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Health-Related Quality of Life in Children and Adolescents: Subjective Well Being

Published online by Cambridge University Press:  10 January 2013

Tania Gaspar ,
José Pais Ribeiro ,
Margarida Gaspar de Matos ,
Isabel Leal  and
Aristides Ferreira
Tania Gaspar*
Affiliation:
Universidade Técnica de Lisboa (Portugal)
José Pais Ribeiro
Affiliation:
Universidade Nova de Lisboa (Portugal)
Margarida Gaspar de Matos
Affiliation:
Universidade Técnica de Lisboa (Portugal)
Isabel Leal
Affiliation:
Instituto Superior de Psicologia Aplicada de Lisboa (Portugal)
Aristides Ferreira
Affiliation:
ISCTE - Instituto Universitário (Portugal)
*
Corresponding concerning this article should be addressed to Tania Gaspar. Faculdade de Motricidade Humana, Universidade Técnica de Lisboa. Estrada da Costa 1495-688 Cruz Quebrada (Portugal). Phone: + 351-214149152. E-mail: taniagaspar@fmh.utl.pt
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Abstract

The main objective of this study was to build a model, which includes personal and social factors, that helps to highlight factors that promote health-related quality of Life (HRQoL) in children and in adolescents. A sample of 3195 children and adolescents was acquired from 5th and 7th graders from all five Portuguese regions. In this study three independent latent variables were specified – Physical, Psychological and Social and two dependent latent variables were measured: Health behavior and Quality of Life. The integrative model was composed by different components: (1) health-related quality of life, integrated by 8 dimensions from KIDSCREEN-52; (2) health behavior, (3) variables related to physical health; (4) variables related to social health; (5) variables related to psychological health. As results were found strong correlation between psychological dimensions and self-esteem and other factors and a structural equation model was developed. The model presented a RMSEA index of .08. Similarly, adjustment levels for the CFI, NFI and IFI vary above or around .90, which suggests a good adjustment for the hypothesized model. The model presented significant qui-square.This study showed that in all the samples studied, the psychological variables were those that contributed at a superior level to HRQoL.

El objetivo principal de este estudio fue construir un modelo, que incluya los factores personales y sociales, que ayude a resaltar los factores que promueven la salud relacionados con la calidad de vida (CVRS) en niños y adolescentes. Se tomó una muestra de 3.195 niños y adolescentes, alumnos de quinto y séptimo grado de todas las 5 regiones Portuguesas.

En este estudio fueron especificadas tres variables latentes independientes: física, psicológica y social, y se midieron dos variables dependientes: el comportamiento de la salud y la calidad de vida. El modelo de integración estaba compuesto por diferentes componentes: (1) calidad de vida relacionada con la salud, integrado por ocho dimensiones del KIDSCREEN-52, (2) el comportamiento de la salud, (3) las variables relacionadas con la salud física, (4) las variables relacionadas con la salud social, (5) las variables relacionadas con la salud psicológica. Como resultado se encontró una fuerte correlación entre las dimensiones psicológicas y de autoestima y otros factores y se desarrolló un modelo de ecuaciones estructurales. El modelo que se presenta un índice RMSEA de 0,08. De manera similar, los niveles de ajuste de la CFI, NFI y el Fondo varían por encima o alrededor de 0,90, lo que indica un buen ajuste para el modelo de la hipótesis. El modelo presentado tiene una valoración de chi-cuadrado significativo. Este estudio mostró que en todas las muestras estudiadas, las variables psicológicas fueron las que contribuyeron a un nivel superior a la CVRS.

Keywords

psychosocial factorsquality of lifechildrenadolescentsfactores psicosocialescalidad de vidaniñosadolescentes
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 15 , Issue 1 , March 2012 , pp. 177 - 186
Copyright
Copyright © Cambridge University Press 2012

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