Skip to main content

Advertisement

Log in

Determinants of quality of life in children with psychiatric disorders

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective: To assess factors that, in addition to childhood psychopathology, are associated with Quality of Life (QoL) in children with psychiatric problems. Methods: In a referred sample of 252 8 to 18-year-olds, information concerning QoL, psychopathology and a broad range of child, parent, and family/ social network factors was obtained from children, parents, teachers and clinicians. Results: Poor child, parent, and clinician reported QoL was associated with child psychopathology, but given the presence of psychopathology, also with child factors, such as low self-esteem, and poor social skills, and family/social network factors, such as poor family functioning, and poor social support. In multiple linear regression analyses the importance of parent factors, such as parenting stress, was almost negligible. Conclusion: To increase QoL of children with psychiatric problems, treatment of symptoms is important, but outcome might improve if treatment is also focussed on other factors that may affect QoL. Results are discussed in relation to current treatment programs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. MG Sawyer L Whaites JM Rey PL Hazell BW Graetz P. Baghurst (2002) ArticleTitleHealth-related quality of life of children and adolescents with mental disorders J Am Acad Child Adolesc Psychiatry. 41 530–537 Occurrence Handle10.1097/00004583-200205000-00010 Occurrence Handle12014785

    Article  PubMed  Google Scholar 

  2. D Bastiaansen HM Koot RF Ferdinand FC. Verhulst (2004) ArticleTitleQuality of life in children with psychiatric disorders: Self-, parent, and clinician report J Am Acad Child Adolesc Psychiatry. 43 221–230 Occurrence Handle10.1097/00004583-200402000-00019 Occurrence Handle14726730

    Article  PubMed  Google Scholar 

  3. D Bastiaansen HM Koot IL Bongers JW Varni FC. Verhulst (2004) ArticleTitleMeasuring quality of life in children referred for psychiatric problems: Psychometric properties of the PedsQLTM 4.0 generic core scales Qual Life Res. 13 489–495 Occurrence Handle10.1023/B:QURE.0000018483.01526.ab Occurrence Handle1:STN:280:DC%2BD2c7ovF2gtA%3D%3D Occurrence Handle15085921

    Article  CAS  PubMed  Google Scholar 

  4. MB Hofstra J Vander Ende FC. Verhulst (2000) ArticleTitleContinuity and change of psychopathology from childhood into adulthood: A 14-year follow-up study J Am Acad Child Adolesc Psychiatry. 39 850–858 Occurrence Handle10.1097/00004583-200007000-00013 Occurrence Handle1:STN:280:DC%2BD3czltVWntQ%3D%3D Occurrence Handle10892226

    Article  CAS  PubMed  Google Scholar 

  5. J Heijmens Visser J VanDer Ende HM Koot FC. Verhulst (2003) ArticleTitlePredicting change in psychopathology in youth referred to mental health services in childhood or adolescence J Child Psychol Psychiatry. 44 509–519 Occurrence Handle10.1111/1469-7610.00140 Occurrence Handle12751843

    Article  PubMed  Google Scholar 

  6. K. Bronfenbrenner (1979) The Ecology of Human Development Harvard University Press Cambridge, MA

    Google Scholar 

  7. HM. Koot (2001) The study of Quality of life: Concepts and methods HM Koot JL. Wallander (Eds) Quality of Life in Child and Adolescent Illness: Concepts, Methods and Findings Harwood Academic Publishers London 3–20

    Google Scholar 

  8. M Ritsner I Modai J Endicott et al. (2000) ArticleTitleDifferences in quality of life domains and psychopathologic and psychosocial factors in psychiatric patients J Clin Psychiatry. 61 880–889 Occurrence Handle1:STN:280:DC%2BD3M%2FnslCiug%3D%3D Occurrence Handle11105747

    CAS  PubMed  Google Scholar 

  9. SL Einfeld J. Tonge (1996) ArticleTitlePopulation prevalence of psychopathology in children and adolescents with intellectual disability: II Epidemiological findings. J Intellect Disabil Res. 40 99–109 Occurrence Handle10.1046/j.1365-2788.1996.768768.x Occurrence Handle8731467

    Article  PubMed  Google Scholar 

  10. SH. Spence (2003) ArticleTitleSocial skills training with children and young people: Theory, evidence and practice Child Adolesc Ment Health. 8 84–96 Occurrence Handle10.1111/1475-3588.00051

