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Early childhood factors influencing health‐related quality of life in adolescents at 13 years
Author(s) -
Maher Elise
Publication year - 2004
Publication title -
child: care, health and development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.832
H-Index - 82
eISSN - 1365-2214
pISSN - 0305-1862
DOI - 10.1111/j.1365-2214.2004.435_2_2.x
Subject(s) - psychosocial , medicine , anxiety , quality of life (healthcare) , early childhood , intervention (counseling) , pregnancy , depression (economics) , clinical psychology , pediatrics , psychiatry , psychology , developmental psychology , nursing , macroeconomics , biology , economics , genetics
Early childhood factors influencing health‐related quality of life in adolescents at 13 years.
Wilkins , A.J. , O'Callaghan , M.J. , Najman , J.M. , Williams , G.M. & Shuttlewood , G.(2004)Journal of Paediatrics and Child Health40,102–109.Objective To understand the relationship of health‐related quality of life (HRQOL) to early life experience. Methodology Eight thousand five hundred and fifty‐six women enrolled in a prospective study at their first antenatal clinic visit. At 13 years, of 5345 women remaining, a consecutive sample of 901 mother/child pairs provided data on adolescent HRQOL using the Child Health Questionnaire‐Parent Report form (CHQ‐PF50) and the Dartmouth COOP Functional Assessment Charts for Adolescents. The CHQ‐PF50 yielded physical (PHS) and psychosocial (PSS) summary scores. We examined the relationship between HRQOL and early childhood predictive variables. Results PHS was related to gestation, maternal health symptoms in pregnancy, maternal anxiety at 6 months, child health and hours of childcare at 5 years ( P < 0.05). PSS was related to maternal age at index visit, maternal attitude to pregnancy, maternal satisfaction with caregiving and maternal depression at 6 months, and child health and behaviour problems at 5 years (internalizing and social/attentional/thought (SAT) domains) ( P < 0.05). Findings from adolescent self‐reports were similar. Conclusions This study has identified a number of early childhood determinants of adolescent HRQOL. These findings add to the evidence of the effects of early adversity on the developmental pathways of children and support the need for effective early intervention.