Internalizing disorders and quality of life in adolescence: evidence for independent associations

Objective: To investigate whether internalizing disorders are associated with quality of life (QoL) in adolescents, even after accounting for shared risk factors. Methods: The sample comprised 102 adolescents from a community cross-sectional study with an oversampling of anxious subjects. Risk facto...

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Main Authors: Giovanni A. Salum, Diogo A. DeSousa, Vera L. Bosa, Ilaine Schuch, Marcelo Goldani, Luciano R. Isolan, Stefania P. Teche, Marcelo P. Fleck, Luis A. Rohde, Gisele G. Manfro
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2014-12-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000500305&lng=en&tlng=en
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author Giovanni A. Salum
Diogo A. DeSousa
Vera L. Bosa
Ilaine Schuch
Marcelo Goldani
Luciano R. Isolan
Stefania P. Teche
Marcelo P. Fleck
Luis A. Rohde
Gisele G. Manfro
author_facet Giovanni A. Salum
Diogo A. DeSousa
Vera L. Bosa
Ilaine Schuch
Marcelo Goldani
Luciano R. Isolan
Stefania P. Teche
Marcelo P. Fleck
Luis A. Rohde
Gisele G. Manfro
author_sort Giovanni A. Salum
collection DOAJ
description Objective: To investigate whether internalizing disorders are associated with quality of life (QoL) in adolescents, even after accounting for shared risk factors. Methods: The sample comprised 102 adolescents from a community cross-sectional study with an oversampling of anxious subjects. Risk factors previously associated with QoL were assessed and divided into five blocks organized hierarchically from proximal to distal sets of risk factors. Results: Multiple regression analysis yielded a hierarchical model accounting for 72% of QoL variance. All blocks were consistently associated with QoL (p < 0.05), accounting for the following percentages of variance: 12% for demographics; 5.2% for family environment; 37.8% for stressful events; 10% for nutritional and health habits; and 64.2% for dimensional psychopathological symptoms or 22.8% for psychiatric diagnoses (dichotomous). Although most of the QoL variance attributed to internalizing symptoms was explained by the four proximal blocks in the hierarchical model (43.2%), about 21% of the variance was independently associated with internalizing symptoms/diagnoses. Conclusions: QoL is associated with several aspects of adolescent life that were largely predicted by our hierarchical model. Our findings reinforce the hypothesis that internalizing disorders and internalizing symptoms in adolescents have a high impact on QoL and deserve proper clinical attention.
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spelling doaj.art-9029ca9b061240989458647403927fd72022-12-22T00:00:41ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2014-12-0136430531210.1590/1516-4446-2014-1362S1516-44462014000500305Internalizing disorders and quality of life in adolescence: evidence for independent associationsGiovanni A. SalumDiogo A. DeSousaVera L. BosaIlaine SchuchMarcelo GoldaniLuciano R. IsolanStefania P. TecheMarcelo P. FleckLuis A. RohdeGisele G. ManfroObjective: To investigate whether internalizing disorders are associated with quality of life (QoL) in adolescents, even after accounting for shared risk factors. Methods: The sample comprised 102 adolescents from a community cross-sectional study with an oversampling of anxious subjects. Risk factors previously associated with QoL were assessed and divided into five blocks organized hierarchically from proximal to distal sets of risk factors. Results: Multiple regression analysis yielded a hierarchical model accounting for 72% of QoL variance. All blocks were consistently associated with QoL (p < 0.05), accounting for the following percentages of variance: 12% for demographics; 5.2% for family environment; 37.8% for stressful events; 10% for nutritional and health habits; and 64.2% for dimensional psychopathological symptoms or 22.8% for psychiatric diagnoses (dichotomous). Although most of the QoL variance attributed to internalizing symptoms was explained by the four proximal blocks in the hierarchical model (43.2%), about 21% of the variance was independently associated with internalizing symptoms/diagnoses. Conclusions: QoL is associated with several aspects of adolescent life that were largely predicted by our hierarchical model. Our findings reinforce the hypothesis that internalizing disorders and internalizing symptoms in adolescents have a high impact on QoL and deserve proper clinical attention.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000500305&lng=en&tlng=enQuality of lifeanxietydepressionadolescents
spellingShingle Giovanni A. Salum
Diogo A. DeSousa
Vera L. Bosa
Ilaine Schuch
Marcelo Goldani
Luciano R. Isolan
Stefania P. Teche
Marcelo P. Fleck
Luis A. Rohde
Gisele G. Manfro
Internalizing disorders and quality of life in adolescence: evidence for independent associations
Brazilian Journal of Psychiatry
Quality of life
anxiety
depression
adolescents
title Internalizing disorders and quality of life in adolescence: evidence for independent associations
title_full Internalizing disorders and quality of life in adolescence: evidence for independent associations
title_fullStr Internalizing disorders and quality of life in adolescence: evidence for independent associations
title_full_unstemmed Internalizing disorders and quality of life in adolescence: evidence for independent associations
title_short Internalizing disorders and quality of life in adolescence: evidence for independent associations
title_sort internalizing disorders and quality of life in adolescence evidence for independent associations
topic Quality of life
anxiety
depression
adolescents
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462014000500305&lng=en&tlng=en
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