    Article  Google Scholar 

  11. J Mesman HM. Koot (2000) ArticleTitleCommon and specific correlates of preadolescent internalizing and externalizing psychopathology J Abnorm Psychol. 109 428–437 Occurrence Handle10.1037//0021-843X.109.3.428 Occurrence Handle1:STN:280:DC%2BD3cvmsVantA%3D%3D Occurrence Handle11016112

    Article  CAS  PubMed  Google Scholar 

  12. G Downey JC. Coyne (1990) ArticleTitleChildren of depressed parents: An integrative review Psychol Bull. 108 50–76 Occurrence Handle1:STN:280:By%2BA2c7ksFU%3D Occurrence Handle2200073

    CAS  PubMed  Google Scholar 

  13. HT Koivumaa Honkanen H Viinamaeki R Honkanen et al. (1996) ArticleTitleCorrelates of life satisfaction among psychiatric patients Acta Psychiatr Scand. 94 372–378 Occurrence Handle1:STN:280:ByiC38njsFM%3D Occurrence Handle9124086

    CAS  PubMed  Google Scholar 

  14. N Halfon PW. Newacheck (1993) ArticleTitleChildhood asthma and poverty: Differential impacts and utilization of health services Pediatrics. 91 56–61 Occurrence Handle1:STN:280:ByyC3c7ltFc%3D Occurrence Handle8416505

    CAS  PubMed  Google Scholar 

  15. F. Andelman (2000) ArticleTitleAnalysis of quality of life among adolescents with epilepsy Int J Adolesc Med Health. 12 S17–S24

    Google Scholar 

  16. JW Varni ER Katz R Colegrove M. Dolgin (1994) ArticleTitlePerceived social support and adjustment of children with newly diagnosed cancer J Dev Behav Pediatr. 15 20–26 Occurrence Handle1:STN:280:ByuB2MzjvFY%3D Occurrence Handle8195433

    CAS  PubMed  Google Scholar 

  17. JJJP Mathijssen HM Koot FC Verhulst EEJ De Bruyn JHL. Oud (1998) ArticleTitleThe relationship between mutual family relations and child psychopathology J Child Psychol Psychiatry. 39 477–487 Occurrence Handle1:STN:280:DyaK1c3mt1Gisg%3D%3D Occurrence Handle9599776

    CAS  PubMed  Google Scholar 

  18. GF Berden M Althaus FC. Verhulst (1990) ArticleTitleMajor life events and changes in the behavioural functioning of children J Child Psychol Psychiatry. 31 949–959 Occurrence Handle1:STN:280:By6D28%2Fnt1I%3D Occurrence Handle2246343

    CAS  PubMed  Google Scholar 

  19. Dutch Central Bureau of Statistics. Standaard Beroepenclassificatie 1992 [Standardized Classification of Occupations 1992]. Voorburg/Heerlen: Netherlands Central Bureau of Statistics, 1993

  20. JJ Hudziak JE Helzer MW Wetzel et al. (1993) ArticleTitleThe use of the DSM-III–R Checklist for initial diagnostic assessments Compr Psychiatry. 34 375–383 Occurrence Handle1:STN:280:ByuC2sjotlI%3D Occurrence Handle8131381

    CAS  PubMed  Google Scholar 

  21. JW Varni M Seid PS. Kurtin (2001) ArticleTitlePedsQL 4.0TM: Reliability and validity of the Pediatric Quality of Life InventoryTM version 4.0 Generic Core Scales in healthy and patient populations Med Care. 39 800–812 Occurrence Handle1:STN:280:DC%2BD3MvitVGgtw%3D%3D Occurrence Handle11468499

    CAS  PubMed  Google Scholar 

  22. Hodges K. CAFAS Manual for Training Coordinators, Clinical Administrators, and Data Managers. Ann Arbor: MI: Author, 1997

  23. TM. Achenbach (1991) Manual for the Child Behavior Checklist/4–18 and 1991 Profiles University of Vermont, Department of Psychiatry Burlington, VT

    Google Scholar 

  24. TM. Achenbach (1991) Manual for the Teacher’s Report Form and 1991 Profiles University of Vermont, Department of Psychiatry Burlington, VT

    Google Scholar 

  25. K Hodges MM. Wong (1996) ArticleTitlePsychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale J Child Fam Stud. 5 445–467

    Google Scholar 

  26. FC Verhulst J Van der Ende HM. Koot (1996) Manual for the CBCL/4–18 Department of Child and Adolescent Psychiatry Sophia Children’s Hospital/Erasmus University Rotterdam

