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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | COVID-19 | Research

The relationship between gender, psychosocial factors, pain, health literacy and health-related quality of life in parents of Norwegian adolescents one year into the COVID-19 pandemic

Authors: Gudrun Rohde, Sølvi Helseth, Milada Hagen, Hilde Timenes Mikkelsen, Siv Skarstein, Kristin Haraldstad

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

Stress impacts healthy behaviours and may influence life and health-related quality of life (HRQOL). A stressful event occurred when the COVID-19 pandemic hit in March 2020. The present study aims to explore possible gender differences in stress, psychosocial factors (self-efficacy, self-esteem, loneliness), pain, HL, and HRQOL in parents of adolescents one year into the COVID-19 pandemic, and to explore possible associations between gender, demographic and psychosocial factors, pain, HL, and HRQOL.

Methods

Parents of adolescents aged 16–17 took part in the study from January to February 2021, when the COVID-19 pandemic was ongoing. Data on socio-demographics, stress, self-efficacy, self-esteem, pain, HL, loneliness, and HRQOL were collected. HRQOL was assessed using RAND-36.

Results

Among the 320 parents from the general population, the mean age was 47.6 (standard deviation (SD) = 4.6) years, 81% were mothers, 79% were married or cohabiting, 81% had a university degree, and the majority worked full time (78%) or part time (13%). The average pain score was low, 0.48 (95% CI [0.43–0.54]). However, 50% of the parents reported persistent pain and more mothers reported persistent pain compared to fathers (53% vs. 37%). The parents’ mean (SD) score for RAND-36 was 52.1 (95% CI [51.2–53.0]) for the physical component summary (PCS) score and 51.0 (95% CI [50.0–52.1]) for the mental component summary (MCS) score. Mothers reported significantly lower scores for all the eight RAND-36 domains and the PCS and MCS scores. Adjusting for gender, age, living condition, education, pain, HL, self-efficacy and loneliness, we revealed no associations between stress and RAND-36-PCS. University education of four years or more was positively associated (B = 3.29, 95% CI: [0.78–5.80]) with RAND-36-PCS, while persistent pain was negatively associated (B = -7.13, CI: [-9.20– -5.06]). We identified a strong negative association between RAND-36-MCS and stress (B = -43.11, CI: [-48.83– -37.38]) and a positive association with older age (B = 0.21, CI: [ 0.04, 0.39)].

