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Published in: Health and Quality of Life Outcomes 1/2009

Open Access 01-12-2009 | Research

Changes in quality of life among Norwegian school children: a six-month follow-up study

Authors: Thomas Jozefiak, Bo Larsson, Lars Wichstrøm

Published in: Health and Quality of Life Outcomes | Issue 1/2009

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Abstract

Background

A considerable gap exists in regard to longitudinal research on quality of life (QoL) in community populations of children and adolescents. Changes and stability of QoL have been poorly examined, despite the fact that children and adolescents undergo profound developmental changes. The aims of the study were to investigate short-term changes in student QoL with regard to sex and age in a school-based sample.

Methods

A representative Norwegian sample of 1,821 school children, aged 8–16 years and their parents were tested at baseline and 6 months later, using the Inventory of Life Quality for Children and Adolescents (ILC) and the Kinder Lebensqualität Fragebogen (KINDL). Student response rate at baseline was 71.2% and attrition over the follow-up period was 4.6%, and 1,336 parents (70%) completed the follow-up. Change scores between baseline and follow-up evaluations were analysed by means of ANCOVA in regard to sex and age effects.

Results

Students in the 8th grade reported a decrease in QoL over the six-month follow-up period as compared to those in the 6th grade with regard to Family and School domains and total QoL on the KINDL. For emotional well-being a significant linear decrease in QoL across grades 6th to 10th was observed. However, student ratings on the Friends and Self-esteem domains did not change significantly by age. Girls reported a higher decrease in their QoL across all grades over the follow-up period than did boys in respect of Self-esteem on the KINDL, and an age-related decrease in total QoL between 6th and 8th grade on the ILC. Parent reports of changes in child QoL were nonsignificant on most of the domains.