    Google Scholar 

  27. FC Verhulst J Van der Ende HM. Koot (1997) Manual for the Teacher’s Report Form (TRF) Department of Child and Adolescent Psychiatry Sophia Children’s Hospital/Erasmus University Rotterdam, The Netherlands

    Google Scholar 

  28. D. Wechsler (1974) Manual for the Wechsler Intelligence Scale for Children-Revised Psychological Corporation New York

    Google Scholar 

  29. RE Stein LE Westbrook LJ. Bauman (1997) ArticleTitleThe questionnaire for identifying children with chronic conditions: A measure based on a noncategorical approach Pediatrics. 99 513–521 Occurrence Handle1:STN:280:ByiB2cjhs1Y%3D Occurrence Handle9093290

    CAS  PubMed  Google Scholar 

  30. S. Harter (1985) Manual for the Self-Perception Profile for Children University of Denver Denver, CO:

    Google Scholar 

  31. S. Harter (1988) Manual for the Self-Perception Profile for Adolescents University of Denver Denver, CO

    Google Scholar 

  32. JE Van Dongen Melman HM Koot FC. Verhulst (1993) ArticleTitleCross-cultural validation of Harter’s Self-Perception Profile for Children in a Dutch sample Educ Psychol Meas. 53 739–753

    Google Scholar 

  33. F Gresham S. Elliot (1990) Social Skills Rating System Manual American Guidance Service, Circle Press Minnesota, MN

    Google Scholar 

  34. TM. Achenbach (1997) Manual for the Young Adult Self-Report and Young Adult Behavior Checklist University of Vermont Department of Psychiatry Burlington, VT

    Google Scholar 

  35. M. Wiznitzer (1993) The Young Adult Self-Report Project [Doctoral] University of Groningen Groningen, The Netherlands

    Google Scholar 

  36. M Wiznitzer FC Verhulst W Brink Particlevan den et al. (1992) ArticleTitleDetecting psychopathology in young adults: The Young Adult Self Report, the General Health Questionnaire and the Symptom Checklist as screening instruments Acta Psychiatr Scand. 86 32–37 Occurrence Handle1:STN:280:ByyD3svjtlE%3D Occurrence Handle1414396

    CAS  PubMed  Google Scholar 

  37. AJJL De Brock AA Vermulst JRM. Gerris (1990) Nijmeegse Ouderlijke Stress Index: Inhoud en achtergrond. [Nijmegen Parenting Stress Index: Contents and background.] Catholic University Nijmegen Nijmegen, The Netherlands

    Google Scholar 

  38. RR. Abidin (1983) Parenting Stress Index: Manual Pediatric Psychology Press Charlottesville

    Google Scholar 

  39. AJJL De Brock AA Vermulst FAM. Leenders (1990) ArticleTitleHuwelijkskwaliteit, ouderlijk opvoedkundig handelen en (dys)functioneren van het kind. [Marital quality, parental raising practices, and child (dys)functioning] Tijdsch Orthopedago. 29 373–392

    Google Scholar 

  40. J Byles C Byrne MH Boyle DR. Offord (1988) ArticleTitleOntario Child Health Study: Reliability and validity of the general functioning subscale of the McMaster Family Assessment Device Fam Process. 27 97–104 Occurrence Handle1:STN:280:BieC1Mnjt1Y%3D Occurrence Handle3360100

    CAS  PubMed  Google Scholar 

  41. CA Donald JE. Ware (1984) ArticleTitleThe measurement of social support Res Commun Ment Health. 4 325–370

    Google Scholar 

  42. S. Harter (1985) Manual for the Social Support Scale For Children University of Denver Denver, CO:

    Google Scholar 

  43. S. Harter (1989) Manual for the Social Support Scale for Children and Adolescents University of Denver Denver, CO:

    Google Scholar 

  44. J. Neter (1996) Building the regression model II: Diagnostics J Neter M Kutner C Nachtsheim W. Wasserman (Eds) Applied Linear Statistical Models IRWIN Chicago, IL 385–388

    Google Scholar 

  45. PAC. Lier Particlevan (2002) Preventing Disruptive Behavior in Early Elementary Schoolchildren The Netherlands Erasmus Medical Center – Sophia Children’s Hospital Rotterdam Rotterdam, The Netherlands

    Google Scholar 

  46. J. Mesman (2000) Preadolescent Internalizing and Externalizing Psychopathology Erasmus Medical Center - Sophia Children’s Hospital Rotterdam Rotterdam, The Netherlands

