Determinants of quality of life in children with psychiatric disorders
Determinants of quality of life in children with psychiatric disorders
复制标题
DOI：
10.1007/s11136-004-7711-2
复制
发表时间：
2005-08-01
影响因子：
3.5
通讯作者：
Ferdinand, RF
中科院分区：
文献类型：
--
作者：
Bastiaansen, D;Koot, HM;Ferdinand, RF
目的：评估除儿童精神病理学外，与患有精神问题的儿童的生活质量（QoL）相关的因素。方法：在 252 名 8 至 18 岁青少年的参考样本中，从儿童、家长、教师和临床医生那里获得了有关生活质量、精神病理学和广泛的儿童、家长和家庭/社交网络因素的信息。结果：贫困儿童、家长和临床医生报告说，生活质量与儿童精神病理学相关，但考虑到精神病理学的存在，还与儿童因素有关，例如自尊心低、社交技能差，以及家庭/社交网络因素，例如家庭功能差和社会支持差。在多元线性回归分析中，父母因素（例如养育压力）的重要性几乎可以忽略不计。结论：为了提高有精神问题的儿童的生活质量，治疗症状很重要，但如果治疗也集中于可能影响生活质量的其他因素，结果可能会改善。讨论的结果与当前的治疗方案有关。
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.