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Shigeyasu Y, Okada A, Fujii C, Tanaka C, Sugihara A, Horiuchi M, Yorifuji T, Tsukahara H. Quality of life and physical/psychosocial factors in children and adolescents with orthostatic intolerance. Biopsychosoc Med 2023; 17:23. [PMID: 37308984 DOI: 10.1186/s13030-023-00278-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Accepted: 05/24/2023] [Indexed: 06/14/2023] Open
Abstract
BACKGROUND Orthostatic intolerance (OI), which is common in children and adolescents, negatively impacts their quality of life (QOL) due to physical symptoms that limit work, school, and daily activities. The purpose of this study is to explore the association of physical and psychosocial factors with QOL scores in children and adolescents with OI. METHODS A cross sectional observational study was conducted. The study participants included 95 Japanese pediatric patients of age 9-15 years who were diagnosed with OI from April 2010 to March 2020. The QOL scores and the QOL T-scores of children with OI assessed using the KINDL-R questionnaire at the initial visit were compared with conventional normative data. The associations of physical and psychosocial factors with the QOL T-scores were examined using multiple linear regression. RESULTS Pediatric patients with OI had significantly lower QOL scores than healthy children in both elementary (50.7 ± 13.5 vs. 67.9 ± 13.4, p < 0.001) and junior high schools (51.8 ± 14.6 vs. 61.3 ± 12.6, p < 0.001). This finding was observed in the physical, mental, self-esteem, friends, and school domains. Total QOL scores were significantly associated with school nonattendance (β = - 3.2, 95% confidence interval [CI] = - 5.8 to - 0.5, p = 0.022) and poor relationship with school (β = - 5.0, 95% CI = - 9.8 to - 0.4, p = 0.035). CONCLUSIONS These results suggest that the assessment of QOL, including both physical and psychosocial aspects, especially school factors, needs to be implemented earlier in children and adolescents with OI.
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Affiliation(s)
- Yoshie Shigeyasu
- Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan.
| | - Ayumi Okada
- Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
| | - Chikako Fujii
- Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
| | - Chie Tanaka
- Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
| | - Akiko Sugihara
- Clinical Psychology section, Department of Medical Support, Okayama University Hospital, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
| | - Makiko Horiuchi
- Clinical Psychology section, Department of Medical Support, Okayama University Hospital, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
| | - Takashi Yorifuji
- Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
| | - Hirokazu Tsukahara
- Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 7008558, Japan
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Agrawal S, Iqbal S, Patel SJ, Freishtat R, Kochhar-Bryant C. Quality of life in at-risk school-aged children with asthma. J Asthma 2020; 58:1680-1688. [PMID: 32942908 DOI: 10.1080/02770903.2020.1825732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Asthma is the most common chronic condition of childhood. Urban, minority children from families of lower socioeconomic status have disproportionately higher rates of asthma and worse outcomes. We investigated the association between the presence of asthma and asthma severity among American, urban, minority children and reported quality of life (QOL) of children and their families. METHODS We performed a prospective, cross-sectional study comparing QOL of urban, minority elementary school-age children with and without asthma. A convenience sample of children was enrolled from the pediatric emergency department (ED) and a specialized asthma clinic, at a large urban children's hospital. We measured child and parent QOL using the Pediatric Quality of Life Inventory Version 4 (PEDSQL4), and evaluated associations with asthma, parental educational attainment, and frequency of ED visits. RESULTS We enrolled 66 children, 76% were African American, and 61% were female. Overall child QOL was higher for those without asthma (p = 0.017, d = 0.59). Children with asthma also visited the ED almost twice as frequently (t [64] = -3.505, p < 0.001, d = 0.8), and parents of children with asthma reported a lower overall QOL (p = 0.04, d = 0.53) than those without asthma. Among children with asthma, a higher overall child QOL was associated with decreased asthma severity, more ED visits, and higher parental educational attainment. CONCLUSIONS Urban, minority elementary school-age children with asthma report a lower QOL than those children without asthma, and decreased asthma severity was associated with higher QOL.
