scholarly journals Pain and health-related quality of life in adolescents and the mediating role of self-esteem and self-efficacy: a cross-sectional study including adolescents and parents

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Hilde Timenes Mikkelsen ◽  
Kristin Haraldstad ◽  
Sølvi Helseth ◽  
Siv Skarstein ◽  
Milada Cvancarova Småstuen ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Persistent Pain ◽  
Cross Sectional ◽  
School Absence ◽  
Pain Duration ◽  
Related Quality ◽  
Health Related ◽  
Lack Of Sleep

Abstract Background To promote health-related quality of life (HRQOL) in adolescents with pain, it is important to study factors associated with pain. This study aimed to describe selected factors and pain in 14–15-year-old adolescents and their parents, to assess how these factors are associated with adolescent pain groups, and to explore whether the relationship between pain intensity and HRQOL in adolescents with persistent pain is mediated by self-esteem and self-efficacy. Methods A cross-sectional study was performed among 508 dyads of adolescents (14–15 years) and parents in a school-based setting. Among these, 148 adolescents had persistent pain. We explored the following variables: HRQOL, pain, self-efficacy, self-esteem, sleep, loneliness, stress and sociodemographic variables. All variables were assessed with well-validated instruments. HRQOL was measured with KIDSCREEN-27. Analyses included Chi-square, ANOVA, Mann–Whitney U tests, Kruskal–Wallis and the PROCESS macro method for mediation analyses. Results Adolescents with pain reported significantly higher levels of stress, loneliness and lack of sleep and lower levels of self-efficacy, self-esteem and HRQOL compared to adolescents without pain. More girls than boys reported pain. Adolescents with persistent pain scored significantly worse on self-esteem, stress, loneliness, lack of sleep, school absence, pain and HRQOL compared to adolescents with shorter pain duration. Adolescent pain groups did not differ significantly considering parental factors. However, more adolescents with persistent pain reported that someone in their family had pain. The associations between pain intensity and the HRQOL subscales in adolescents with persistent pain were completely mediated by self-esteem, but not by self-efficacy. The highest degree of mediation was estimated for the HRQOL subscale school environment (indirect effect = 73.5%). Conclusions Our findings highlight the complexity within adolescent pain, demonstrating that adolescents with pain differ from adolescents without pain when it comes to gender, school absence, factors within-person and between-persons. Longer pain duration makes adolescents more vulnerable. We confirm the importance of resilience factors for HRQOL but indicate that self-esteem is more important than self-efficacy. To promote HRQOL in adolescents with persistent pain, a strengthening of both their self-esteem and self-efficacy is recommended. We highlight the need for an individual, holistic approach to adolescent pain.

scholarly journals Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14–15-year-old adolescents: a cross-sectional study

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Hilde Timenes Mikkelsen ◽  
Kristin Haraldstad ◽  
Sølvi Helseth ◽  
Siv Skarstein ◽  
Milada Cvancarova Småstuen ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Hierarchical Regression ◽  
Regression Analyses ◽  
Cross Sectional ◽  
School Based ◽  
Related Quality ◽  
Health Related

Abstract Background To enhance and better understand health-related quality of life (HRQOL) in adolescents, it is important to study factors associated with HRQOL. The present study aimed to assess possible associations between sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness, stress and HRQOL in 14 to 15-year-old adolescents. Methods A cross-sectional study was performed among 696 adolescents (14–15 years) in a school-based setting. Sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness and stress were analyzed. The variables were all assessed with well-validated instruments. HRQOL was analyzed using KIDSCREEN 27. Analyses included Chi-square, independent t-tests, Mann–Whitney U tests, linear regression analyses and hierarchical regression analyses. The results from linear regression models were expressed as standardized beta. Results The adolescents generally reported high levels of HRQOL. However, girls scored significantly worse on HRQOL, self-efficacy, self-esteem, pain, sleep, loneliness and stress compared to boys. Using hierarchical regression analyses we found that Self-efficacy (beta = 0.11–0.24), Self-esteem: (beta = 0.12–0.21), Loneliness: (beta = − 0.24 to − 0.45) and Stress: (beta = − 0.26 to − 0.34) revealed the strongest associations with the HRQOL dimensions. Sociodemographic-, pain- and sleep related covariates were all significantly associated with some of the KIDSCREEN subscales, however their effect on the outcome was smaller than for the psychosocial variables listed above. Being a girl, not living with both parents, not having both parents working, being absent from school more than 4 days, having pain and having lack of enough sleep were all independently negatively associated with HRQOL. Conclusions HRQOL is strongly associated with self-efficacy, self-esteem, loneliness and stress in 14 to 15-year-old adolescents. Our findings indicate that positive psychosocial factors such as self-efficacy and self-esteem might play a buffer role for negative psychosocial factors (e.g. stress) in adolescents. Further, our results show that girls score significantly worse on factors that are associated to HRQOL compared to boys. To improve HRQOL in school-based populations of adolescents, we suggest that future interventions should aim to strengthen self-efficacy and self-esteem. We recommend gender specific interventions.

