Chronic Illness and Anxiety in Children

Nabors, Laura

doi:10.1007/978-3-030-35606-4_6

Cited by 1 publication

(2 citation statements)

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“…Similarly, the teens who did not have a CD, but had high levels of self-esteem and enjoyed positive relationships with their peers showed low levels of anxiety (even when they presented difficulties in emotional skills). Our research therefore points to the impact of CD on the lives of adolescents (Cobham et al, 2020;Kim et al, 2020;Nabors, 2020), as well as the importance of a strong social support group and good self-esteem (Valero-Moreno et al, 2020).…”

Section: Discussionmentioning

confidence: 71%

“…The CD can have an impact on the adolescent's emotional health, social and family relationships, and academic performance (e.g., due to school absences for medical checkups) (Valero-Moreno et al, 2020). Studies therefore indicate a higher frequency of emotional and relational difficulties in these adolescents (Cobham et al, 2020;Kim et al, 2020;Nabors, 2020), but these results deserve to be discussed, since some studies showed that the adjustment to the disease could also be more related to personal and family variables than to the disease itself (Lohan et al, 2015). Therefore, having a CD is considered a relevant factor in adjustment in adolescence, but other risk and protective factors must also be taken into account to achieve a greater understanding of adjustment (Stanton and Revenson, 2007), such as self-esteem, social support or emotional skills.…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial Factors and Chronic Illness as Predictors for Anxiety and Depression in Adolescence

et al. 2020

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Adolescence is a challenging time when emotional difficulties often arise. Self-esteem, good relationships with peers, and emotional competences can buffer the effects of these difficulties. The difficulties can be even greater when coupled with the presence of a chronic physical illness (CD). Our goal is to analyze psychosocial factors and CD as predictors for anxiety and depression. It was compared the results of structural equation models (SEM) with models based on qualitative comparative analysis (QCA) to analyze the possible influence of these variables on levels of anxiety-depression in adolescents with and without CD. The sample consisted of 681 adolescents, between 12 and 16 years old (M = 13.94, SD = 1.32). 61.50% were girls and 13.40% (n = 222) presented a CD (mainly pneumo-allergic and endocrine). They were evaluated by the Hospital Anxiety and Depression Scale, the Self-esteem Questionnaire, the Emotional Competences Questionnaire and the Strengths and Difficulties Questionnaire. The results obtained by SEM show that low self-esteem, problems with peers and low emotional competencies predict anxiety in 41% of the variance and depression in 72%. The results obtained by QCA show that the different combinations of these variables explain between 24 and 61% of low levels of anxiety and depression and 47-55% of high levels. Our data show how the presence of a CD, low self-esteem, problems with peers and problems in emotional skills play a fundamental role in explaining levels of anxiety and depression. These aspects will help provide increased resources for emotional adjustment in the educational context, facilitating the transitions to be made by adolescents.

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