Health Qual Life Outcomes. 2013 Jul 31;11:129. doi: 10.1186/1477-7525-11-129.
The aim was to assess the association of internalising and externalising pathology with the child's health-related quality of life (QoL), and to determine which child and environmental characteristics beyond pathology were related to poor QoL.
Data was obtained for 120 children and adolescents (aged 6 to 18) commencing outpatient psychotherapy treatment. Parents and children (aged 11 years and older) filled out questionnaires. QoL was measured with the KIDSCREEN-27.
QoL was more strongly associated with internalising than externalising pathology according to both self- and parent report. Multiple regression analyses showed that beyond internalising and externalising pathology, gender, age, family functioning, functional impairment, and prior mental health treatment were associated with individual QoL scales.
The data underscored the relationship between mental pathology and impaired QoL even if potential item overlap was controlled for. This stresses the importance of extending therapy goals and outcome measures from mere pathology to measures of QoL in psychotherapy research particularly for patients with internalising pathology.
本研究旨在评估内化和外化病理与儿童健康相关生活质量（QoL）之间的关系，并确定除病理以外哪些儿童和环境特征与较差的 QoL 相关。
本研究纳入了 120 名 6 至 18 岁接受门诊心理治疗的儿童和青少年。父母和儿童（年龄在 11 岁及以上）填写了问卷。使用 KIDSCREEN-27 量表来评估 QoL。
根据自我报告和父母报告，QoL 与内化病理的相关性均强于外化病理。多元回归分析表明，除内化和外化病理外，性别、年龄、家庭功能、功能障碍以及先前的心理健康治疗与个体 QoL 量表相关。
即使控制了潜在的项目重叠，数据也强调了精神病理与受损 QoL 之间的关系。这强调了在心理治疗研究中，将治疗目标和结果测量从单纯的病理扩展到 QoL 的重要性，特别是对于内化病理的患者。
