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Health-related quality of life in the aftermath of child maltreatment: follow-up study of a hospital sample
Objective In the aftermath of child maltreatment or neglect, the health-related quality of life (HRQoL) in children is likely to be affected. However, research on quality of life in maltreated children is lacking. The aim of this study is to compare the HRQoL in a follow-up sample of children referr...
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Published in: | Quality of life research 2013-08, Vol.22 (6), p.1361-1369 |
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description | Objective In the aftermath of child maltreatment or neglect, the health-related quality of life (HRQoL) in children is likely to be affected. However, research on quality of life in maltreated children is lacking. The aim of this study is to compare the HRQoL in a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT) to match controls and to explore correlates of HRQoL. Method Of the 319 in- and outpatient children referred to the CPT at the University Children's Hospital Zurich between 2005 and 2006, an eligible sample of 180 children was contacted for a follow-up. HRQoL was assessed for 42 former patients using the self- and proxy-rated KIDSCREEN-27 for children above the age of 6 years and the TAPQOL parent report for children younger than 6 years. HRQoL-scores in the maltreatment group were compared with HRQoL in 39 matched controls. Results Self-reported HRQoL in maltreated children above the age of 6 years was significantly impaired compared to matched controls. The caregiver-rated HRQoL of maltreated children, however, was not affected. Low socioeconomic status and number of life events were associated with impaired self-reported HRQoL. Analyzed together with these factors, maltreatment lost its predictive power on HRQoL. Conclusion Maltreated children and adolescents suffer from impaired HRQoL even after the maltreatment has been disclosed and targeted by interventions. The impact of socioeconomic environment reinforces the importance of a multidisciplinary and systemic approach to maltreatment as applied by the CPT. Although the nature of discordance between child and caregiver report is not known, researchers and clinicians are strongly encouraged to assess the victim's self-reported HRQoL independently of their proxies' view. |
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However, research on quality of life in maltreated children is lacking. The aim of this study is to compare the HRQoL in a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT) to match controls and to explore correlates of HRQoL. Method Of the 319 in- and outpatient children referred to the CPT at the University Children's Hospital Zurich between 2005 and 2006, an eligible sample of 180 children was contacted for a follow-up. HRQoL was assessed for 42 former patients using the self- and proxy-rated KIDSCREEN-27 for children above the age of 6 years and the TAPQOL parent report for children younger than 6 years. HRQoL-scores in the maltreatment group were compared with HRQoL in 39 matched controls. Results Self-reported HRQoL in maltreated children above the age of 6 years was significantly impaired compared to matched controls. The caregiver-rated HRQoL of maltreated children, however, was not affected. Low socioeconomic status and number of life events were associated with impaired self-reported HRQoL. Analyzed together with these factors, maltreatment lost its predictive power on HRQoL. Conclusion Maltreated children and adolescents suffer from impaired HRQoL even after the maltreatment has been disclosed and targeted by interventions. The impact of socioeconomic environment reinforces the importance of a multidisciplinary and systemic approach to maltreatment as applied by the CPT. Although the nature of discordance between child and caregiver report is not known, researchers and clinicians are strongly encouraged to assess the victim's self-reported HRQoL independently of their proxies' view.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-012-0262-z</identifier><identifier>PMID: 22996648</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject><![CDATA[Adolescent ; Age ; Caregivers ; Case-Control Studies ; Child ; Child abuse & neglect ; Child Abuse - psychology ; Child health services ; Child molestation ; Child neglect ; Child psychology ; Child Welfare ; Children & youth ; Childrens health ; Control groups ; Families & family life ; Female ; Follow-Up Studies ; Gender ; Germany ; Health Status ; Hospitals ; Humans ; Interviews as Topic ; Life events ; Male ; Medicine ; Medicine & Public Health ; Outpatients - statistics & numerical data ; Parents ; Parents & parenting ; Proxy ; Public Health ; Quality of Life ; Quality of Life Research ; Regression Analysis ; Self Report ; Sex crimes ; Sexual abuse ; Social Support ; Socioeconomic Factors ; Socioeconomic status ; Sociology ; Surveys and Questionnaires ; Teenagers]]></subject><ispartof>Quality of life research, 2013-08, Vol.22 (6), p.1361-1369</ispartof><rights>Springer Science+Business Media B.V. 2012</rights><rights>Springer Science+Business Media Dordrecht 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-3973fdc8de2dc5f66bf14c1cc049a9176d851e96c3ba6580f6fed20226a3cf2e3</citedby><cites>FETCH-LOGICAL-c493t-3973fdc8de2dc5f66bf14c1cc049a9176d851e96c3ba6580f6fed20226a3cf2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1416642332/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1416642332?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11688,27924,27925,36060,36061,44363,58238,58471,74895</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22996648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jud, Andreas</creatorcontrib><creatorcontrib>Landolt, Markus A.</creatorcontrib><creatorcontrib>Tatalias, Alexandra</creatorcontrib><creatorcontrib>Lach, Lucyna M.