Conclusion

The observed age and sex-related changes in school children's QoL across the six-month follow-up period should be considered in epidemiological as well as clinical research.
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Literature
1.
go back to reference Koot HM: The study of quality of life: Concepts and methods. In Quality of Life in Child and Adolescent Illness. 1st edition. Edited by: Koot HM, Wallander JL. New York: Brunner-Routledge; 2001:3–20. Koot HM: The study of quality of life: Concepts and methods. In Quality of Life in Child and Adolescent Illness. 1st edition. Edited by: Koot HM, Wallander JL. New York: Brunner-Routledge; 2001:3–20.
2.
go back to reference Laursen B, Collins AW: Interpersonal conflict during adolescence. Psychol Bull 1994,115(2):197–209. 10.1037/0033-2909.115.2.197CrossRefPubMed Laursen B, Collins AW: Interpersonal conflict during adolescence. Psychol Bull 1994,115(2):197–209. 10.1037/0033-2909.115.2.197CrossRefPubMed
3.
go back to reference Larson RW, Richards MH, Moneta G, Holmbeck G, Duckett E: Changes in adolescents' daily interaction with their families from ages 10 to 18: Disengagement and transformation. Dev Psychol 1996,32(4):744–754. 10.1037/0012-1649.32.4.744CrossRef Larson RW, Richards MH, Moneta G, Holmbeck G, Duckett E: Changes in adolescents' daily interaction with their families from ages 10 to 18: Disengagement and transformation. Dev Psychol 1996,32(4):744–754. 10.1037/0012-1649.32.4.744CrossRef
4.
go back to reference Collins WA, Laursen B: Changing relationships, changing youths: Interpersonal contexts of adolescent development. J Early Adolesc 2004,24(1):55–62. 10.1177/0272431603260882CrossRef Collins WA, Laursen B: Changing relationships, changing youths: Interpersonal contexts of adolescent development. J Early Adolesc 2004,24(1):55–62. 10.1177/0272431603260882CrossRef
5.
go back to reference Eberly MB, Montemayor R: Adolescent affection and helpfulness towards parents: A 2-year follow-up. J Early Adolesc 1999,19(2):226–248. 10.1177/0272431699019002005CrossRef Eberly MB, Montemayor R: Adolescent affection and helpfulness towards parents: A 2-year follow-up. J Early Adolesc 1999,19(2):226–248. 10.1177/0272431699019002005CrossRef
6.
go back to reference Spieth LE: Generic health related quality of life measures for children and adolescent. In Quality of Life in Child and Adolescent Illness. 1st edition. Edited by: Koot HM, Wallander JL. New York: Brunner-Routledge; 2001:49–88. Spieth LE: Generic health related quality of life measures for children and adolescent. In Quality of Life in Child and Adolescent Illness. 1st edition. Edited by: Koot HM, Wallander JL. New York: Brunner-Routledge; 2001:49–88.
7.
go back to reference Eiser C, Morse R: The Measurement of quality of life in children: Past and future perspectives. J Dev Behav Pediatr 2001,22(4):248–256.CrossRefPubMed Eiser C, Morse R: The Measurement of quality of life in children: Past and future perspectives. J Dev Behav Pediatr 2001,22(4):248–256.CrossRefPubMed
8.
go back to reference Montemayor R: The relationship between parent-adolescent conflict and the amount of time adolescents spend alone and with parents and peers. Child Dev 1982, 53: 1512–1519. 10.2307/1130078CrossRef Montemayor R: The relationship between parent-adolescent conflict and the amount of time adolescents spend alone and with parents and peers. Child Dev 1982, 53: 1512–1519. 10.2307/1130078CrossRef
9.
go back to reference Hartup WW, Stevens N: Friendship and adaptation in the life course. Psychol Bull 1997,121(3):355–370. 10.1037/0033-2909.121.3.355CrossRef Hartup WW, Stevens N: Friendship and adaptation in the life course. Psychol Bull 1997,121(3):355–370. 10.1037/0033-2909.121.3.355CrossRef
10.
go back to reference Berndt TJ, Hawkins JA, Hoyle SG: Changes in friendship during a school year: Effects on children's and adolescents' impressions of friendship and sharing with friends. Child Dev 1986, 57: 1284–1297. 10.2307/1130451CrossRef Berndt TJ, Hawkins JA, Hoyle SG: Changes in friendship during a school year: Effects on children's and adolescents' impressions of friendship and sharing with friends. Child Dev 1986, 57: 1284–1297. 10.2307/1130451CrossRef