Conclusion

One year into the COVID-19 pandemic, we identified a strong negative association between stress and mental HRQOL, while pain was strongly negatively associated with physical HRQOL.
Literature
2.
go back to reference Lazarus RS, Folkman S. Cognitive theories of stress and the issue of circularity. In Dynamics of stress (pp 63–80) Springer, Boston, MA 1986. Lazarus RS, Folkman S. Cognitive theories of stress and the issue of circularity. In Dynamics of stress (pp 63–80) Springer, Boston, MA 1986.
4.
go back to reference Lazarus RS, Folkman S. Cognitive theories of stress and the issue of circularity. In Dynamics of stress. Bosten, MA: Springer; 1986. Lazarus RS, Folkman S. Cognitive theories of stress and the issue of circularity. In Dynamics of stress. Bosten, MA: Springer; 1986.
13.
go back to reference Shevlin M, Butter S, McBride O, Murphy J, Gibson-Miller J, Hartman TK, Levita L, Mason L, Martinez AP, McKay R, et al. Refuting the myth of a ‘tsunami’ of mental ill-health in populations affected by COVID-19: evidence that response to the pandemic is heterogeneous, not homogeneous. Psychol Med. 2023;53:429–37. https://doi.org/10.1017/S0033291721001665.CrossRefPubMed Shevlin M, Butter S, McBride O, Murphy J, Gibson-Miller J, Hartman TK, Levita L, Mason L, Martinez AP, McKay R, et al. Refuting the myth of a ‘tsunami’ of mental ill-health in populations affected by COVID-19: evidence that response to the pandemic is heterogeneous, not homogeneous. Psychol Med. 2023;53:429–37. https://​doi.​org/​10.​1017/​S003329172100166​5.CrossRefPubMed
16.
go back to reference Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, De Girolamo G, Gluzman S, Gureje O, Haro JM, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry: Official J World Psychiatric Association (WPA). 2007;6:168–76. Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, De Girolamo G, Gluzman S, Gureje O, Haro JM, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry: Official J World Psychiatric Association (WPA). 2007;6:168–76.
17.
go back to reference Tsang KM, Hui S, Law E. B: Self-Efficacy as a Positive Youth Development Construct: A Conceptual Review 2012. Tsang KM, Hui S, Law E. B: Self-Efficacy as a Positive Youth Development Construct: A Conceptual Review 2012.
18.
go back to reference Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRefPubMed Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRefPubMed
20.
go back to reference Börsbo B, Gerdle B, Peolsson M. Impact of the interaction between self-efficacy, symptoms and catastrophising on disability, quality of life and health in with chronic pain patients 2010. Börsbo B, Gerdle B, Peolsson M. Impact of the interaction between self-efficacy, symptoms and catastrophising on disability, quality of life and health in with chronic pain patients 2010.
22.
go back to reference Organization WH. Risks to mental health: an overview of vulnerabilities and risk factors 2012. Organization WH. Risks to mental health: an overview of vulnerabilities and risk factors 2012.
30.
go back to reference Nguyen HC, Nguyen MH, Do BN, Tran CQ, Nguyen TTP, Pham KM, Pham LV, Tran KV, Duong TT, Tran TV, et al. People with suspected COVID-19 symptoms were more likely depressed and had Lower Health-Related Quality of Life: the potential benefit of health literacy. J Clin Med. 2020;9. https://doi.org/10.3390/jcm9040965. Nguyen HC, Nguyen MH, Do BN, Tran CQ, Nguyen TTP, Pham KM, Pham LV, Tran KV, Duong TT, Tran TV, et al. People with suspected COVID-19 symptoms were more likely depressed and had Lower Health-Related Quality of Life: the potential benefit of health literacy. J Clin Med. 2020;9. https://​doi.​org/​10.​3390/​jcm9040965.
32.
40.
go back to reference Gaspar T, Matos MG, Pais R, Jose L, Leal I, Ferreira A. HEALTH-RELATED QUALITY OF LIFE IN CHILDREN AND ADOLESCENTS AND ASSOCIATED FACTORS. J Cogn Behav Psychotherapies. 2009;9:33–48. Gaspar T, Matos MG, Pais R, Jose L, Leal I, Ferreira A. HEALTH-RELATED QUALITY OF LIFE IN CHILDREN AND ADOLESCENTS AND ASSOCIATED FACTORS. J Cogn Behav Psychotherapies. 2009;9:33–48.
41.
go back to reference Dale ALKT, Roed H, Hodne T, Vangstad A. Regional Monitor. In FoU-rapport, vol. 2; 2011. Dale ALKT, Roed H, Hodne T, Vangstad A. Regional Monitor. In FoU-rapport, vol. 2; 2011.
43.
go back to reference Ware JE Jr., Kosinski MA, Keller SD. SF-36 Physical and Mental health Summery Scale: a User`s Manual. Boston: Massachusetts: New England Medical Centre, The Health Institute;; 1994. Ware JE Jr., Kosinski MA, Keller SD. SF-36 Physical and Mental health Summery Scale: a User`s Manual. Boston: Massachusetts: New England Medical Centre, The Health Institute;; 1994.
44.
go back to reference Ware JE Jr., Snow KK, Kosinski MA, Gandek MS. SF-36 Health Survey Manual & Interpretation Guide. Boston Massachusetts: New England Medical Centre, The Health Institute; 1993. Ware JE Jr., Snow KK, Kosinski MA, Gandek MS. SF-36 Health Survey Manual & Interpretation Guide. Boston Massachusetts: New England Medical Centre, The Health Institute; 1993.
48.
go back to reference Rosenberg T. Society and the adolescent self-image. Princeton: Princeton University; 1965.CrossRef Rosenberg T. Society and the adolescent self-image. Princeton: Princeton University; 1965.CrossRef
56.
go back to reference Cleeland CS, Ryan KM. Pain assessment: global use of the brief Pain Inventory. Ann Acad Med Singap. 1994;23:129–38.PubMed Cleeland CS, Ryan KM. Pain assessment: global use of the brief Pain Inventory. Ann Acad Med Singap. 1994;23:129–38.PubMed
57.
go back to reference Roth-Isigkeit A, Thyen U, Raspe HH, Stoven H, Schmucker P. Reports of pain among German children and adolescents: an epidemiological study. Acta Paediatr. 2004;93:258–63.CrossRefPubMed Roth-Isigkeit A, Thyen U, Raspe HH, Stoven H, Schmucker P. Reports of pain among German children and adolescents: an epidemiological study. Acta Paediatr. 2004;93:258–63.CrossRefPubMed
60.
71.
go back to reference Støren KS, Rønning E. Livskvalitet i Norge 2021. Statistisk sentralbyrå; 2021. Støren KS, Rønning E. Livskvalitet i Norge 2021. Statistisk sentralbyrå; 2021.
79.
go back to reference Altman DG. Practical statistics for medical research. London; New York: Chapman and Hall; 2006. Altman DG. Practical statistics for medical research. London; New York: Chapman and Hall; 2006.
Metadata
Title
The relationship between gender, psychosocial factors, pain, health literacy and health-related quality of life in parents of Norwegian adolescents one year into the COVID-19 pandemic
Authors
Gudrun Rohde
Sølvi Helseth
Milada Hagen
Hilde Timenes Mikkelsen
Siv Skarstein
Kristin Haraldstad
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
COVID-19
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18525-7

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