Celebre Angela, Stewart Shannon L, Theall Laura, Lapshina Natalia
Faculty of Education, Western University, London, ON, Canada.
Child and Parent Resource Institute, London, ON, Canada.
Front Psychiatry. 2021 Sep 1;12:709516. doi: 10.3389/fpsyt.2021.709516. eCollection 2021.
Quality of life (QoL) is significantly lower in children with mental health issues compared to those who are typically developing or have physical health problems. However, little research has examined factors associated with QoL in this particularly vulnerable population. To address this limitation, 347 clinically referred children and adolescents were assessed using the interRAI Child and Youth Mental Health (ChYMH) Assessment and Self-reported Quality of Life- Child and Youth Mental Health (QoL-ChYMH). Hierarchical multiple linear regression analyses were conducted to examine QoL at the domain-specific level. Children and adolescents who experienced heightened anhedonia and depressive symptoms reported lower social QoL (e.g., family, friends and activities; = 0.024, 0.046, respectively). Additionally, children and youth who experienced heightened depressive symptoms reported lower QoL at the individual level (e.g., autonomy, health; = 0.000), and level of basic needs (e.g., food, safety; = 0.013). In contrast, no mental state indicators were associated with QoL related to services (e.g., school, treatment). Due to the paucity of research examining predictors of QoL in children and youth with mental health challenges, this study contributes to the field in assisting service providers with care planning and further providing implications for practice.
与发育正常或有身体健康问题的儿童相比，有心理健康问题的儿童的生活质量（QoL）显著更低。然而，很少有研究探讨这个特别脆弱群体中与生活质量相关的因素。为了克服这一局限性，使用interRAI儿童和青少年心理健康（ChYMH）评估以及自我报告的儿童和青少年心理健康生活质量（QoL-ChYMH）对347名临床转诊的儿童和青少年进行了评估。进行了分层多元线性回归分析，以在特定领域层面检查生活质量。经历快感缺乏和抑郁症状加剧的儿童和青少年报告的社会生活质量较低（例如，家庭、朋友和活动；分别为 = 0.024，0.046）。此外，经历抑郁症状加剧的儿童和青少年在个人层面（例如，自主性、健康； = 0.000）和基本需求层面（例如，食物、安全； = 0.013）报告的生活质量较低。相比之下，没有精神状态指标与与服务相关的生活质量（例如，学校、治疗）相关。由于研究心理健康有挑战的儿童和青少年生活质量预测因素的研究较少，本研究为该领域做出了贡献，有助于服务提供者进行护理规划，并进一步为实践提供启示。