11.
go back to reference Wigfield A, Eccles JS, Mac Iver D, Reuman DA, Midgley C: Transition during early adolescence: Changes in children's domain-specific self-perceptions and general self-esteem across the transition to junior high school. Dev Psychol 1991,27(4):552–565. 10.1037/0012-1649.27.4.552CrossRef Wigfield A, Eccles JS, Mac Iver D, Reuman DA, Midgley C: Transition during early adolescence: Changes in children's domain-specific self-perceptions and general self-esteem across the transition to junior high school. Dev Psychol 1991,27(4):552–565. 10.1037/0012-1649.27.4.552CrossRef
12.
go back to reference Maddox SJ, Prinz RJ: School bonding in children and adolescents: Conceptualization, assessment and associated variables. Clin Child Fam Psychol Rev 2003,6(1):31–49. 10.1023/A:1022214022478CrossRefPubMed Maddox SJ, Prinz RJ: School bonding in children and adolescents: Conceptualization, assessment and associated variables. Clin Child Fam Psychol Rev 2003,6(1):31–49. 10.1023/A:1022214022478CrossRefPubMed
13.
go back to reference Simons-Morton BG, Crump AD, Haynie DL, Saylor KE: Student-school bonding and adolescent problem behaviour. Health Educ Res 1999,14(1):99–107. 10.1093/her/14.1.99CrossRefPubMed Simons-Morton BG, Crump AD, Haynie DL, Saylor KE: Student-school bonding and adolescent problem behaviour. Health Educ Res 1999,14(1):99–107. 10.1093/her/14.1.99CrossRefPubMed
14.
go back to reference Ravens-Sieberer U, Bullinger M: Assessing the health-related Quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Qual of Life Res 1998, 7: 399–407. 10.1023/A:1008853819715CrossRef Ravens-Sieberer U, Bullinger M: Assessing the health-related Quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Qual of Life Res 1998, 7: 399–407. 10.1023/A:1008853819715CrossRef
15.
go back to reference Ravens-Sieberer U, Bullinger M: KINDL-R Questionnaire for Measuring health-related Quality of Life in children and adolescents – Revised Version. [http://www.kindl.org] Ravens-Sieberer U, Bullinger M: KINDL-R Questionnaire for Measuring health-related Quality of Life in children and adolescents – Revised Version. [http://​www.​kindl.​org]
16.
go back to reference Landgraf JM, Abetz L, Ware JE: The Child Health Questionnaire User's Manual (second printing). Boston: HealthAct; 1999. Landgraf JM, Abetz L, Ware JE: The Child Health Questionnaire User's Manual (second printing). Boston: HealthAct; 1999.
17.
go back to reference Trzesniewski KH, Donnellan MB, Robins RW: Stability of self-esteem across the life span. J Pers Soc Psychol 2003,84(1):205–220. 10.1037/0022-3514.84.1.205CrossRefPubMed Trzesniewski KH, Donnellan MB, Robins RW: Stability of self-esteem across the life span. J Pers Soc Psychol 2003,84(1):205–220. 10.1037/0022-3514.84.1.205CrossRefPubMed
18.
go back to reference Harter S, Whitesell NR: Beyond the debate: Why some adolescents report stable self-worth over time and situation, whereas others report changes in self-worth. J Pers 2003,71(6):1027–1058. 10.1111/1467-6494.7106006CrossRefPubMed Harter S, Whitesell NR: Beyond the debate: Why some adolescents report stable self-worth over time and situation, whereas others report changes in self-worth. J Pers 2003,71(6):1027–1058. 10.1111/1467-6494.7106006CrossRefPubMed
19.
go back to reference Biro FM, Striegel-Moore RH, Franko DL, Padgett J, Bean JA: Self-esteem in adolescent females. J Adolesc Health 2006, 39: 501–507. 10.1016/j.jadohealth.2006.03.010CrossRefPubMed Biro FM, Striegel-Moore RH, Franko DL, Padgett J, Bean JA: Self-esteem in adolescent females. J Adolesc Health 2006, 39: 501–507. 10.1016/j.jadohealth.2006.03.010CrossRefPubMed
20.
go back to reference Ravens-Sieberer U, Görtler E, Bullinger M: Subjektive Gesundheit und Gesundheitsverhalten von Kindern und Jugendlichen (in German). (Subjective Health and Health Behaviour in Children and Adolescents – A questionnaire study In co-operation with Hamburg school physicians). Gesundheitswesen 2000, 62: 148–155. 10.1055/s-2000-10487CrossRefPubMed Ravens-Sieberer U, Görtler E, Bullinger M: Subjektive Gesundheit und Gesundheitsverhalten von Kindern und Jugendlichen (in German). (Subjective Health and Health Behaviour in Children and Adolescents – A questionnaire study In co-operation with Hamburg school physicians). Gesundheitswesen 2000, 62: 148–155. 10.1055/s-2000-10487CrossRefPubMed
