Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study
Abstract Background Increased knowledge about factors that can impact changes in adolescents’ health-related quality of life (HRQOL) is needed. The present study aimed to investigate possible HRQOL changes in adolescents at 14 and 16 years, and assess the impact of sociodemographic factors, gender,...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-022-02035-4 |
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| author | Hilde Timenes Mikkelsen Milada Cvancarova Småstuen Kristin Haraldstad Sølvi Helseth Siv Skarstein Gudrun Rohde |
| author_facet | Hilde Timenes Mikkelsen Milada Cvancarova Småstuen Kristin Haraldstad Sølvi Helseth Siv Skarstein Gudrun Rohde |
| author_sort | Hilde Timenes Mikkelsen |
| collection | DOAJ |
| description | Abstract Background Increased knowledge about factors that can impact changes in adolescents’ health-related quality of life (HRQOL) is needed. The present study aimed to investigate possible HRQOL changes in adolescents at 14 and 16 years, and assess the impact of sociodemographic factors, gender, pain, self-esteem, self-efficacy, loneliness, and stress on HRQOL changes over time. Further, to assess HRQOL stratified by gender. Methods A longitudinal study involving 211 adolescents was conducted. Sociodemographic variables, pain, self-esteem, self-efficacy, loneliness, and stress were all assessed with well-validated instruments. KIDSCREEN-27 was used to measure HRQOL. Data were analyzed using independent t-tests, paired samples t-tests, and linear mixed models for repeated measures. Results When all variables were added to the linear mixed models, stress, loneliness, and pain were significantly, independently associated with a reduction in HRQOL change scores for four of the five KIDSCREEN subscales. Time was significantly associated with a reduction in physical and psychological well-being. Self-efficacy and self-esteem were significantly associated with an increase in HRQOL change scores for four and two subscales, respectively. Male gender was significantly negatively associated with changes in social support and peers compared to female gender. Conclusion Our results demonstrated a significant decline in adolescents’ HRQOL regarding physical and psychological well-being for the age range 14–16 years. Furthermore, we found that stress, loneliness, and pain have a significant negative impact on HRQOL changes, whereas self-esteem and self-efficacy have a significant positive impact. Our results highlight the importance of increased understanding regarding factors associated with changes in adolescents’ HRQOL to enable accurate and strategic interventions. |
| first_indexed | 2024-04-13T18:40:32Z |
| format | Article |
| id | doaj.art-2ada2bbc7ea24a37bd39150decd0a427 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-04-13T18:40:32Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-2ada2bbc7ea24a37bd39150decd0a4272022-12-22T02:34:43ZengBMCHealth and Quality of Life Outcomes1477-75252022-08-0120111110.1186/s12955-022-02035-4Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal studyHilde Timenes Mikkelsen0Milada Cvancarova Småstuen1Kristin Haraldstad2Sølvi Helseth3Siv Skarstein4Gudrun Rohde5Department of Health and Nursing, Faculty of Health and Sport Sciences, University of AgderDepartment of Health and Nursing, Faculty of Health and Sport Sciences, University of AgderDepartment of Health and Nursing, Faculty of Health and Sport Sciences, University of AgderDepartment of Health and Nursing, Faculty of Health and Sport Sciences, University of AgderDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan UniversityDepartment of Health and Nursing, Faculty of Health and Sport Sciences, University of AgderAbstract Background Increased knowledge about factors that can impact changes in adolescents’ health-related quality of life (HRQOL) is needed. The present study aimed to investigate possible HRQOL changes in adolescents at 14 and 16 years, and assess the impact of sociodemographic factors, gender, pain, self-esteem, self-efficacy, loneliness, and stress on HRQOL changes over time. Further, to assess HRQOL stratified by gender. Methods A longitudinal study involving 211 adolescents was conducted. Sociodemographic variables, pain, self-esteem, self-efficacy, loneliness, and stress were all assessed with well-validated instruments. KIDSCREEN-27 was used to measure HRQOL. Data were analyzed using independent t-tests, paired samples t-tests, and linear mixed models for repeated measures. Results When all variables were added to the linear mixed models, stress, loneliness, and pain were significantly, independently associated with a reduction in HRQOL change scores for four of the five KIDSCREEN subscales. Time was significantly associated with a reduction in physical and psychological well-being. Self-efficacy and self-esteem were significantly associated with an increase in HRQOL change scores for four and two subscales, respectively. Male gender was significantly negatively associated with changes in social support and peers compared to female gender. Conclusion Our results demonstrated a significant decline in adolescents’ HRQOL regarding physical and psychological well-being for the age range 14–16 years. Furthermore, we found that stress, loneliness, and pain have a significant negative impact on HRQOL changes, whereas self-esteem and self-efficacy have a significant positive impact. Our results highlight the importance of increased understanding regarding factors associated with changes in adolescents’ HRQOL to enable accurate and strategic interventions.https://doi.org/10.1186/s12955-022-02035-4Health-related quality of lifeLongitudinalAdolescentResilienceStressLoneliness |
| spellingShingle | Hilde Timenes Mikkelsen Milada Cvancarova Småstuen Kristin Haraldstad Sølvi Helseth Siv Skarstein Gudrun Rohde Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study Health and Quality of Life Outcomes Health-related quality of life Longitudinal Adolescent Resilience Stress Loneliness |
| title | Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study |
| title_full | Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study |
| title_fullStr | Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study |
| title_full_unstemmed | Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study |
| title_short | Changes in health-related quality of life in adolescents and the impact of gender and selected variables: a two-year longitudinal study |
| title_sort | changes in health related quality of life in adolescents and the impact of gender and selected variables a two year longitudinal study |
| topic | Health-related quality of life Longitudinal Adolescent Resilience Stress Loneliness |
| url | https://doi.org/10.1186/s12955-022-02035-4 |
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