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Affiliation(s)
- Seema Agrawal
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Sabah Iqbal
- Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA
| | - Shilpa J Patel
- Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA
| | - Robert Freishtat
- Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA
| | - Carol Kochhar-Bryant
- Special Education and Disability Studies, The George Washington University, Washington, DC, USA
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Kalyva E, Eiser C, Papathanasiou A. Health-Related Quality of Life of Children with Asthma: Self and Parental Perceptions. Int J Behav Med 2017; 23:730-737. [PMID: 27033504 DOI: 10.1007/s12529-016-9558-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE This study aimed to explore whether age, gender, asthma severity, asthma duration, and exposure to parental smoking were associated with levels of asthma-specific health-related quality of life (HRQoL) among Greek children with asthma and to identify any differences between self- and proxy ratings of asthma-specific HRQoL. METHOD One hundred and seventy-three (173) children with asthma (8-12 years old) and their parents completed the Pediatric Quality of Life Asthma Module self- and proxy measures. RESULTS Asthma severity, age, and asthma duration explained almost half of the variance in asthma-specific HRQoL scores according to self- and proxy reports. Older male children with more severe asthma who were diagnosed for a longer period of time and had at least one smoking parent reported lower asthma-specific HRQoL according to self- and proxy reports. Although children and their parents seemed to agree in their views of asthma-specific HRQoL, there were significant differences in ratings of specific parameters of asthma-specific HRQoL. CONCLUSION This study identifies the factors that account for a significant variance in asthma-specific HRQoL scores according to self- and proxy reports and is among the first to record the effect of parental smoking on children's and parents' perceptions of asthma-specific HRQoL.
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Affiliation(s)
- Efrosini Kalyva
- City College, Department of Psychology, The International Faculty of the University of Sheffield, 24 Proxenou Koromila Street, 546 22, Thessaloniki, Greece.
| | - Christine Eiser
- Department of Psychology, University of Sheffield, Sheffield, UK
| | - Aikaterini Papathanasiou
- City College, Department of Psychology, The International Faculty of the University of Sheffield, 24 Proxenou Koromila Street, 546 22, Thessaloniki, Greece
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Veenstra-van Schie MTM, Coenen K, Koopman HM, Versteegh FGA. Higher perceived HRQoL in Moroccan children with asthma and their parents. Pan Afr Med J 2015; 21:18. [PMID: 26401212 PMCID: PMC4561148 DOI: 10.11604/pamj.2015.21.18.6191] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2015] [Accepted: 04/10/2015] [Indexed: 11/11/2022] Open
Abstract
We explored the differences in the perceived HRQoL between children with asthma from Moroccan and Dutch descent and their parents. In total 33 children (aged 6-18 years) from Moroccan (16) and Dutch descent (17) and their parents participated. All children were currently under treatment in a general hospital in the Netherlands. Generic and asthma specific HRQoL were assessed (DUX-25, DISABKIDS, PAQLQ). Significant differences were found on the DUX-25 subscales physical, emotional and home functioning. Children and parents from Dutch descent reported a lower HRQoL. The findings of this study are contrary with previous research. Results can be explained by the individualistic-collectivistic dimension, socially desirability, language and the feeling of miscomprehension. If this explanation makes sense health care workers have to invest in a good relationship with especially immigrant children and their parents, so they will have enough confidence to talk more openly about their physical as well as their psycho-social complaints.
