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Impact of emotional and behavioral symptoms on quality of life in children and adolescents

Abstract

Purpose

To evaluate how levels of anxiety, depressive and behavioral symptoms influence self-perceived quality of life (QOL) in general population of children and adolescents.

Method

A total of 237 children and adolescents aged 8–18 years participated in the study. The Screen for Child Anxiety Related Emotional Disorders Questionnaire (SCARED), Short Mood and Feeling Questionnaire (SMFQ) and Strengths and Difficulties Questionnaire (SDQ) were used to assess levels of anxiety, depressive and behavioral symptoms, respectively. The Pediatric Quality of Life Inventory (PedsQL) was used for QOL assessments. In a regression model, the PedsQL score was the dependent variable, while anxiety, depressive and behavioral symptoms were the QOL predictors.

Results

In children, the SCARED and SMFQ scores together with age and gender explained 30 % of the variance in the PedsQL scores (F = 12.31, p < 0.001), while in adolescents, the same set of variables was responsible for 36 % of the variance (F = 15.77, p < 0.001). The SCARED was a more significant predictor than the SMFQ. The SDQ scores did not emerge as the PedsQL predictors.

Conclusion

Levels of anxiety and depressive symptoms, but not behavioral ones, significantly affect self-reported QOL in general population of children and adolescents.

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Abbreviations

QOL:

Quality of life

PedsQL™:

The Pediatric Quality of Life Inventory™ Version 4.0

SCARED:

Screen for Child Anxiety Related Emotional Disorders Questionnaire

SMFQ:

Short Mood and Feeling Questionnaire

SDQ:

Strengths and Difficulties Questionnaire

References

  1. Ravens-Sieberer, U., Erhart, M., Gosch, A., Wille, N., & European KIDSCREEN Group. (2008). Mental health of children and adolescents in 12 European countries-results from the European KIDSCREEN study. Clinical Psychology and Psychotherapy, 15(3), 154–163.

    Google Scholar 

  2. Ravens-Sieberer, U., Erhart, M., Wille, N., Bullinger, M., & BELLA study group. (2008). Health-related quality of life in children and adolescents in Germany: Results of the BELLA study. European Child & Adolescent Psychiatry, 17(1), 48–56.

    Google Scholar 

  3. Rajmil, L., Palacio-Vieira, J. A., Herdman, M., López-Aguilà, S., Villalonga-Olives, E., Valderas, J. M., et al. (2009). Effect on health-related quality of life of changes in mental health in children and adolescents. Health and Quality of Life Outcomes, 23(7), 103.

    Article  Google Scholar 

  4. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.

    Article  PubMed  Google Scholar 

  5. Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0TM: Reliability and validity of the pediatric quality of life inventory TM version 4.0 Generic Core Scales in healthy and patient populations. Medical Care, 39, 800–812.

    Article  PubMed  CAS  Google Scholar 

  6. Stevanovic, D., Lakic, A., & Damnjanovic, M. (2011). Some psychometric properties of the Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales (PedsQL™) in the general Serbian population. Quality of Life and Research, 20, 945–949.

    Article  Google Scholar 

  7. Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1230–1236.

    Article  PubMed  CAS  Google Scholar 

  8. Stevanovic, D. (2011). Childhood depression and anxiety disorders in Serbia: A psychometric study of four screening questionnaires. Epidemiology and Psychiatric Sciences doi:10.1017/S2045796011000655.

  9. Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.

    Article  PubMed  CAS  Google Scholar 

  10. Costello, E. J., Egger, H. L., & Angold, A. (2004). Developmental epidemiology of anxiety disorders. In T. H. Ollendick & J. S. March (Eds.), Phobic and anxiety disorders in children and adolescents. New York: Oxford University Press.

    Google Scholar 

  11. Costello, E. J., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47, 1263–1271.

    Google Scholar 

  12. Burke, J. D., Loeber, R., & Birmaher, B. (2002). Oppositional defiant and conduct disorder: A review of the past 10 years, part II. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1275–1293.

    Google Scholar 

  13. Swanson, J. M., Sergeant, J., Taylor, E., Sonuga-Barke, E., Jensen, P. S., & Cantwell, D. (1998). Attention deficit hyperactivity disorder and hyperkinetic disorder. Lancet, 351, 429–433.

    Article  PubMed  CAS  Google Scholar 

  14. Sourander, A., Jensen, P., Davies, M., Niemelä, S., Elonheimo, H., Ristkari, T., et al. (2007). Who is at greatest risk of adverse long-term outcomes? The Finnish from a boy to a man study. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1148–1161.

    Article  PubMed  Google Scholar 

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Correspondence to Dejan Stevanovic.

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Stevanovic, D. Impact of emotional and behavioral symptoms on quality of life in children and adolescents. Qual Life Res 22, 333–337 (2013). https://doi.org/10.1007/s11136-012-0158-y

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  • DOI: https://doi.org/10.1007/s11136-012-0158-y

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