CAPMH health-related quality of life among adolescent psychiatric outpatients: a 12-month follow-up study among 12-14-year-old Finnish boys and girls.
Adolescence
Health-related quality of life
Outpatient treatment
Psychiatry
Journal
Child and adolescent psychiatry and mental health
ISSN: 1753-2000
Titre abrégé: Child Adolesc Psychiatry Ment Health
Pays: England
ID NLM: 101297974
Informations de publication
Date de publication:
2019
2019
Historique:
received:
14
01
2019
accepted:
15
03
2019
entrez:
10
4
2019
pubmed:
10
4
2019
medline:
10
4
2019
Statut:
epublish
Résumé
Little is known about adolescents' perceptions about their health-related quality of life (HRQoL) in the course of routine adolescent psychiatric treatment. The aim of this 1-year follow-up study was to investigate HRQoL and changes in it among youths receiving adolescent psychiatric outpatient treatment. The study comprised 158 girls and 82 boys aged 12-14 years from 10 psychiatric outpatient clinics in one Finnish hospital district. Same-aged population controls (210 girls and 162 boys) were randomly collected from comprehensive schools. HRQoL was measured using the 16D instrument. The questionnaire was self-administered when the adolescents entered the polyclinics (= baseline), after a treatment period of 6 months, and after 12 months. The mean age of respondents was 13.8 years (SD 0.63). At baseline, the mean HRQoL score of both female and male outpatients was significantly lower than that of population controls (p < 0.001). HRQoL of female patients was significantly worse than that of male patients (p < 0.001). In girls, HRQoL improved continuously during the 12-month follow-up, yet it remained worse than that of female population controls. Among boys, HRQoL was substantially better at the 6-month follow-up than at baseline, but this positive development was no longer seen at the 12-month follow-up. From the perspective of HRQoL, girls seem to benefit more than boys from adolescent psychiatric outpatient treatment. Possible explanations for this finding are discussed.
Sections du résumé
BACKGROUND
BACKGROUND
Little is known about adolescents' perceptions about their health-related quality of life (HRQoL) in the course of routine adolescent psychiatric treatment. The aim of this 1-year follow-up study was to investigate HRQoL and changes in it among youths receiving adolescent psychiatric outpatient treatment.
METHODS
METHODS
The study comprised 158 girls and 82 boys aged 12-14 years from 10 psychiatric outpatient clinics in one Finnish hospital district. Same-aged population controls (210 girls and 162 boys) were randomly collected from comprehensive schools. HRQoL was measured using the 16D instrument. The questionnaire was self-administered when the adolescents entered the polyclinics (= baseline), after a treatment period of 6 months, and after 12 months.
RESULTS
RESULTS
The mean age of respondents was 13.8 years (SD 0.63). At baseline, the mean HRQoL score of both female and male outpatients was significantly lower than that of population controls (p < 0.001). HRQoL of female patients was significantly worse than that of male patients (p < 0.001). In girls, HRQoL improved continuously during the 12-month follow-up, yet it remained worse than that of female population controls. Among boys, HRQoL was substantially better at the 6-month follow-up than at baseline, but this positive development was no longer seen at the 12-month follow-up.
CONCLUSIONS
CONCLUSIONS
From the perspective of HRQoL, girls seem to benefit more than boys from adolescent psychiatric outpatient treatment. Possible explanations for this finding are discussed.
Identifiants
pubmed: 30962819
doi: 10.1186/s13034-019-0278-z
pii: 278
pmc: PMC6434830
doi:
Types de publication
Journal Article
Langues
eng
Pagination
17Déclaration de conflit d'intérêts
HS is one of the developers of the 16D. The other author(s) declare no competing interests with respect to the research, authorship, or publication of this article.
Références
Qual Life Res. 2012 Dec;21(10):1797-1814
pubmed: 22298200
Qual Life Res. 2005 Aug;14(6):1599-612
pubmed: 16110939
Soc Psychiatry Psychiatr Epidemiol. 2009 Nov;44(11):935-42
pubmed: 19255701
Qual Life Res. 2004 Mar;13(2):489-95
pubmed: 15085921
Child Adolesc Ment Health. 2017 Sep;22(3):170-174
pubmed: 32680382
Qual Life Res. 1996 Apr;5(2):205-11
pubmed: 8998489
Nord J Psychiatry. 2015;69(8):605-12
pubmed: 25828763
Personal Ment Health. 2014 May;8(2):102-14
pubmed: 24700734
Arch Gen Psychiatry. 2003 Jul;60(7):709-17
pubmed: 12860775
J Child Psychol Psychiatry. 2013 Jul;54(7):791-9
pubmed: 23451804
J Child Psychol Psychiatry. 2015 Mar;56(3):324-41
pubmed: 25496295
Restor Neurol Neurosci. 2002;20(3-4):93-101
pubmed: 12454358
Int J Psychiatry Clin Pract. 2013 Oct;17(4):253-8
pubmed: 23485127
Nord J Psychiatry. 2001;55(6):381-5
pubmed: 11839130
J Child Psychol Psychiatry. 2017 Apr;58(4):439-469
pubmed: 27709604
Child Adolesc Ment Health. 2013 May;18(2):88-94
pubmed: 32847283
Health Qual Life Outcomes. 2012 Jun 18;10:73
pubmed: 22709358
J Youth Adolesc. 2018 May;47(5):1086-1099
pubmed: 29185207
J Child Psychol Psychiatry. 2015 Mar;56(3):345-65
pubmed: 25649325
J Child Psychol Psychiatry. 2009 May;50(5):544-61
pubmed: 19432681
BMC Psychiatry. 2015 Nov 14;15:279
pubmed: 26573269
Child Adolesc Psychiatry Ment Health. 2014 Apr 29;8:14
pubmed: 24834111
J Clin Psychiatry. 2008 May;69(5):844-53
pubmed: 18399727
BMJ. 2005 Feb 5;330(7486):301-4
pubmed: 15695279
N Engl J Med. 2005 Jun 16;352(24):2515-23
pubmed: 15958807
Annu Rev Clin Psychol. 2008;4:275-303
pubmed: 18370618
Nat Rev Neurosci. 2008 Dec;9(12):947-57
pubmed: 19002191
Health Qual Life Outcomes. 2010 Nov 22;8:136
pubmed: 21092189
Eur Child Adolesc Psychiatry. 2016 Mar;25(3):261-71
pubmed: 26054300
Dialogues Clin Neurosci. 2014 Jun;16(2):147-58
pubmed: 25152654
J Affect Disord. 2014 Jan;152-154:313-9
pubmed: 24144580
Eur Child Adolesc Psychiatry. 2015 Sep;24(9):1119-28
pubmed: 25534927
Psychol Bull. 2013 Jul;139(4):735-65
pubmed: 23231534
Qual Life Res. 2012 Nov;21(9):1577-86
pubmed: 22167453
Neuropsychiatr. 2018 Jun;32(2):75-83
pubmed: 29728981