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Affiliation(s)
| | - Kelly Coenen
- Leiden University, Department of Clinical Psychology, Leiden, the Netherlands
| | | | - Florens Gerard Adriaan Versteegh
- Groene Hart Ziekenhuis, Department of Pediatrics, Gouda, the Netherlands ; Ghent University Hospital, Department of Pediatrics, Ghent, Belgium
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Silva N, Carona C, Crespo C, Canavarro MC. Quality of life in pediatric asthma patients and their parents: a meta-analysis on 20 years of research. Expert Rev Pharmacoecon Outcomes Res 2015; 15:499-519. [PMID: 25651982 DOI: 10.1586/14737167.2015.1008459] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION This meta-analytic review was conducted to estimate the magnitude of quality of life (QoL) impairments in children/adolescents with asthma and their parents. METHOD A systematic search in four electronic databases revealed 15 quantitative studies published between 1994-2013 that directly compared the QoL of 7- to 18-year-old asthma patients/parents to community/healthy controls. Pooled mean differences (MD) with 95% CI were estimated using the inverse-variance random-effects method. RESULTS Pediatric asthma patients (n = 1797) presented lower overall QoL (MD = -7.48, CI: -10.67/-4.29), physical functioning (MD = -9.36, CI: -11.85/-6.86), psychological functioning (MD = -5.00, CI: -7.17/-2.82) and social functioning (MD = -3.76, CI: -5.80/-1.72), compared to controls (n = 13,266). For parents (666 cases and 7328 controls), asthma was associated with lower physical functioning (MD = -10.15, CI: -12.21/-8.08). Between-studies heterogeneity was explained by type of informant and selection of controls. CONCLUSION The ascertainment of the magnitude of QoL impairments and the most affected QoL dimensions for pediatric asthma patients/parents may contribute to the outlining of realistic goals for multidisciplinary interventions in healthcare settings and evaluate its cost-effectiveness.
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Affiliation(s)
- Neuza Silva
- Faculty of Psychology and Education Sciences of the University of Coimbra, Rua do Colégio Novo, Apartado 6153, 3001-802 Coimbra, Portugal
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Leong AB, Ramsey CD, Celedón JC. The challenge of asthma in minority populations. Clin Rev Allergy Immunol 2013; 43:156-83. [PMID: 21538075 DOI: 10.1007/s12016-011-8263-1] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The burden and disparity of asthma in race/ethnic minorities present a significant challenge. In this review, we will evaluate data on asthma epidemiology in minorities, examine potential reasons for asthma disparities, and discuss strategies of intervention and culturally sensitive care.
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Affiliation(s)
- Albin B Leong
- Pediatric Pulmonology and Allergy, Roseville Kaiser Medical Center, 1600 Eureka Road, Roseville, CA 95661, USA.
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Predicting quality of life in pediatric asthma: the role of emotional competence and personality. Qual Life Res 2012; 22:907-16. [PMID: 22585190 DOI: 10.1007/s11136-012-0194-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2012] [Indexed: 10/28/2022]
Abstract
PURPOSE The present study examined the predictive value of emotional competence and the five-factor model of personality on the quality of life of children with asthma. METHODS Participants were 90 children (M age = 11.73, SD = 2.60) having controlled and partly controlled asthma, undergoing everyday treatment. Children filled in questionnaires assessing emotional competence and quality of life. Parents completed questionnaires assessing the personality of their child. RESULTS Results showed that two emotional competences, bodily awareness and verbal sharing of emotions, were related to the quality of life of children with asthma. Moreover, one personality trait, benevolence, was associated with children's quality of life. Regression analyses showed that the predictive value of these three dimensions remained significant over and above asthma control and socio-demographic variables frequently associated with the quality of life of children with asthma (age, gender, and educational level of parents). CONCLUSIONS These findings emphasize the importance of alerting the clinician who works with children with asthma to observe and assess the child's expression of emotions, attention to bodily sensations, and benevolence.
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Yang BH, Mu PF, Huang CM, Lou HL, Wu KG. Relationship among asthma knowledge, behavior management and social adaptation in school-age children with asthma in Taiwan. Nurs Health Sci 2012; 14:165-72. [PMID: 22339788 DOI: 10.1111/j.1442-2018.2011.00674.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This study examined the relationships between asthma knowledge, behavior management, and social adaptation among school-age children with asthma. A total of 210 school-age asthmatic children and their parents were recruited from a medical hospital in Taiwan. The children completed asthma knowledge and behavior management questionnaires, and their parents completed the Child and Adolescent Adjustment Profile. There was a statistically significant positive correlation between behavior management and social adaptation among asthmatic children. Asthma knowledge and behavior management were positively associated but did not correlate with children's social adaptation. The behavior management of the children acted as a predictor of their social adaptation. These findings suggest that efforts to raise children's asthma knowledge will benefit these individuals in terms of behavior management. The introduction of asthma behavior management plans could facilitate the social adaptation of asthmatic children and, in particular, increase their independence and reduce their withdrawal as well as enhance their self-confidence and self-esteem.