21.
go back to reference Ravens-Sieberer U, Bettge S, Erhart M: Lebensqualität von Kindern und Jugendlichen – Ergebnisse des Kinder- und Jugendgesundheits-surveys (in German). (Quality of life in children and adolescents – Results from the child and Adolescent surveys). Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 2003, 46: 340–345. 10.1007/s00103-002-0562-5CrossRef Ravens-Sieberer U, Bettge S, Erhart M: Lebensqualität von Kindern und Jugendlichen – Ergebnisse des Kinder- und Jugendgesundheits-surveys (in German). (Quality of life in children and adolescents – Results from the child and Adolescent surveys). Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 2003, 46: 340–345. 10.1007/s00103-002-0562-5CrossRef
22.
go back to reference Varni JW, Burwinkle TM, Katz ER: The PedsQL in pediatric cancer pain: A prospective longitudinal analysis of pain and emotional distress. J Dev Behav Pediatr 2004,25(4):239–246. 10.1097/00004703-200408000-00003CrossRefPubMed Varni JW, Burwinkle TM, Katz ER: The PedsQL in pediatric cancer pain: A prospective longitudinal analysis of pain and emotional distress. J Dev Behav Pediatr 2004,25(4):239–246. 10.1097/00004703-200408000-00003CrossRefPubMed
23.
go back to reference Vargus-Adams J: Longitudinal use of the Child Health Questionnaire in childhood cerebral palsy. Dev med Child Neurol 2006, 48: 343–347. 10.1017/S0012162206000752CrossRefPubMed Vargus-Adams J: Longitudinal use of the Child Health Questionnaire in childhood cerebral palsy. Dev med Child Neurol 2006, 48: 343–347. 10.1017/S0012162206000752CrossRefPubMed
24.
go back to reference Empelen RV, Jennekens-Schinkel A, Rien PC, Helders PJM, Nieuwenhuizen OV: Health-related Quality of Life and self-perceived competence of children assessed before and up to two years after epilepsy surgery. Epilepsia 2005,46(2):258–271. 10.1111/j.0013-9580.2005.27304.xCrossRefPubMed Empelen RV, Jennekens-Schinkel A, Rien PC, Helders PJM, Nieuwenhuizen OV: Health-related Quality of Life and self-perceived competence of children assessed before and up to two years after epilepsy surgery. Epilepsia 2005,46(2):258–271. 10.1111/j.0013-9580.2005.27304.xCrossRefPubMed
25.
go back to reference McCarthy ML, MacKenzie EJ, Durbin DR, Aitken ME, Jaffe KM, Paidas CN, Slomine BS, Dorsch AM, Christensen JR, Ding R: Health-related quality of life during the first year after traumatic brain injury. Arch Pediatr Adolesc Med 2006, 160: 252–260. 10.1001/archpedi.160.3.252CrossRefPubMed McCarthy ML, MacKenzie EJ, Durbin DR, Aitken ME, Jaffe KM, Paidas CN, Slomine BS, Dorsch AM, Christensen JR, Ding R: Health-related quality of life during the first year after traumatic brain injury. Arch Pediatr Adolesc Med 2006, 160: 252–260. 10.1001/archpedi.160.3.252CrossRefPubMed
26.
go back to reference Cheng K: Psychotherapeutic Interventions. In Child and Adolescent Psychiatry. The Essentials. 1st edition. Edited by: Cheng K, Myers KM. Philadelphia: Lippincott Williams & Wilkins; 2005:439–456. Cheng K: Psychotherapeutic Interventions. In Child and Adolescent Psychiatry. The Essentials. 1st edition. Edited by: Cheng K, Myers KM. Philadelphia: Lippincott Williams & Wilkins; 2005:439–456.
27.
go back to reference Shek DTL: Economic disadvantage, perceived family life quality, and emotional well-being in Chinese adolescents: A longitudinal study. Soc Indic Res 2007. Shek DTL: Economic disadvantage, perceived family life quality, and emotional well-being in Chinese adolescents: A longitudinal study. Soc Indic Res 2007.
28.
go back to reference Shek D: A longitudinal study of the relations between parent-adolescent conflict and adolescent psychological well-being. J Genet Psychol 1998,159(1):53–67.CrossRefPubMed Shek D: A longitudinal study of the relations between parent-adolescent conflict and adolescent psychological well-being. J Genet Psychol 1998,159(1):53–67.CrossRefPubMed
