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Effects of mental health on quality of life in children and adolescents living in residential and foster care: a cross-sectional study

Published online by Cambridge University Press:  29 March 2011

M. Damnjanovic ,
A. Lakic ,
D. Stevanovic  and
A. Jovanovic
A. Lakic*
Affiliation:
Clinic for Neurology and Psychiatry for Children and Youth Belgrade, Belgrade, Serbia
D. Stevanovic
Affiliation:
Department of Psychiatry, General Hospital Sombor, Serbia
A. Jovanovic
Affiliation:
Clinic for Neurology and Psychiatry for Children and Youth Belgrade, Belgrade, Serbia
*
*Address for correspondence: A. Lakic, Clinic for Neurology and Psychiatry for Children and Youth Belgrade, Belgrade, Serbia. (Email: [email protected])
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Abstract

Aims.

This study was conducted in order to evaluate the effects of mental health and quality of life (QOL) in children and adolescents living in residential and foster care.

Methods.

Two hundred and sixteen children and adolescents, aged 8–18 years, from residential and foster care participated. QOL was assessed using the Pediatric Quality-of-Life Inventory (PedsQL), levels of anxiety and depressive symptoms using the screen for child anxiety-related emotional disorders (SCARED) questionnaire and the short mood and feeling questionnaire (SMFQ), and general mental health through use of the strengths and difficulties questionnaire (SDQ).

Results.

The children and adolescents from residential care had significantly low QOL and more frequently had mental health problems. A stepwise linear regression was performed to test the associations between the SCARED, SMFQ and SDQ scores, and PedsQL (QOL). Anxiety, depressive symptoms and general mental difficulties account for significant variations in QOL (p < 0.001).

Conclusions.

Mental health problems have significant negative effects on the QOL of children and adolescents living in residential and foster care.

Keywords

Child welfaremental healthquality of lifeSerbia
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 20 , Issue 3 , September 2011 , pp. 257 - 262
Copyright
Copyright © Cambridge University Press 2011

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References

Angold, A, Costello, EJ, Messer, SC, Pickles, A, Winder, F, Silver, D (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods Psychiatric Research 5, 237–249.Google Scholar
Bastiaansen, D, Koot, HM, Ferdinand, RF, Verhulst, FC (2004). Quality of life in children with psychiatric disorders: self-, parent, and clinician report. Journal of American Academy of Child and Adolescent Psychiatry 43, 221–230.CrossRefGoogle ScholarPubMed
Bastiaansen, D, Koot, HM, Ferdinand, RF (2005). Determinants of quality of life in children with psychiatric disorders. Quality of Life Research 14, 1599–1561.CrossRefGoogle ScholarPubMed
Birmaher, B, Brent, DA, Chiappetta, L, Bridge, J, Monga, S, Baugher, M (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. Journal of American Academy of Child and Adolescent Psychiatry 38, 1230–1236.CrossRefGoogle ScholarPubMed
Burns, BJ, Phillips, SD, Wagner, HR, Barth, RP, Kolko, DJ, Campbell, Y, Landsverk, J (2004). Mental health need and access to mental health services by youths involved with child welfare: a national survey. Journal of American Academy of Child and Adolescent Psychiatry 43, 960–970.CrossRefGoogle ScholarPubMed
Carbone, JA, Sawyer, MG, Searle, AK, Robinson, PJ (2007). The health-related quality of life of children and adolescents in home-based foster care. Quality of Life Research 16, 1157–1166.CrossRefGoogle ScholarPubMed
Cohen, J (1988). Statistical Power Analysis for the Behavioural Sciences, 2nd edn.Lawrence Erlbaum Associates Inc.: Hillsdale.Google Scholar
Goodman, R (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry 38, 581–586.CrossRefGoogle ScholarPubMed
Janssens, A, Deboutte, D (2010). Psychopathology among children and adolescents in child welfare: a comparison across different types of placement in Flanders, Belgium. Journal of Epidemiology and Community Health 64, 353–359.CrossRefGoogle ScholarPubMed
McCann, J, James, A, Wilson, S, Dunn, G (1996). Prevalence of psychiatric disorders in young people in the care system. British Medical Journal 313, 1529–1530.CrossRefGoogle ScholarPubMed
Meltzer, H (2003). The Mental Health of Young People Looked After by Local Authorities in England. HMSO: London.CrossRefGoogle Scholar
Mount, J, Lister, A, Bennun, I (2004). Identifying the mental health needs of looked after young people. Clinical Child Psychology and Psychiatry 9, 363–382.CrossRefGoogle Scholar
Pejovic Milovancevic, M, Popovic Deusic, S, Lecic Tosevski, D, Draganic Gajic, S (2009). Mental health care of children and adolescents in Serbia: past steps and future directions. Epidemiol Epidemiologia e Psichiatria Social, 18, 262–265.CrossRefGoogle ScholarPubMed
Rajmil, L, Palacio-Vieira, JA, Herdman, M, Lopez-Aguila, S, Villalonga-Olives, E, Valderas, JM, Espallargues, M, Alonso, J (2009). Effect on health-related quality of life of changes in mental health in children and adolescents. Health and Quality of Life Outcomes 23, 103.CrossRefGoogle Scholar
Rushton, A, Minnis, H (2008). Residential and foster family care. In Child and Adolescent Psychiatry (ed. Rutter, M, Bishop, DVM, Pine, DS, Scott, S, Stevenson, J, Taylor, E and Thapar, A), pp. 487–501. Blackwell Publishing: Oxford.Google Scholar
Sawyer, MG, Carbone, JA, Searle, AK, Robinson, P (2007). The mental health and well-being of children and adolescents in home-based foster care. Medical Journal of Australia 186, 181–184.CrossRefGoogle ScholarPubMed
Sawyer, MG, Whaites, L, Rey, JM, Hazell, PL, Graetz, BW, Baghurst, P (2002). Health-related quality of life of children and adolescents with mental disorders survey. Journal of American Academy of Child and Adolescent Psychiatry 41, 530–537.CrossRefGoogle Scholar
Schmid, M, Goldbeck, L, Nuetzel, J, Fegert, JM (2008). Prevalence of mental disorders among adolescents in German youth welfare institutions. Child and Adolescent Psychiatry and Mental Health 28, 2.Google Scholar
Tarren-Sweeney, M (2008). The mental health of children in out-of-home care. Current Opinion in Psychiatry 21, 345–349.CrossRefGoogle ScholarPubMed
Van Damme-Ostapowicz, K, Krajewska-Kułak, E, Wrońska, I, Szczepański, M, Kułak, W, Łukaszuk, C, Jankowiak, B, Rolka, H, Baranowska, A (2007). Quality of life self-assessment of children living in a children's home, based on own research conducted in the Podlaskie Province. Advances in Medical Science 52, 44–50.Google Scholar
Varni, JW, Seid, M, Kurtin, PS (2001). PedsQL 4.0TM: reliability and validity of the Pediatric Quality of Life Inventory TM version 4.0 generic core scales in healthy and patient populations. Medical Care 39, 800–812.CrossRefGoogle Scholar