Faculty of Health Sciences, University of Maribor, Zitna ulica 15, 2000, Maribor, Slovenia.
Sci Rep. 2023 Oct 17;13(1):17667. doi: 10.1038/s41598-023-44493-w.
This study presents the results of a network-based analysis of health related quality of life (HRQoL) among Slovenian adolescents. The study aimed to examine the relationship between HRQoL and mental well-being among adolescents of different age and gender groups. A cross-sectional study was conducted from November 2019 to January 2020 in 16 primary and 9 secondary schools in Slovenia. The KIDSCREEN-27 scale was used to collect the data on HRQoL, and the Warwick-Edinburgh Mental Well-being Scale to collect data on mental well-being. We used network model trees to demonstrate differences in psychometric network structure measuring correlations between different concepts in adolescent HRQoL. A total of 2972 students aged 10-19 years participated in the study. The significant split in the network tree (p < 0.001) indicated differences in relations between HRQoL subscale scores and mental well-being score among adolescents younger than 12 years old. In comparison to older adolescents the correlation between mental well-being and mood scores was significantly weaker in this group of the youngest participants (p < 0.001). A network model tree analysis also uncovered an interesting pattern based on gender and age (p < 0.013) where a correlation between mood and family support became weaker for female at the age of 12 and for male at the age of 16. Data mining techniques have recently been used by healthcare researchers and professionals. Network-based analysis is an innovative alternative to classical approaches in HRQoL research. In this study we demonstrate the significant differences in the perceptions of HRQoL and mental well-being among adolescents in different age and gender groups that were discovered using tree-based network analysis.
本研究基于网络分析了斯洛文尼亚青少年的健康相关生活质量（HRQoL）。该研究旨在检验不同年龄和性别组别的青少年的 HRQoL 与心理健康之间的关系。这是一项横断面研究，于 2019 年 11 月至 2020 年 1 月在斯洛文尼亚的 16 所小学和 9 所中学进行。该研究使用 KIDSCREEN-27 量表收集 HRQoL 数据，使用 Warwick-Edinburgh 心理健康量表收集心理健康数据。我们使用网络模型树来展示青少年 HRQoL 中不同概念之间的心理计量网络结构的差异，以衡量不同概念之间的相关性。共有 2972 名 10-19 岁的学生参加了这项研究。网络树的显著分裂（p < 0.001）表明，12 岁以下青少年的 HRQoL 子量表得分和心理健康得分之间的关系存在差异。与年龄较大的青少年相比，该组年龄最小的参与者的心理健康和情绪得分之间的相关性明显较弱（p < 0.001）。网络模型树分析还揭示了基于性别和年龄的有趣模式（p < 0.013），即 12 岁女性和 16 岁男性的情绪和家庭支持之间的相关性变弱。最近，医疗保健研究人员和专业人员使用数据挖掘技术。基于网络的分析是 HRQoL 研究中经典方法的创新替代方法。在这项研究中，我们使用基于树的网络分析发现了不同年龄和性别组别的青少年对 HRQoL 和心理健康的不同看法，并展示了这些差异。
