Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?
Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?
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DOI：
10.1007/s11136-017-1603-8
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发表时间：
2017-10-01
影响因子：
3.5
通讯作者：
Wichstrom, Lars
中科院分区：
文献类型：
--
作者：
Jozefiak, Thomas;Kayed, Nanna S.;Wichstrom, Lars
许多生活在青少年寄宿机构 (RYC) 中的青少年认为他们的生活质量 (QoL) 较低。因此，提高生活质量很重要，但人们对生活质量的潜在贡献者知之甚少。早期的人际创伤以及随后的离家和反复搬迁预计会影响心理健康和自尊。因此，我们调查了特定领域的自尊是否对生活在 RYC 机构中的青少年的生活质量产生了超出其精神病理学水平的影响。挪威 RYC 机构中所有年龄在 12 至 23 岁之间的青少年都被邀请参加。共有 98 家 RYC 机构中，有 86 家参与，601 名符合条件的青少年中有 400 名接受了检查。参与者的主要联系人填写了儿童行为检查表以评估精神病理学。青少年完成了青少年自我认知概况的修订版以及用于测量儿童和青少年健康相关生活质量的调查问卷（KINDL-R）。在对精神病理学、年龄和性别进行调整后，自尊领域独特地解释了生活质量的 42％ 差异，其中社会接受度（β = 0.57）和外貌（β = 0.25）领域显着预测了同时存在的生活质量。自尊领域、社会接受度和外貌，大大增加了居住在 RYC 机构中的青少年生活质量的解释差异，超出了精神病理学水平。除了治疗他们的精神病理学之外，这些自尊领域可能是改善生活质量的干预目标。
Many adolescents living in residential youth care (RYC) institutions perceive their quality of life (QoL) to be low. Enhancing QoL is thus important, but little is known about the potential contributors to their QoL. Early interpersonal trauma and subsequent removal from home and repeated relocations to new placements are expected to affect mental health and self-esteem. We therefore investigated if domain-specific self-esteem contributed to QoL among adolescents living in RYC institutions over and beyond their levels of psychopathology.All youth in Norwegian RYC institutions between the ages 12-23 years were invited to participate. Of a total of 98 RYC institutions, 86 participated, and 400 of 601 eligible youths were examined. The participants' primary contact completed the Child Behavior Checklist to assess psychopathology. The adolescents completed a revised version of the Self-Perception Profile for Adolescents and the questionnaire for measuring health-related quality of life in children and adolescents (KINDL-R).After adjusting for psychopathology, age, and gender, self-esteem domains uniquely explained 42% of the variance in Qol, where social acceptance (beta = 0.57) and physical appearance (beta = 0.25) domains significantly predicted concurrent QoL.The self-esteem domains, social acceptance and physical appearance, add substantially to the explained variance in QoL among adolescents living in RYC institutions, over and beyond the levels of psychopathology. These self-esteem domains may be targets of intervention to improve QoL, in addition to treating their psychopathology.