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

  • Sabine Weber
  • Andreas Jud
  • Markus A. Landolt
  • Lutz Goldbeck
Article

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.

Keywords

Health-related quality of life Child maltreatment Predictors Regression analysis 

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Sabine Weber
    • 1
  • Andreas Jud
    • 1
    • 2
  • Markus A. Landolt
    • 3
    • 4
  • Lutz Goldbeck
    • 5
  1. 1.Child Protection GroupUniversity Children’s Hospital ZurichZurichSwitzerland
  2. 2.School of Social WorkLucerne University of Applied Sciences and ArtsLucerneSwitzerland
  3. 3.Department of Psychosomatics and PsychiatryUniversity Children’s Hospital ZurichZurichSwitzerland
  4. 4.Division of Child and Adolescent Health Psychology, Department of PsychologyUniversity of ZurichZurichSwitzerland
  5. 5.Department of Child and Adolescent Psychiatry/Psychotherapy, Medical CentreUniversity of UlmUlmGermany

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