Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Yulius Center for Child and Adolescent Psychiatry, Dordrecht, The Netherlands.
Child Psychiatry Hum Dev. 2020 Feb;51(1):104-113. doi: 10.1007/s10578-019-00914-4.
This study aimed to identify factors that predict quality of life (QoL), over and above potential improvements in QoL related to a decrease in psychopathology, in children and adolescents with psychiatric problems. Two hundred and thirty one referred children and adolescents, aged 7-19 years, were followed up across a 1-year period. QoL and psychopathology were assessed, as were a broad range of child, parent, and family/social network factors. Time 1 QoL scores and change in level of psychopathology from Time 1 to Time 2 were important predictors of Time 2 QoL scores. Lower than expected Time 2 QoL was also predicted by the presence at Time 1 of a chronic physical disease, low self-esteem, poor social skills, and stressful life events. Findings can be useful to identify children who are at risk for lower than expected levels of QoL, even after receiving help from mental health agencies.
本研究旨在确定哪些因素可以预测儿童和青少年精神健康问题患者的生活质量（QoL），这些因素与精神病理学改善相关，超出了 QoL 的潜在改善。本研究对 231 名年龄在 7-19 岁之间的有精神健康问题的被转介儿童和青少年进行了为期 1 年的随访。评估了 QoL 和精神病理学，以及一系列儿童、父母和家庭/社交网络因素。第 1 次就诊时的 QoL 评分以及第 1 次就诊到第 2 次就诊期间精神病理学水平的变化是第 2 次就诊时 QoL 评分的重要预测因素。第 2 次就诊时 QoL 水平低于预期还可以通过以下因素预测：第 1 次就诊时存在慢性躯体疾病、自尊水平低、社交技能差和生活压力事件。这些研究结果有助于识别即使在接受心理健康机构的帮助后，仍可能存在 QoL 水平低于预期的儿童。
