Girls’ quality of life prior to detention in relation to psychiatric disorders, trauma exposure and socioeconomic status
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Practice and research on detained girls has mainly been problem oriented, overlooking these minors’ own perspective on and satisfaction with life. The aim of this study was to examine how girls evaluate multiple domains of quality of life (QoL) and how each domain is affected by psychiatric (co)morbidity, trauma, and socioeconomic status (SES).
An abbreviated version of the World Health Organization (WHO) QoL Instrument was used to assess the girls’ (N = 121; M age = 16.28) QoL prior to detention. This self-report questionnaire consists of two benchmark items referring to their overall QoL and health, and 24 remaining items measuring their QoL regarding four domains (physical health, psychological health, social relationships, and environment). The Diagnostic Interview Schedule for Children-IV was used to assess the past-year prevalence of psychiatric disorders and life-time trauma exposure.
Detained girls perceived their QoL almost as good as the 12- to 20-year-olds from the WHO’s international field trial on all but one domain (i.e., psychological health). They were most satisfied with their social relationships and least satisfied with their psychological health. Psychiatric disorders, trauma, and low SES were distinctively and negatively related to various domains of QoL. The girls’ psychological health was most adversely affected by psychosocial and socioeconomic problems, while these variables had an almost negligible impact on their satisfaction with their social relationships.
The particularity of each domain of QoL supports a multidimensional conceptualization of QoL. Regarding treatment, psychological health appears as a domain of major concern, while social relationships might serve as a source of resilience.
KeywordsQuality of life Psychiatric disorder Trauma Socioeconomic status Young offenders Females WHOQOL-BREF
We would like to thank Ghent University FIRE (Fostering Innovative Research based on Evidence) and Jan Lammertyn (researcher at the Department of Data Analysis at the Faculty of Psychology and Educational Sciences, Ghent University) for providing statistical support.
This study was approved by the Institutional Review Board of the Faculty of Psychology and Educational Sciences at Ghent University (2011/59) and by the Board of the YDC. The girls provided written informed consent before starting the assessment. At the moment the girls entered the YDC, the girls’ parents also received a letter including information about the aims and practical aspects of the study and could refuse participation.
- 5.Lenssen, S. A. M., Doreleijers, T. A. H., van Dijk, M. E., & Hartman, C. A. (2000). Girls in detention: What are their characteristics? A project to explore and document the character of this target group and the significant ways in which it differs from one consisting of boys. Journal of Adolescence, 23(3), 287–303.PubMedCrossRefGoogle Scholar
- 7.van der Molen, E., Vermeiren, R. R. J. M., Krabbendam, A. A., Beekman, A. T. F., Doreleijers, T. A. H., & Jansen, L. M. C. (2013). Detained adolescent females’ multiple mental health and adjustment problem outcomes in young adulthood. The Journal of Child Psychology and Psychiatry, 54(9), 950–957.CrossRefGoogle Scholar
- 8.Krabbendam, A., Colins, O., Doreleijers, T., van der Molen, E., Beekman, A., & Vermeiren, R. (in press). The development of personality disorders in previously detained girls: A prospective study. American Journal of Orthopsychiatry. Google Scholar
- 9.Fisher, D., Morgan, J., Print, B., & Leeson, S. (2010). Working with juveniles with sexually abusive behaviour in the UK: The G-Map approach. In R. E. Longo, D. S. Prescott, J. Bergman, & K. Creeden (Eds.), Current perspectives and applications in neurobiology: Working with young persons who are victims and perpetrators of sexual abuse (pp. 185–198). Holyoke, MA: NEARI Press.Google Scholar
- 11.THE WHOQOL GROUP. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558.Google Scholar
- 20.Weitkamp, K., Daniels, J. K., Romer, G., & Wiegand-Grefe, S. (2013). Health-related quality of life of children and adolescents with mental disorders. Health and Quality of Life Outcomes, 11(129), 1–7.Google Scholar
- 23.Sawatzky, R., Ratner, P. A., Johnson, J. L., Kopec, J. A., & Zumbo, B. D. (2010). Self-reported physical and mental health status and quality of life in adolescents: A latent variable mediation model. Health and Quality of Life Outcomes, 8(17), 1–11.Google Scholar