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Affiliation(s)
- Bao-Huan Yang
- Institute of Clinical Nursing, National Yang-Ming University, Taipei, Taiwan
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Garro A. Health-related quality of life (HRQOL) in Latino families experiencing pediatric asthma. J Child Health Care 2011; 15:350-7. [PMID: 21317169 DOI: 10.1177/1367493510387952] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose of the present study was to examine health-related quality of life (HRQOL) in Latino children with asthma and their parents. Twenty-six parents completed the Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ), the Health Status and Activities Questionnaire for Children with Asthma (HSAQ) and four subscales from the Family Environment Scale. The results indicated that, overall, neither children with asthma nor their parents showed significant impairments in their HRQOL, though higher illness severity was associated with lower child quality of life and lower parent quality of life related to activity limitations. Other child and family variables, including dimensions of family functioning, did not correlate significantly with HRQOL. However, child and parent HRQOL were significantly associated with each other. This study provides additional context for understanding the experiences of Latino families dealing with pediatric asthma.
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Affiliation(s)
- Adrienne Garro
- Department of Doctoral Studies in Psychology, Kean University, USA.
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Milde-Busch A, Heinrich S, Thomas S, Kühnlein A, Radon K, Straube A, Bayer O, von Kries R. Quality of life in adolescents with headache: Results from a population-based survey. Cephalalgia 2010; 30:713-21. [DOI: 10.1177/0333102409354389] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of the investigation was to study the impact of headache on quality of life (QOL) in adolescents in a population-based sample ( N = 1047, aged between 13 and 17 years). QOL was assessed using the KINDL-R (Revidierter Kinder Lebensqualitätsfragebogen) questionnaire with its six dimensions. In order to assess potential differences in the impact on QOL according to the type of headache, a stratified analysis was performed. QOL differences compared to the ‘no headache’ group are presented with adjustment for socio-demographic confounders. Headache at least once per month was reported in 48% of the adolescents and accounted for a small but significant reduction of 2.5 points in the total KINDL-R score, which was mainly caused by a reduction in physical wellbeing by 6.8 points. Adolescents with migraine reported higher reductions in physical wellbeing and total QOL than subjects with tension-type headache (TTH). The size of the reduction in QOL scores was small but similar to that observed for other chronic conditions in adolescents. Headache prevention programs might therefore have an impact on QOL in adolescents.
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Affiliation(s)
- Astrid Milde-Busch
- Institute of Social Paediatrics and Adolescent Medicine, Ludwig-Maximilians-University, Munich
| | - Sabine Heinrich
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of the Clinical Center of the Unit for Occupational and Environmental Epidemiology & Net Teaching, Ludwig-Maximilians-University, Munich
| | - Silke Thomas
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of the Clinical Center of the Unit for Occupational and Environmental Epidemiology & Net Teaching, Ludwig-Maximilians-University, Munich
| | - Anja Kühnlein
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of the Clinical Center of the Unit for Occupational and Environmental Epidemiology & Net Teaching, Ludwig-Maximilians-University, Munich
| | - Katja Radon
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of the Clinical Center of the Unit for Occupational and Environmental Epidemiology & Net Teaching, Ludwig-Maximilians-University, Munich
| | - Andreas Straube
- Department of Neurology, Klinikum Grosshadern, Ludwig-Maximilians-University, Munich
| | - Otmar Bayer
- Institute of Social Paediatrics and Adolescent Medicine, Ludwig-Maximilians-University, Munich
| | - Rüdiger von Kries
- Institute of Social Paediatrics and Adolescent Medicine, Ludwig-Maximilians-University, Munich