    Google Scholar 

  47. K Schmeck F. Poustka (1997) Quality of life and child psychiatric disorders H Katschnig H Freeman N. Sartorius (Eds) Quality of Life in Mental Disorders Wiley Chichester 179–191

    Google Scholar 

  48. K Keenan D. Shaw (1997) ArticleTitleDevelopmental and social influences on young girls’ early problem behavior Psychol Bull. 121 95–113 Occurrence Handle1:STN:280:ByiC2MvgsV0%3D Occurrence Handle9000893

    CAS  PubMed  Google Scholar 

  49. EF Juniper GH Guyatt DH Feeny PJ Ferrie LE. Griffith (1996) ArticleTitleTownsend M Measuring quality of life in children with asthma. Qual Life Res. 5 35–46 Occurrence Handle1:STN:280:ByiD2Mjgt1I%3D Occurrence Handle8901365

    CAS  PubMed  Google Scholar 

  50. FC Verhulst HM. Koot (1992) Child psychiatric epidemiology: Concepts, Methods and Findings Sage Newbury Park, CA

    Google Scholar 

  51. AM Albano PA Marten CS Holt RG Heimberg DH. Barlow (1995) ArticleTitleCognitive-behavioral group treatment for social phobia in adolescents: A preliminary study J Nerv Ment Dis. 183 649–656 Occurrence Handle1:STN:280:BymD38josFU%3D Occurrence Handle7561811

    CAS  PubMed  Google Scholar 

  52. SH Spence C Donovan M. Brechman Toussaint (2000) ArticleTitleThe treatment of childhood social phobia: The effectiveness of a social skills training-based, cognitive-behavioural intervention, with and without parental involvement J Child Psychol Psychiatry. 41 713–726 Occurrence Handle1:STN:280:DC%2BD3cvovVOgtw%3D%3D Occurrence Handle11039684

    CAS  PubMed  Google Scholar 

  53. WK Silverman WM Kurtines GS Ginsburg CF Weems PW Lumpkin DH. Carmichael (1999) ArticleTitleTreating anxiety disorders in children with group cognitive-behavioral therapy: A randomized clinical trial J Consult Clin Psychol. 67 995–1003 Occurrence Handle1:STN:280:DC%2BD3c%2FmsVeiuw%3D%3D Occurrence Handle10596522

    CAS  PubMed  Google Scholar 

  54. PC Kendall E Flannery Schroeder SM Panichelli Mindel M Southam Gerow A Henin M. Warman (1997) ArticleTitleTherapy for youths with anxiety disorders: A second randomized clinical trial J Consult Clin Psychol. 65 366–380 Occurrence Handle1:STN:280:ByiA3MvltVU%3D Occurrence Handle9170760

    CAS  PubMed  Google Scholar 

  55. CG Last C Hansen N. Franco (1998) ArticleTitleCognitive-behavioral treatment of school phobia J Am Acad Child Adolesc Psychiatry. 37 404–411 Occurrence Handle1:STN:280:DyaK1c3htFWgsw%3D%3D Occurrence Handle9549961

    CAS  PubMed  Google Scholar 

  56. AL Shortt PM Barrett TL. Fox (2001) ArticleTitleEvaluating the FRIENDS Program: A cognitive-behavioral group treatment for anxious children and their parents J Clin Child Adolesc Psychol. 30 525–535 Occurrence Handle1:STN:280:DC%2BD3MnmtlShsQ%3D%3D

    CAS  Google Scholar 

  57. F Sainfort M Becker R. Diamond (1996) ArticleTitleJudgments of quality of life of individuals with severe mental disorders: Patient self-report versus provider perspectives Am J Psychiatry. 153 497–502 Occurrence Handle1:STN:280:BymC2sbhs1Q%3D Occurrence Handle8599397

    CAS  PubMed  Google Scholar 

  58. TM Achenbach SH McConaughy CT. Howell (1987) ArticleTitleChild/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity Psychol Bull 101 213–232 Occurrence Handle10.1037//0033-2909.101.2.213 Occurrence Handle3562706

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dennis Bastiaansen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bastiaansen, D., Koot, H.M. & Ferdinand, R.F. Determinants of quality of life in children with psychiatric disorders. Qual Life Res 14, 1599–1612 (2005). https://doi.org/10.1007/s11136-004-7711-2

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-004-7711-2

Keywords

Navigation