Home Medicine (Health-related) quality of life and psychosocial factors in adolescents with chronic disease: a systematic literature review
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(Health-related) quality of life and psychosocial factors in adolescents with chronic disease: a systematic literature review

  • Teresa Santos EMAIL logo , Margarida Gaspar de Matos , Celeste Simões , Isabel Leal and Maria do Céu Machado
Published/Copyright: November 23, 2017

Abstract

Background

Research on living with a chronic disease (CD) in adolescence is increasing. However, studies on the relevance of psychosocial factors are still needed. The present review, focuses on the impact of living with a CD in adolescence on on quality of life (QoL), health-related quality of life (HRQoL) and psychosocial factors.

Methods

A literature review of articles identified through PubMed, PsycINFO and PsycARTICLES (these last two ones comprise the Ebsco Host platform) and original peer-reviewed research papers, published between 2010 and 2015, with no restrictions regarding the format/source of interventions, randomized controlled trials (RCTs) or types of comparisons were included.

Results

Eighteen papers met the inclusion criteria and contradictory results were found: the majority showed a significantly higher risk of impairment on QoL/HRQoL and psychosocial factors, whereas others reported a significantly lower risk of impairment (highlighting possible protective factors), or no significant differences. Heterogeneity in the assessment procedures and substantial difficulties in considering adolescence as a single and independent age group, were also noted.

Conclusion

The higher risk of impairment and the heterogeneity observed between cohorts, reinforce the need to work towards consensual procedures, which allow for more accurate comparisons among studies. Additionally, it conveys the challenge to find more effective interventions. Furthermore, it is highly suggested to routinely assess HRQoL/psychosocial factors within an individualized framework, to considerer adolescents as a single/independent group, to emphasize potential protective factors, and, to increase youth’s participation in their own adaptation process and in health promotion in general. These are possible future directions that could enable multidisciplinary responses to improve HRQoL and psychosocial care in adolescents with a CD.

Acknowledgments

The authors are grateful to Professor Joan-Carles Suris for his comments on an earlier draft of this paper and for his assistance in the proof-reading. The authors are also grateful to Prof. Paula Ravasco, MD, PhD (University Hospital of Santa Maria, Portugal) for her assistance in proof-reading and revising the document.

  1. Ethics approval and consent to participate: None sought.

  2. Competing interests: The authors declare no further financial interests or potential conflicts of interest.

  3. Funding: T. Santos was supported by a PhD grant from the Portuguese Foundation for Science and Technology (FCT) (Grant Number: reference SFRH/BD/82066/2011) and is supported by a Pos Doc Grant from the Portuguese Foundation for Science and Technology (FCT) and the William James Center for Research, ISPA - Instituto Universitário (Grant Number: reference WJCR_3BPD_001_2017). The William James Center for Research, ISPA - Instituto Universitário is supported by a grant from the Portuguese Foundation for Science and Technology (FCT) (Grant Number: UID/PSI/04810/2013).

  4. Author’s contributions: TS and MGM coordinated and conceived the study and design, developed a systematic review protocol, drafted and authored the manuscript. TS and MGM conducted the bibliographic search, the screening of titles/abstracts and the extraction and codification of data from all studies. Study outcomes were summarized by TS and MGM participated in interpretation of data and helped to draft manuscript revisions. CS, IL and MCM participated in the study design, interpretation of the data, and helped to draft significant manuscript revisions. All authors have read and approved the final manuscript.

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Supplementary Material

The online version of this article offers supplementary material (DOI: https://doi.org/10.1515/ijamh-2017-0037).


Received: 2017-02-25
Accepted: 2017-05-10
Published Online: 2017-11-23

©2019 Walter de Gruyter GmbH, Berlin/Boston

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