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Warner-Czyz AD, Loy B, Roland PS, Tong L, Tobey EA. Parent versus child assessment of quality of life in children using cochlear implants. Int J Pediatr Otorhinolaryngol 2009; 73:1423-9. [PMID: 19674798 PMCID: PMC2891383 DOI: 10.1016/j.ijporl.2009.07.009] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2009] [Revised: 07/13/2009] [Accepted: 07/14/2009] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Children with hearing loss who use cochlear implants have lower quality of life (QoL) in social situations and lower self-esteem than hearing peers. The child's QoL has been assessed primarily by asking the parent rather than asking the child. This poses a problem because parents have difficulty judging less observable aspects like self-esteem and socio-emotional functioning, the domains most affected by hearing loss. METHODS This case-control study evaluated QoL in 50 preschoolers using a cochlear implant and their parents with the Kiddy KINDL(®), an established QoL measure. Children's responses were compared to a hearing control group and correlated with demographic variables. We used a questionnaire for parents and a face-to-face interview with children. T-tests were used to compare (a) paired parent-child ratings and (b) children with cochlear implants versus normal hearing. Pearson rank correlations were used to compare QoL with demographic variables. RESULTS Children using cochlear implants rated overall QoL significantly more positively than their parents (M(Difference)=4.22, p=.03). Child rating of QoL did not differ significantly by auditory status (cochlear implant (82.8) vs. hearing (80.8), p=.42). Overall QoL correlated inversely with cochlear implant experience and chronologic age, but did not correlate with implantation age. CONCLUSIONS Preschool children using cochlear implants can assess adequately their own QoL, but parents afford valuable complementary perspective on the child's socio-emotional and physical well-being. Preschool children using cochlear implants rate overall QoL measures similar to hearing peers. A constellation of QoL measures should be collected to yield a better understanding of general QoL as well as specific domains centered on hearing loss.
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Affiliation(s)
- Andrea D. Warner-Czyz
- The University of Texas at Dallas, Callier Advanced Hearing Research Center, 1966 Inwood Road, Dallas, Texas 75235,The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9003,Dallas Cochlear Implant Program, Dallas, Texas 75235
| | - Betty Loy
- The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9003,Dallas Cochlear Implant Program, Dallas, Texas 75235
| | - Peter S. Roland
- The University of Texas at Dallas, Callier Advanced Hearing Research Center, 1966 Inwood Road, Dallas, Texas 75235,The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9003,Dallas Cochlear Implant Program, Dallas, Texas 75235
| | - Liyue Tong
- The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9003
| | - Emily A. Tobey
- The University of Texas at Dallas, Callier Advanced Hearing Research Center, 1966 Inwood Road, Dallas, Texas 75235,The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9003,Dallas Cochlear Implant Program, Dallas, Texas 75235
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Natale N, Kuhn S, Siemer S, Stöckle M, von Gontard A. Quality of life and self-esteem for children with urinary urge incontinence and voiding postponement. J Urol 2009; 182:692-8. [PMID: 19539323 DOI: 10.1016/j.juro.2009.04.033] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2008] [Indexed: 10/20/2022]
Abstract
PURPOSE Urge incontinence and voiding postponement are common subtypes of daytime wetting in children. We analyzed health related quality of life for children with urge incontinence and voiding postponement, and healthy controls at 2 centers. MATERIALS AND METHODS We examined a total of 49 consecutive children 5 to 13 years old who presented with urge incontinence (22) or voiding postponement (27), and 32 controls matched for age and sex. Health related and overall quality of life were measured with generic questionnaires, and self-esteem was measured with the Piers-Harris questionnaire. RESULTS Health related quality of life was significantly reduced in parent rating but not in child rating in the incontinent vs control group (total mean parent score 73 vs 78, child 76 vs 76). Children with voiding postponement have the lowest health related quality of life. Overall quality of life was significantly reduced in children with incontinence, while self-esteem did not differ. Children with externalizing disorders generally have the lowest health related and overall quality of life. CONCLUSIONS Health related and overall quality of life are useful constructs, and are reduced in children with daytime incontinence by parental rating. In comparison, children rate their quality of life as being higher. Quality of life is lowest with externalizing behavioral disorders, as in children with voiding postponement. Due to comorbid behavioral disturbances, children with voiding postponement often need additional assessment, counseling and treatment.
