Department of Child Development and Family Relations, College of Human Ecology, East Carolina University, Greenville, NC, USA.
Qual Life Res. 2012 Oct;21(8):1367-77. doi: 10.1007/s11136-011-0042-1. Epub 2011 Oct 19.
The purpose of this manuscript is to (1) explore the health-related quality of life (HRQOL) of youth attending a tertiary obesity treatment center compared to healthy population reference data; (2) compare the congruence between the HRQOL of youth self-reports and caregiver proxy reports; and (3) examine the associations between youth HRQOL and (a) teen and (b) caregiver depression.
The sample included 267 youth and caregiver dyads. A cross-sectional descriptive design was used. Analyses included paired t tests, analyses of variance, correlations, and Chi-square cross-tabulations.
Overweight youth reported significantly (P < 0.001) lower scores than a previously published healthy sample on all totals and subscales of the PedsQL. For younger overweight children and caregivers, there was closer agreement on social (r = 0.45) and emotional functioning (r = 0.32); whereas teens and caregivers agreed most on school functioning (r = 0.47) and emotional functioning (r = 0.44). Regardless of age, youth and caregivers disagreed most on physical functioning. Caregivers who reported higher depressive symptoms had less agreement with their child on their perceived HRQOL; however, teens with more depressive symptoms had stronger agreement with their caregivers on their previewed HRQOL.
Based on our findings, there is not consistent agreement between youth and caregiver perceptions of youth HRQOL domains (physical, emotional, social, and school) and inconsistency in age groups (children and teens). Depressive symptoms in caregivers and teens can provide mechanistic insights into youth and caregiver HRQOL congruence. These findings underscore the importance of a comprehensive biopsychosocial assessment when providing treatment to overweight youth and their families.
本研究旨在：（1）探讨与健康相关的生活质量（HRQOL）在参加三级肥胖治疗中心的青少年与健康人群参考数据之间的差异；（2）比较青少年自我报告和照顾者代理报告的 HRQOL 的一致性；（3）研究青少年 HRQOL 与（a）青少年和（b）照顾者抑郁之间的关联。
该样本包括 267 对青少年和照顾者。采用横断面描述性设计。分析包括配对 t 检验、方差分析、相关性分析和卡方交叉表。
超重青少年在所有总分和 PedsQL 子量表上的得分均显著低于先前发表的健康样本（P < 0.001）。对于年龄较小的超重儿童和照顾者，社会（r = 0.45）和情绪功能（r = 0.32）方面的一致性更高；而青少年和照顾者在学校功能（r = 0.47）和情绪功能（r = 0.44）方面的一致性最高。无论年龄大小，青少年和照顾者在身体功能方面的一致性最低。报告抑郁症状较高的照顾者与孩子对自身 HRQOL 的看法存在较大分歧；然而，抑郁症状较重的青少年与照顾者对自身 HRQOL 的预期看法则更为一致。
根据我们的研究结果，青少年和照顾者对青少年 HRQOL 各领域（身体、情绪、社会和学校）的看法不一致，而且在年龄组（儿童和青少年）之间也不一致。照顾者和青少年的抑郁症状可以为青少年和照顾者 HRQOL 的一致性提供机制上的见解。这些发现强调了在为超重青少年及其家庭提供治疗时进行全面的生物心理社会评估的重要性。
