Annual Research Review: Quality of life and childhood mental and behavioural disorders – a critical review of the research
MetadataShow full item record
Background: An individual's subjective perception of well-being is increasingly recognized as an essential complement to clinical symptomatology and functional impairment in children's mental health. Measurement of quality of life (QoL) has the potential to give due weight to the child's perspective. Scope and methodology: Our aim was to critically review the current evidence on how childhood mental disorders affect QoL. First, the major challenges in this research field are outlined. Then we present a systematic review of QoL in children and adolescents aged 0–18 years formally diagnosed with a mental and behavioural disorder, as compared to healthy or typically developing children or children with other health conditions. Finally, we discuss limitations of the current evidence base and future directions based on the results of the systematic review and other relevant literature. Findings and conclusions: The systematic review identified 41 eligible studies. All were published after the year 2000 and 21 originated in Europe. The majority examined QoL in neurodevelopmental disorders, including attention-deficit hyperactivity disorder (k = 17), autism spectrum disorder (k = 6), motor disorders (k = 5) and intellectual disability (k = 4). Despite substantial heterogeneity, studies demonstrate that self-reported global QoL is significantly reduced compared to typical/healthy controls across several disorders and QoL dimensions. Parents’ ratings were on average substantially lower, casting doubt on the validity of proxy-report. Studies for large diagnostic groups such as depressive disorders, anxiety disorders, (early onset) schizophrenia and eating disorders are largely lacking. We conclude that representative, well-characterized normative and clinical samples as well as longitudinal and qualitative designs are needed to further clarify the construct of QoL, to derive measures of high ecological validity, and to examine how QoL fluctuates over time and is attributable to specific conditions or contextual factors.
Showing items related by title, author, creator and subject.
The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta-analysisDowns, Jennepher; Blackmore, A.; Epstein, A.; Skoss, R.; Langdon, K.; Jacoby, P.; Whitehouse, A.; Leonard, H.; Rowe, P.; Glasson, E.; Cerebral Palsy Mental Health Group (2017)Aim: Mental health conditions and problems are often reported in children and adolescents with cerebral palsy (CP). A systematic review was undertaken to describe their prevalence. Method: MEDLINE and PsycINFO databases ...
The physical literacy of children with behavioural and emotional mental health disorders: A scoping reviewFortnum, K.; Furzer, B.; Reid, S.; Jackson, B.; Elliott, Catherine (2018)© 2018 Elsevier Ltd Introduction: Mental Health Disorders (MHDs) affect 20% of children and youth. To improve long-term physiological and psychological health outcomes for children with MHDs, regular physical activity ...
The mental health of young people in Australia: key findings from the child and adolescent component of the national survey of mental health and well-beingSawyer, M.; Arney, F.; Baghurst, P.; Clark, J.; Graetz, B.; Kosky, R.; Nurcombe, B.; Patton, G.; Prior, M.; Raphael, B.; Rey, J.; Whaites, L.; Zubrick, Stephen (2001)Objective: To identify the prevalence of three mental disorders (Depressive Disorder, Conduct Disorder and Attention-Deficit/Hyperactivity Disorder), the prevalence of mental health problems, the health-related quality ...