scholarly journals Association of self-esteem with perceived orthodontic treatment need and oral health-related quality of life among 12-15 years schoolchildren - A cross-sectional study

2020 ◽  
Vol 3 ◽  
pp. 9-13
Author(s):  
Mohammed Umar Farooq ◽  
Manjunath P. Puranik ◽  
Namita Shanbhag
Keyword(s):  
Oral Health ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Treatment Need ◽  
Related Quality ◽  
Health Related

Objectives: The objective of the study was to assess the association of self-esteem (SE) with perceived orthodontic treatment need and oral health-related quality of life (OHRQoL) among 12–15 years old schoolchildren in Bengaluru city, India. Materials and Methods: A cross-sectional study was conducted among 400 schoolchildren aged 12–15 years in Bengaluru city, India. The data were collected on a structured pro forma that included demographic profile, perceived orthodontic treatment need questionnaire, Child Oral Health Impact Profile (COHIP), and the modified version of the Harter’s self-perception profile rated by the children. ANOVA, Chi-square test, and multivariate linear analysis models were used. P < 0.05 was considered as statistically significant. Results: The mean age of the study group was 13.21 ± 1.08 years. Most of the study participants were female (53%). Among the participants, 67% perceived orthodontic treatment need. Mean scores for COHIP and SE were 38.3 ± 10.7 and 91.5 ± 8.3, respectively. In multivariate linear regression analysis, SE was significantly associated with OHRQoL (0.161 [95% confidence interval CI 0.086–0.235)] and perceived orthodontic need [−0.701 (95% CI −1.252, −0.151)]. Conclusion: In this study, orthodontic treatment needs influenced SE and OHRQoL in the children. Hence, early diagnosis and prompt treatment can improve SE and OHRQoL.

scholarly journals Measuring pain self-efficacy and health related quality of life among hemodialysis patients in Greece: a cross-sectional study

2013 ◽  
Vol 1 (3) ◽  
pp. 30
Author(s):  
Paraskevi Theofilou ◽  
Adamantia Aroni ◽  
Maria Tsironi ◽  
Sophia Zyga
Keyword(s):  
Quality Of Life ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Related Quality ◽  
Health Related ◽  
Quality Of Life Index ◽  
End Stage

Patients suffering from end-stage kidney disease often complain about pain. It is also known that the presence of chronic pain greatly impacts upon patients’ quality of life (QOL) and can play a crucial role in the co-morbidity of mental health symptoms such as depression and anxiety. The main aim of this study protocol is the investigation of pain self-efficacy, QOL as well as their relation in patients undergoing hemodialysis treatment. The final sample size will be around 70-80 patients. Each subject’s QOL and pain self-efficacy will be measured using the following instruments: i) the Missoula-ITAS Quality of Life Index-15 and ii) the Pain Self-Efficacy Questionnaire. QOL is expected to be related to pain self-efficacy scores. This probable association will be indicated performing regression as well as correlation analysis after controlling for gender, age, education and marital status.

Health related quality of life of rosacea patients in China assessed by DLQI and willingness to pay: Cross-Sectional Questionnaire Study (Preprint)

2020 ◽  
Author(s):  
Yaqun Huang ◽  
Sha Yan ◽  
Hongfu Xie ◽  
Ben Wang ◽  
Zhixiang Zhao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Willingness To Pay ◽  
Disease Duration ◽  
Life Quality ◽  
Cross Sectional Study ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

BACKGROUND Rosacea is a chronic inflammatory dermatosis with facial skin involved, leading to physical and emotional problems, which greatly affected quality of life (QoL) of patients. Dermatology Life Quality Index (DLQI) and willingness to pay (WTP) are well-established instruments assessing the health-related quality of life (HRQoL), while very few studies have been focused on this topic about rosacea in China. OBJECTIVE To investigate HRQoL in Chinese rosacea patients assessed by DLQI and WTP and investigate potential predictors for patients with HRQoL severely affected. METHODS This cross-sectional study was conducted on 973 patients with rosacea. Sociodemographic data, clinical features and DLQI were collected, and WTP was assessed by three standardized items. Multivariable logistic analysis was performed to investigate independent factors influencing QoL. RESULTS 921 questionnaires were accomplished by participants. The mean DLQI score was 11.6 (median 11). Patients were willing to pay an average of $1050.2 or € 896.2 (median $431.4 or € 368.1) for complete cure. 33.3% would like to pay more than 20% of their monthly income to achieve sustainable control. There were positive correlations between WTP with DLQI (P < .05). DLQI could be independently impacted by age (21-30 and 31-40, OR = 3.242 and 3.617, respectively), the occupational requirement of appearance (high, OR = 4.410), disease duration (< 2 years, OR = 1.582), oedema (OR = 1.844) and severity of flushing, burning, stinging and pruritus (severe, OR = 2.003, 1.981, 2.491, 2.249, respectively). There were no significant associations between WTP and most of the clinical factors. CONCLUSIONS The QoL was negatively affected and should not be ignored among rosacea patients in China. Patients aged 21-40y, having occupational requirement of appearance, with the disease duration less than 2 years, and suffering severe flushing and related symptoms were more likely to have severe or very severe limitation of QoL.

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