29.
go back to reference Meuleners L, Lee A: Adolescent quality of Life: A school-based cohort study in Western Australia. Pediatr Int 2003, 45: 706–711. 10.1111/j.1442-200X.2003.01798.xCrossRefPubMed Meuleners L, Lee A: Adolescent quality of Life: A school-based cohort study in Western Australia. Pediatr Int 2003, 45: 706–711. 10.1111/j.1442-200X.2003.01798.xCrossRefPubMed
30.
go back to reference Varni JW, Limbers CA, Burwinkle TM: Parent proxy-report of their children's health related quality of life: an analysis of 13,878 parents' reliability and validity across age subgroups using the PedsQL 4.0 Generic Core Scales. Health Qual Life Outcomes 2007, 5: 2. 10.1186/1477-7525-5-2CrossRefPubMed Varni JW, Limbers CA, Burwinkle TM: Parent proxy-report of their children's health related quality of life: an analysis of 13,878 parents' reliability and validity across age subgroups using the PedsQL 4.0 Generic Core Scales. Health Qual Life Outcomes 2007, 5: 2. 10.1186/1477-7525-5-2CrossRefPubMed
31.
go back to reference Eiser C, Morse R: Can parents rate their child's health-related quality of life? Results of a systematic review. Qual of Life Res 2001, 10: 347–257. 10.1023/A:1012253723272CrossRef Eiser C, Morse R: Can parents rate their child's health-related quality of life? Results of a systematic review. Qual of Life Res 2001, 10: 347–257. 10.1023/A:1012253723272CrossRef
32.
go back to reference Chang PC, Yeh CH: Agreement between child self-report and parent by proxy-report to evaluate QoL in children with cancer. Psychooncology 2005, 14: 125–134. 10.1002/pon.828CrossRefPubMed Chang PC, Yeh CH: Agreement between child self-report and parent by proxy-report to evaluate QoL in children with cancer. Psychooncology 2005, 14: 125–134. 10.1002/pon.828CrossRefPubMed
33.
go back to reference Eiser C, Morse R: The Measurement of quality of life in children: Past and future perspectives. J Dev Behav Pediatr 2001,22(4):248–256.CrossRefPubMed Eiser C, Morse R: The Measurement of quality of life in children: Past and future perspectives. J Dev Behav Pediatr 2001,22(4):248–256.CrossRefPubMed
34.
go back to reference Cremeens J, Eiser C, Blades M: Factors influencing agreement between child self- report and parent proxy-reports on the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) Generic Core Scales. Health Qual Life Outcomes 2006,4(58):1–8. Cremeens J, Eiser C, Blades M: Factors influencing agreement between child self- report and parent proxy-reports on the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) Generic Core Scales. Health Qual Life Outcomes 2006,4(58):1–8.
35.
go back to reference Reinfjell T, Diseth TH, Veenstra M, Vikan A: Measuring health-related quality of life in young adolescents: Reliability and validity in the Norwegian version of the Pediatric Quality of Life Inventory TM 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes 2006, 4: 61. 10.1186/1477-7525-4-61CrossRefPubMed Reinfjell T, Diseth TH, Veenstra M, Vikan A: Measuring health-related quality of life in young adolescents: Reliability and validity in the Norwegian version of the Pediatric Quality of Life Inventory TM 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes 2006, 4: 61. 10.1186/1477-7525-4-61CrossRefPubMed
36.
go back to reference Wilson-Genderson M, Broder HL, Phillips C: Concordance between caregiver and child reports of child's oral health-related quality of life. Community Dent Oral Epdemiol 2007,35(Suppl 1):32–40. 10.1111/j.1600-0528.2007.00403.xCrossRef Wilson-Genderson M, Broder HL, Phillips C: Concordance between caregiver and child reports of child's oral health-related quality of life. Community Dent Oral Epdemiol 2007,35(Suppl 1):32–40. 10.1111/j.1600-0528.2007.00403.xCrossRef
37.
go back to reference Jozefiak T, Larsson B, Wichstrøm L: Quality of life reported by school-aged children and their parents. Health Qual Life Outcomes 2008, 6: 34. 10.1186/1477-7525-6-34CrossRefPubMed Jozefiak T, Larsson B, Wichstrøm L: Quality of life reported by school-aged children and their parents. Health Qual Life Outcomes 2008, 6: 34. 10.1186/1477-7525-6-34CrossRefPubMed