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Affiliation(s)
- N Natale
- Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg/Saar, Germany
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Everhart RS, Fiese BH. Asthma severity and child quality of life in pediatric asthma: a systematic review. PATIENT EDUCATION AND COUNSELING 2009; 75:162-168. [PMID: 19036553 DOI: 10.1016/j.pec.2008.10.001] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2008] [Revised: 08/18/2008] [Accepted: 10/06/2008] [Indexed: 05/27/2023]
Abstract
OBJECTIVE To systematically review evidence of asthma severity as a correlate of child quality of life (QOL) in pediatric asthma. METHODS Online bibliographic databases (PsycINFO, PsycARTICLES, and MEDLINE) were used to identify relevant studies that specifically considered the relationship between asthma severity and child QOL. RESULTS Fourteen studies matching inclusion and exclusion criteria were reviewed. Asthma severity was significantly related to child QOL in nine of these studies. Informant of QOL and type of QOL measure were found to influence the strength of the relationship between severity and child QOL in pediatric asthma. CONCLUSIONS Findings suggest that asthma severity is a correlate of child QOL. Children whose asthma symptoms are not well-managed are likely to experience an impaired level of QOL. Findings also suggest the need to utilize asthma-specific QOL measures and an informant of QOL other than the child's parent in order to receive the most accurate information about the child's level of functioning. PRACTICE IMPLICATIONS Researchers and healthcare providers basing clinical outcomes on QOL assessments should consider asthma severity in their evaluations. Further, researchers and healthcare providers should recognize the continued need to reduce asthma severity and improve asthma symptom control in their attempts to improve the QOL of children with asthma.
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Affiliation(s)
- Robin S Everhart
- Syracuse University, Department of Psychology, 430 Huntington Hall, Syracuse, NY 13244, United States
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Freeman AJ, Youngstrom EA, Michalak E, Siegel R, Meyers OI, Findling RL. Quality of life in pediatric bipolar disorder. Pediatrics 2009; 123:e446-52. [PMID: 19254981 DOI: 10.1542/peds.2008-0841] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Bipolar disorder is a common mood disorder associated with significant disability and impairment in quality of life in adults. Little research has examined the impact of the disorder on quality of life in children and adolescents. The current study examines the quality of life in children and adolescents with bipolar disorder compared with other physical and psychiatric illnesses. METHODS This study included 529 youth and caregiver pairs who sought services at a community mental health center or an academic medical center. Diagnoses were based on semistructured interviews of caregivers and youths, and quality of life was determined by the parent-reported Revised Children Quality of Life Questioinnaire (KINDL) questionnaire and compared with published benchmarks for many medical illnesses. RESULTS Mean age of the youths was 12.0 years, 57% were boys, 72% were black, 22% were white, and 17% had received bipolar disorder diagnoses. Youths with bipolar disorder had significantly lower quality-of-life scores than youths with asthma, atopic dermatitis, obesity, arthritis, oxygen dependence, heart surgery during infancy, depression, behavior disorders, and nonmood and nonbehavior psychiatric diagnoses. CONCLUSIONS Youths with bipolar disorder reported lower quality of life than other youths encountered in pediatric practice. Pediatricians should attend not only to the child's mood symptoms but also to the overall impairment of the disorder.
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Affiliation(s)
- Andrew J Freeman
- University of North Carolina, Department of Psychology, CB3270, Davie Hall, Chapel Hill, NC 27599-3270, USA.
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Van Dellen QM, Stronks K, Bindels PJE, Ory FG, Bruil J, Van Aalderen WMC. Health-related quality of life in children with asthma from different ethnic origins. J Asthma 2007; 44:125-31. [PMID: 17454327 DOI: 10.1080/02770900601182459] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study aimed to identify and explain differences in health-related quality of life (QoL) between immigrant and non-immigrant children with asthma. In 274 children (7-17 years of age) generic and asthma-related QoL were assessed. The association between ethnicity and QoL was studied in linear regression model analyses. For the asthma-related QoL, unadjusted analyses showed significant ethnic differences. The non-immigrant children had the highest scores, which implies a better QoL. After adjusting for asthma control and socioeconomic status (SES), ethnic differences disappeared. These results suggest that immigrant children have a similar QoL to that of non-immigrant children from a comparable SES, when their asthma is under control.