- 25.De Maeyer, J., Vanderplasschen, W., Lammertyn, J., van Nieuwenhuizen, C., Sabbe, B., & Broekaert, E. (2011). Current quality of life and its determinants among opiate-dependent individuals 5 years after starting methadone treatment. Quality of Life Research, 20(1), 139–150.PubMedCentralPubMedCrossRefGoogle Scholar
- 28.Al-Fayez, G. A., Ohaeri, J. U., & Gado, O. M. (2012). Prevalence of physical, psychological, and sexual abuse among a nationwide sample of Arab high school students: Association with family characteristics, anxiety, depression, self-esteem, and quality of life. Social Psychiatry and Psychiatric Epidemiology, 47(1), 53–66.PubMedCrossRefGoogle Scholar
- 30.Simon, N. M., Herlands, N. N., Marks, E. H., Mancini, C., Letamendi, A., Li, Z. H., et al. (2009). Childhood maltreatment linked to greater symptom severity and poorer quality of life and function in social anxiety disorder. Depression and Anxiety, 26(11), 1027–1032.PubMedCentralPubMedCrossRefGoogle Scholar
- 31.von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., Ravens-Sieberer, U., & grp, E. K. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: Results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135.CrossRefGoogle Scholar
- 35.Barendregt, C. S., van der Laan, A. M., Bongers, I. L., & van Nieuwenhuizen, C. (2012). Explaining reoffending and psychiatric relapse in youth forensic psychiatry from a Good Lives Model perspective. In M. Groenhuijsen & T. I. Oei (Eds.), Progression in forensic psychiatry: About boundaries (pp. 415–434). Deventer: Kluwer BV.Google Scholar
- 40.Thakker, J., Ward, T., & Tidmarsh, P. (2006). A reevaluation of relapse prevention with adolescents who sexually offend: A good-lives model. In H. E. Barbaree & W. L. Marshall (Eds.), The juvenile sex offender (pp. 313–335). New York: Guilford.Google Scholar
- 42.De Maeyer, J., Vanderplasschen, W., Camfield, L., Vanheule, S., Sabbe, B., & Broekaert, E. (2011). A good quality of life under the influence of methadone: A qualitative study among opiate-dependent individuals. International Journal of Nursing Studies, 48(10), 1244–1257.PubMedCrossRefGoogle Scholar
- 47.Ferdinand, R., & Van der Ende, J. (2002). Diagnostic interview schedule for children. In D. Shaffer, P. Fisher, C. Lucas, the NIMH (Eds.) Authorized Dutch translation of the NIMH DISC-IV. Rotterdam: Erasmus University, Department of Child and Adolescent Psychiatry, Sophia Children’s Hospital.Google Scholar
- 48.Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39(1), 28–38.PubMedCrossRefGoogle Scholar
- 52.Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span. Findings from the adverse childhood experiences study. The Journal of the American Medical Association, 286(24), 3089–3096.CrossRefGoogle Scholar
- 53.Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial: A report from the WHOQOL group. Quality of Life Research, 13(2), 299–310.PubMedCrossRefGoogle Scholar
- 54.Stensland, S. O., Dyb, G., Thoresen, S., Wentzel-Larsen, T., & Zwart, J. A. (2013). Potentially traumatic interpersonal events, psychological distress and recurrent headache in a population-based cohort of adolescents: The HUNT study. BMJ Open. doi: 10.1136/bmjopen-2013-002997.PubMedCentralPubMedGoogle Scholar
- 56.Van Damme, L., Colins, O., Pauwels, L., & Vanderplasschen, W. (in press). Relationships between global and domain-specific self-evaluations and types of offending in community boys and girls. Journal of Community Psychology. Google Scholar
- 61.Colins, O., Vermeiren, R., Vahl, P., Markus, M., Broekaert, E., & Doreleijers, T. (2012). Parent-reported attention-deficit hyperactivity disorder and subtypes of conduct disorder as risk factor of recidivism in detained male adolescents. European Psychiatry, 27(5), 329–334.PubMedCrossRefGoogle Scholar
- 64.Berk, L. E. (2006). Development through the lifespan (4th ed.). Illinois: Pearson.Google Scholar
- 67.Colins, O., Vermeiren, R., Schuyten, G., Broekaert, E., & Soyez, V. (2008). Informant agreement in the assessment of disruptive behavior disorders in detained minors in Belgium: A diagnosis-level and symptom-level examination. Journal of Clinical Psychiatry, 69(1), 141–148.PubMedCrossRefGoogle Scholar
- 68.Burns, R. A., & Machin, M. A. (2013). Psychological wellbeing and the diathesis-stress hypothesis model: The role of psychological functioning and quality of relations in promoting subjective well-being in a life events study. Personality and Individual Differences, 54(3), 321–326.CrossRefGoogle Scholar