and to identify clinical and psychosocial determinants of internalizing/externalizing problems in a large cohort of short statured children/adolescents from seven European countries. Participants were 345 children aged 8–18 years with a clinical diagnosis of short stature and 421 parents of 4–18 year-old patients. Children and parents reported on psychological problems (Strengths and Difficulties Questionnaire), generic (KIDSCREEN) and condition-specific HrQoL (QoLISSY). According to analyses of covariance, children/adolescents with current short stature presented more parent-reported internalizing problems and lower self- and parent-reported condition-specific HrQoL, compared to patients with an achieved height above -2SD. Treated children self-reported better HrQoL than the untreated group. Hierarchical regression analysis showed that, rather than height–related clinical variables, children’s sex, younger age and poorer HrQoL were the best predictors of psychological problems, explaining 39% of the variance in patient- and 42% in parent-reported internalizing problems, and 22% of the variance in patient- and 24% in parent-reported externalizing problems. Treatment status also moderated the negative links between patient-reported HrQoL and internalizing problems, explaining 2% of additional variance. These results suggest that children with current short stature are at greater risk for internalizing problems. Routine assessment of HrQoL in pediatric healthcare may help identify children for referral to specialized psychological assessment and intervention. |
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Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectivesHealth-related quality of lifePediatric short staturePsychological functioningShort stature has been associated with psychosocial impairments, but whether treatments and achieved height impact on health-related quality of life (HrQoL) and psychological functioning of children/adolescents is still controversial. This study aimed to examine the effects of height deviation and treatment status on psychosocial adaptation outcomes and to identify clinical and psychosocial determinants of internalizing/externalizing problems in a large cohort of short statured children/adolescents from seven European countries. Participants were 345 children aged 8–18 years with a clinical diagnosis of short stature and 421 parents of 4–18 year-old patients. Children and parents reported on psychological problems (Strengths and Difficulties Questionnaire), generic (KIDSCREEN) and condition-specific HrQoL (QoLISSY). According to analyses of covariance, children/adolescents with current short stature presented more parent-reported internalizing problems and lower self- and parent-reported condition-specific HrQoL, compared to patients with an achieved height above -2SD. Treated children self-reported better HrQoL than the untreated group. Hierarchical regression analysis showed that, rather than height–related clinical variables, children’s sex, younger age and poorer HrQoL were the best predictors of psychological problems, explaining 39% of the variance in patient- and 42% in parent-reported internalizing problems, and 22% of the variance in patient- and 24% in parent-reported externalizing problems. Treatment status also moderated the negative links between patient-reported HrQoL and internalizing problems, explaining 2% of additional variance. These results suggest that children with current short stature are at greater risk for internalizing problems. Routine assessment of HrQoL in pediatric healthcare may help identify children for referral to specialized psychological assessment and intervention.2016info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/45401http://hdl.handle.net/10316/45401https://doi.org/10.1371/journal.pone.0153953engQuitmann, J., Bullinger, M., Sommer, R., Rohenkohl, A., & Silva, N. (2016). Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives. PLoS One, 11(4), e0153953. doi:10.1371/journal.pone.0153953http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0153953Quitmann, JuliaBullinger, MonikaSommer, RachelRohenkohl, AnjaSilva, Neuzainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2020-05-25T02:17:06Zoai:estudogeral.uc.pt:10316/45401Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:48:30.918592Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
title |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
spellingShingle |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives Quitmann, Julia Health-related quality of life Pediatric short stature Psychological functioning |
title_short |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
title_full |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
title_fullStr |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
title_full_unstemmed |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
title_sort |
Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives |
author |
Quitmann, Julia |
author_facet |
Quitmann, Julia Bullinger, Monika Sommer, Rachel Rohenkohl, Anja Silva, Neuza |
author_role |
author |
author2 |
Bullinger, Monika Sommer, Rachel Rohenkohl, Anja Silva, Neuza |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Quitmann, Julia Bullinger, Monika Sommer, Rachel Rohenkohl, Anja Silva, Neuza |
dc.subject.por.fl_str_mv |
Health-related quality of life Pediatric short stature Psychological functioning |
topic |
Health-related quality of life Pediatric short stature Psychological functioning |
description |
Short stature has been associated with psychosocial impairments, but whether treatments and achieved height impact on health-related quality of life (HrQoL) and psychological functioning of children/adolescents is still controversial. This study aimed to examine the effects of height deviation and treatment status on psychosocial adaptation outcomes and to identify clinical and psychosocial determinants of internalizing/externalizing problems in a large cohort of short statured children/adolescents from seven European countries. Participants were 345 children aged 8–18 years with a clinical diagnosis of short stature and 421 parents of 4–18 year-old patients. Children and parents reported on psychological problems (Strengths and Difficulties Questionnaire), generic (KIDSCREEN) and condition-specific HrQoL (QoLISSY). According to analyses of covariance, children/adolescents with current short stature presented more parent-reported internalizing problems and lower self- and parent-reported condition-specific HrQoL, compared to patients with an achieved height above -2SD. Treated children self-reported better HrQoL than the untreated group. Hierarchical regression analysis showed that, rather than height–related clinical variables, children’s sex, younger age and poorer HrQoL were the best predictors of psychological problems, explaining 39% of the variance in patient- and 42% in parent-reported internalizing problems, and 22% of the variance in patient- and 24% in parent-reported externalizing problems. Treatment status also moderated the negative links between patient-reported HrQoL and internalizing problems, explaining 2% of additional variance. These results suggest that children with current short stature are at greater risk for internalizing problems. Routine assessment of HrQoL in pediatric healthcare may help identify children for referral to specialized psychological assessment and intervention. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/45401 http://hdl.handle.net/10316/45401 https://doi.org/10.1371/journal.pone.0153953 |
url |
http://hdl.handle.net/10316/45401 https://doi.org/10.1371/journal.pone.0153953 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Quitmann, J., Bullinger, M., Sommer, R., Rohenkohl, A., & Silva, N. (2016). Associations between psychological problems and quality of life in pediatric short stature from patients’ and parents’ perspectives. PLoS One, 11(4), e0153953. doi:10.1371/journal.pone.0153953 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0153953 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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