38.
go back to reference Mattejat F, Remschmidt H: Das Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK) – (in German). (The inventory of life quality in children and adolescents ILC). Bern: Hans Huber Verlag; 2006. Mattejat F, Remschmidt H: Das Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK) – (in German). (The inventory of life quality in children and adolescents ILC). Bern: Hans Huber Verlag; 2006.
39.
go back to reference Mattejat F, Trosse K, John K, Bachmann M, Remschmidt : KJP-Qualität. Modell- Forschungsprojekt zur Qualität ambulanter Kinder- und Jugendpsychiatrischer Behandlung. Abschlussbericht (in German). (Child and Adolescent Psychiatry Quality. Model research project in regard to quality of child- and adolescent psychiatric treatment. Final Report.). Marburg: Görich & Weiershäuser; 2006. Mattejat F, Trosse K, John K, Bachmann M, Remschmidt : KJP-Qualität. Modell- Forschungsprojekt zur Qualität ambulanter Kinder- und Jugendpsychiatrischer Behandlung. Abschlussbericht (in German). (Child and Adolescent Psychiatry Quality. Model research project in regard to quality of child- and adolescent psychiatric treatment. Final Report.). Marburg: Görich & Weiershäuser; 2006.
40.
go back to reference Kaestner F: Messung der Lebensqualität von Kindern und Jugendlichen (in German). (Measuring Quality of Life in Children and Adolescents). PhD thesis. Philipps-University Marburg, Germany; 2000. Kaestner F: Messung der Lebensqualität von Kindern und Jugendlichen (in German). (Measuring Quality of Life in Children and Adolescents). PhD thesis. Philipps-University Marburg, Germany; 2000.
41.
go back to reference Ravens-Sieberer U, Redegeld M, Bullinger M: Lebensqualität chronisch kranker Kinder im Verlauf der stationären Rehabilitation (in German) (Quality of life in cronical ill children during inpatient rehabilitation). In Verbindung und Veränderung im Fokus der Medizinischen Psychologie (Connections and changes in medical psychology). Edited by: Neuser J, de Bruin JT. Lengerich: Pabst Science; 2000:89. Ravens-Sieberer U, Redegeld M, Bullinger M: Lebensqualität chronisch kranker Kinder im Verlauf der stationären Rehabilitation (in German) (Quality of life in cronical ill children during inpatient rehabilitation). In Verbindung und Veränderung im Fokus der Medizinischen Psychologie (Connections and changes in medical psychology). Edited by: Neuser J, de Bruin JT. Lengerich: Pabst Science; 2000:89.
42.
go back to reference Cohen J: Statistical power analysis for the behavioral sciences. NJ: Hillsdale, Erlbaum; 1988. Cohen J: Statistical power analysis for the behavioral sciences. NJ: Hillsdale, Erlbaum; 1988.
43.
go back to reference Holmbeck GN, Hill JP: Conflictive engagement, positive affect, and menarche in families with seventh-grade girls. Child Dev 1991, 62: 1030–1048. 10.2307/1131150CrossRefPubMed Holmbeck GN, Hill JP: Conflictive engagement, positive affect, and menarche in families with seventh-grade girls. Child Dev 1991, 62: 1030–1048. 10.2307/1131150CrossRefPubMed
44.
go back to reference Holmbeck GN, Paikoff RL, Brooks-Gunn J: Parenting adolescents. In Handbook of Parenting. Volume 1. Bornstein MH. Erlbaum, Mahwah, NJ; 1995:91–118. Holmbeck GN, Paikoff RL, Brooks-Gunn J: Parenting adolescents. In Handbook of Parenting. Volume 1. Bornstein MH. Erlbaum, Mahwah, NJ; 1995:91–118.
45.
go back to reference Achenbach TM, Rescorla L: An Integrated System of Multi-informant Assessment – School-Age Forms and Profiles. USA: Library of Congress; 2001. Achenbach TM, Rescorla L: An Integrated System of Multi-informant Assessment – School-Age Forms and Profiles. USA: Library of Congress; 2001.
Metadata
Title
Changes in quality of life among Norwegian school children: a six-month follow-up study
Authors
Thomas Jozefiak
Bo Larsson
Lars Wichstrøm
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2009
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-7-7

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