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Affiliation(s)
- Q M Van Dellen
- Department of Paediatric Pulmonology, Emma Children's Hospital, Academic Medical Center, University of Amsterdam
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Noyes J. Comparison of ventilator-dependent child reports of health-related quality of life with parent reports and normative populations. J Adv Nurs 2007; 58:1-10. [PMID: 17394611 DOI: 10.1111/j.1365-2648.2006.04191.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIMS This paper is a report of the first study of ventilator-dependent child and parent ratings of health-related quality of life using a validated instrument, which was undertaken as part of a case study of costs and consequences. BACKGROUND Advances in medical care and technologies such as the ventilator have extended childhood illness trajectories beyond our current range of knowledge and experience. These advances and their effects reinforce the need for further research to determine health-related quality of life as an outcome of ventilator-dependency in childhood. METHODS The KINDL was administered to ventilator-dependent children aged 4-18 years and parents as part of an in-depth case study. Twenty-seven parents and 17 children (including 17 child-parent pairs) completed questionnaires. Data were collected between 2001 and 2004. Findings were compared with normative values derived from a representative sample of children of a similar age in the general population. RESULTS Ventilator-dependent children reported significantly lower overall health-related quality of life, and significantly lower scores on all domains except about their friends, compared with school children, and chronically ill children in respect of their disease. Parents and children rated children's overall health-related quality of life the same but parents reported significantly lower scores for their child's disease and relationships with friends. There was a positive correlation between children and parents in all areas apart from self-esteem and school. CONCLUSIONS Both child and parent perspectives are needed to understand the impact of ventilator-dependency and associated co-morbidity on the child. As new interventions and models of service delivery emerge it will be important for nurses to understand the impact on the child by evaluating physical, emotional and social consequences.
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Affiliation(s)
- Jane Noyes
- College of Health and Behavioural Sciences, School of Healthcare Sciences, University of Wales, Bangor, UK.
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Huber M. Health-related quality of life of Austrian children and adolescents with cochlear implants. Int J Pediatr Otorhinolaryngol 2005; 69:1089-101. [PMID: 15946746 DOI: 10.1016/j.ijporl.2005.02.018] [Citation(s) in RCA: 91] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2004] [Revised: 02/07/2005] [Accepted: 02/17/2005] [Indexed: 10/25/2022]
Abstract
BACKGROUND AND OBJECTIVE As shown by many studies, deaf children benefit considerably by cochlear implants (CI), concerning oral language and integration in mainstream schools. This had lead to the general view of a good quality of life of these children. Unfortunately so far nearly no studies on quality of life, and specially no studies on health-related quality of life (HRQoL) of children with cochlear implants, have been published. The present study with the objective for first, initial information on health-related quality of life of Austrian pupils with cochlear implants is a first step to fill this gap. METHODS Forty-four Austrian pupils, out of 65 candidates, age 8-16, with a hearing experience of at least 3 years with implants, and their parents were surveyed in the CI Center, Salzburg (cross sectional study). Basic medical and audiological data were available for all pupils. Because of reading comprehension difficulties 15 pupils were excluded. Parents and children were surveyed with the KINDLr, a generic instrument for health-related quality of life of children and adolescents. Main outcome measures were the HRQoL-total scores (mean, transformed to 100, standard deviation). In addition, 95% confidence intervals, effect sizes, t scores (one- and two-sided t-tests), rank order correlations and coefficients of determination were calculated. RESULTS The HRQoL-total score of the children with CI (n=18), age 8-12 was below the standard for hearing children (P<0.001). It differed from the total score of the parent rating (P<0.0001). The difference between the parent ratings of non-excluded and of excluded children (n=12) was not significant. The total score of the adolescents (n=11), age 13-16 was within the norm, with no significant difference between adolescent and parents. The total scores correlate with parent-child agreement in the ratings, with outcomes of audiological speech tests, length of time of deafness, and age at implantation. CONCLUSIONS Children with CI experience a lower health-related quality of life, compared to hearing children, with a low parent-child agreement. The findings of this study point to a normal subjective health of adolescents with CI.
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Affiliation(s)
- Maria Huber
- Cochlear Implant Center, Department of Otorhinolaryngology, Head and Neck Surgery, Paracelsus Medical University, St. Johanns-Spital, Landeskliniken Salzburg, Austria. m.huber2salk.at
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