Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study
Chronic physical health conditions (CPHC) are on the rise in younger age groups and might have a negative impact on children and adolescents. In a representative sample of Austrian adolescents aged 10–18 years, internalizing, externalizing, and behavioral problems were assessed cross-sectionally usi...
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| Format: | Article |
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/5/1927 |
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| author | Gudrun Wagner Andreas Karwautz Julia Philipp Stefanie Truttmann Wolfgang Dür Karin Waldherr Gabriele Berger Michael Zeiler |
| author_facet | Gudrun Wagner Andreas Karwautz Julia Philipp Stefanie Truttmann Wolfgang Dür Karin Waldherr Gabriele Berger Michael Zeiler |
| author_sort | Gudrun Wagner |
| collection | DOAJ |
| description | Chronic physical health conditions (CPHC) are on the rise in younger age groups and might have a negative impact on children and adolescents. In a representative sample of Austrian adolescents aged 10–18 years, internalizing, externalizing, and behavioral problems were assessed cross-sectionally using the Youth Self-Report and health-related quality of life (HrQoL) using the KIDSCREEN questionnaire. Sociodemographic variables, life events, and chronic illness specific parameters were considered as associated variables with mental health problems in individuals with CPHC. Of 3469 adolescents, 9.4% of girls and 7.1% of boys suffered from a chronic pediatric illness. Of these individuals, 31.7% and 11.9% had clinically relevant levels of internalizing and externalizing mental health problems, respectively, compared to 16.3% and 7.1% adolescents without a CPHC. Anxiety, depression, and social problems were twice as high in this population. Medication intake due to CPHC and any traumatic life-event were related to mental health problems. All HrQoL domains were deteriorated in adolescents with a double burden of mental and CPHC, whereas adolescents with a CPHC without mental health problems did not differ significantly from adolescents without a chronic illness. Targeted prevention programs for adolescents with a CPHC are urgently needed to prevent mental health problems in the long term. |
| first_indexed | 2024-03-11T07:20:59Z |
| format | Article |
| id | doaj.art-db946cae465b4cd8a6c93d846633f840 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T07:20:59Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-db946cae465b4cd8a6c93d846633f8402023-11-17T08:00:14ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01125192710.3390/jcm12051927Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT StudyGudrun Wagner0Andreas Karwautz1Julia Philipp2Stefanie Truttmann3Wolfgang Dür4Karin Waldherr5Gabriele Berger6Michael Zeiler7Department for Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaDepartment for Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaDepartment for Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaDepartment for Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Sociology, University of Vienna, 1090 Vienna, AustriaDepartment for Research and Development, Ferdinand Porsche FernFH—Distance Learning University of Applied Sciences, 2700 Wr. Neustadt, AustriaDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, 1090 Vienna, AustriaDepartment for Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, AustriaChronic physical health conditions (CPHC) are on the rise in younger age groups and might have a negative impact on children and adolescents. In a representative sample of Austrian adolescents aged 10–18 years, internalizing, externalizing, and behavioral problems were assessed cross-sectionally using the Youth Self-Report and health-related quality of life (HrQoL) using the KIDSCREEN questionnaire. Sociodemographic variables, life events, and chronic illness specific parameters were considered as associated variables with mental health problems in individuals with CPHC. Of 3469 adolescents, 9.4% of girls and 7.1% of boys suffered from a chronic pediatric illness. Of these individuals, 31.7% and 11.9% had clinically relevant levels of internalizing and externalizing mental health problems, respectively, compared to 16.3% and 7.1% adolescents without a CPHC. Anxiety, depression, and social problems were twice as high in this population. Medication intake due to CPHC and any traumatic life-event were related to mental health problems. All HrQoL domains were deteriorated in adolescents with a double burden of mental and CPHC, whereas adolescents with a CPHC without mental health problems did not differ significantly from adolescents without a chronic illness. Targeted prevention programs for adolescents with a CPHC are urgently needed to prevent mental health problems in the long term.https://www.mdpi.com/2077-0383/12/5/1927mental healthquality of lifeadolescentsepidemiologychronic physical health conditions |
| spellingShingle | Gudrun Wagner Andreas Karwautz Julia Philipp Stefanie Truttmann Wolfgang Dür Karin Waldherr Gabriele Berger Michael Zeiler Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study Journal of Clinical Medicine mental health quality of life adolescents epidemiology chronic physical health conditions |
| title | Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study |
| title_full | Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study |
| title_fullStr | Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study |
| title_full_unstemmed | Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study |
| title_short | Mental Health and Health-Related Quality of Life in Austrian Adolescents with Chronic Physical Health Conditions: Results from the MHAT Study |
| title_sort | mental health and health related quality of life in austrian adolescents with chronic physical health conditions results from the mhat study |
| topic | mental health quality of life adolescents epidemiology chronic physical health conditions |
| url | https://www.mdpi.com/2077-0383/12/5/1927 |
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