Internalizing disorders and quality of life in adolescence: evidence for independent associations

Abstract

Objective: To investigate whether internalizing disorders are associated with quality of life (QoL) in adolescents, even after accounting for shared risk factors. Methods: The sample comprised 102 adolescents from a community cross-sectional study with an oversampling of anxious subjects. Risk factors previously associated with QoL were assessed and divided into five blocks organized hierarchically from proximal to distal sets of risk factors. Results: Multiple regression analysis yielded a hierarchical model accounting for 72% of QoL variance. All blocks were consistently associated with QoL (p , 0.05), accounting for the following percentages of variance: 12% for demographics; 5.2% for family environment; 37.8% for stressful events; 10% for nutritional and health habits; and 64.2% for dimensional psychopathological symptoms or 22.8% for psychiatric diagnoses (dichotomous). Although most of the QoL variance attributed to internalizing symptoms was explained by the four proximal blocks in the hierarchical model (43.2%), about 21% of the variance was independently associated with internalizing symptoms/diagnoses. Conclusions: QoL is associated with several aspects of adolescent life that were largely predicted by our hierarchical model. Our findings reinforce the hypothesis that internalizing disorders and internalizing symptoms in adolescents have a high impact on QoL and deserve proper clinical attention.

Meta-Analysis of Solution-Focused Brief Therapy for Treating Symptoms of Internalizing Disorders

“…Given the contextually bounded nature of emerging symptoms, some researchers have suggested that a systemic approach to treatment may be most appropriate (Retzlaff, Sydow, Beher, Haun, & Schweitzer, 2013). Subsequently, viewing the pathology inherent within internalizing disorders through a systemic lens has been demonstrated as useful among youth (Retzlaff et al, 2013), adolescents (Salum et al, 2014), and adults (Harford et al, 2013; Scott, Dennis, & Lurigio, 2015).…”

The link between executive function, socio‐emotional functioning and health‐related quality of life in children and adolescents with mild to moderate chronic kidney disease

“…In relation to our second hypothesis, the internalizing problems were the strongest predictor of HRQOL of all socio‐emotional functioning domains. Although never examined in children and adolescents with mild to moderate CKD, the link between internalizing problems and HRQOL is well established in children and adolescents with attention deficit disorder (ADD) (Schraegle & Titus, 2016; Sherman et al, 2006) and epilepsy (Salum et al, 2014). In fact, internalizing problems were a stronger predictor of HRQOL in children and adolescents with epilepsy than frequency of seizures, age of onset, and duration of disease (Besta et al, 2011; Sherman et al, 2006).…”

Relación entre condición física global, coordinación motriz y calidad de vida percibida en adolescentes españoles

“…En este sentido, se ha encontrado que el nivel de cvp está condicionado por los procesos cognitivos vinculados a la evaluación que la persona realiza tanto de sus condiciones objetivas de vida como del grado de satisfacción con cada una de ellas (Baceviciene et al, 2019); e, incluso, que la calidad de vida es subjetiva, que el valor asignado a cada dimensión es diferente en cada persona, y que este valor puede cambiar a través del tiempo (Urzúa & Caqueo-Urizar, 2012). Por consiguiente, algunos autores han enfatizado en la necesidad de profundizar en los indicadores, desórdenes psicosociales y experiencias vinculadas a la cvp en la etapa adolescente (Salinas-Miranda et al, 2015;Salum et al, 2014), sobre todo por ser esta una interesante medida del estado de salud desde la perspectiva del propio sujeto (Herranz et al, 2013).…”