</creatorcontrib><creatorcontrib>Lips, Ulrich</creatorcontrib><title>Health-related quality of life in the aftermath of child maltreatment: follow-up study of a hospital sample</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Objective In the aftermath of child maltreatment or neglect, the health-related quality of life (HRQoL) in children is likely to be affected. However, research on quality of life in maltreated children is lacking. The aim of this study is to compare the HRQoL in a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT) to match controls and to explore correlates of HRQoL. Method Of the 319 in- and outpatient children referred to the CPT at the University Children's Hospital Zurich between 2005 and 2006, an eligible sample of 180 children was contacted for a follow-up. HRQoL was assessed for 42 former patients using the self- and proxy-rated KIDSCREEN-27 for children above the age of 6 years and the TAPQOL parent report for children younger than 6 years. HRQoL-scores in the maltreatment group were compared with HRQoL in 39 matched controls. Results Self-reported HRQoL in maltreated children above the age of 6 years was significantly impaired compared to matched controls. The caregiver-rated HRQoL of maltreated children, however, was not affected. Low socioeconomic status and number of life events were associated with impaired self-reported HRQoL. Analyzed together with these factors, maltreatment lost its predictive power on HRQoL. Conclusion Maltreated children and adolescents suffer from impaired HRQoL even after the maltreatment has been disclosed and targeted by interventions. The impact of socioeconomic environment reinforces the importance of a multidisciplinary and systemic approach to maltreatment as applied by the CPT. Although the nature of discordance between child and caregiver report is not known, researchers and clinicians are strongly encouraged to assess the victim's self-reported HRQoL independently of their proxies' view.</description><subject>Adolescent</subject><subject>Age</subject><subject>Caregivers</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child abuse & neglect</subject><subject>Child Abuse - psychology</subject><subject>Child health services</subject><subject>Child molestation</subject><subject>Child neglect</subject><subject>Child psychology</subject><subject>Child Welfare</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Control groups</subject><subject>Families & family life</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gender</subject><subject>Germany</subject><subject>Health Status</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Life events</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Outpatients - statistics & numerical data</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Proxy</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Quality of Life Research</subject><subject>Regression Analysis</subject><subject>Self Report</subject><subject>Sex crimes</subject><subject>Sexual abuse</subject><subject>Social Support</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Sociology</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>M0C</sourceid><recordid>eNqFkUtv1TAQhS0EoreFH8ACZIlNNyl-xYnZoaqlSJXYwDrytcckFydObUdV--txSHmIRZFGsjTznTPyHIReUXJGCWneJUoplxWhrCJMsur-CdrRuuEVk0I9RTuiSlNxwY_QcUoHQkirCHuOjhhTSkrR7tD3K9A-91UErzNYfLNoP-Q7HBz2gwM8TDj3gLXLEEed-3Vg-sFbPBZdBJ1HmPJ77IL34bZaZpzyYn_qNe5DmoesPU56nD28QM-c9glePrwn6OvlxZfzq-r688dP5x-uKyMUzxVXDXfWtBaYNbWTcu-oMNQYIpRWtJG2rSkoafhey7olTjqwjDAmNTeOAT9Bp5vvHMPNAil345AMeK8nCEvqaC0EKQcT_P-ooE3NGVWsoG__QQ9hiVP5yEqVazLOV4pulIkhpQium-Mw6njXUdKtoXVbaF0JrVtD6-6L5s2D87Ifwf5W_EqpAGwDUhlN3yD-tfoR19eb6JByiH9MRcMEL_UD5KKr6A</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Jud, Andreas</creator><creator>Landolt, Markus A.</creator><creator>Tatalias, Alexandra</creator><creator>Lach, Lucyna M.</creator><creator>Lips, Ulrich</creator><general>Springer</general><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20130801</creationdate><title>Health-related quality of life in the aftermath of child maltreatment: follow-up study of a hospital sample</title><author>Jud, Andreas ; Landolt, Markus A. ; Tatalias, Alexandra ; Lach, Lucyna M. ; Lips, Ulrich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-3973fdc8de2dc5f66bf14c1cc049a9176d851e96c3ba6580f6fed20226a3cf2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Caregivers</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child abuse & neglect</topic><topic>Child Abuse - psychology</topic><topic>Child health services</topic><topic>Child molestation</topic><topic>Child neglect</topic><topic>Child psychology</topic><topic>Child Welfare</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Control groups</topic><topic>Families & family life</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gender</topic><topic>Germany</topic><topic>Health Status</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Life events</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Outpatients - statistics & numerical data</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Proxy</topic><topic>Public Health</topic><topic>Quality of Life</topic><topic>Quality of Life Research</topic><topic>Regression Analysis</topic><topic>Self Report</topic><topic>Sex crimes</topic><topic>Sexual abuse</topic><topic>Social Support</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Sociology</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jud, Andreas</creatorcontrib><creatorcontrib>Landolt, Markus A.</creatorcontrib><creatorcontrib>Tatalias, Alexandra</creatorcontrib><creatorcontrib>Lach, Lucyna M.</creatorcontrib><creatorcontrib>Lips, Ulrich</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Quality of life research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jud, Andreas</au><au>Landolt, Markus A.</au><au>Tatalias, Alexandra</au><au>Lach, Lucyna M.</au><au>Lips, Ulrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related quality of life in the aftermath of child maltreatment: follow-up study of a hospital sample</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><addtitle>Qual Life Res</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>22</volume><issue>6</issue><spage>1361</spage><epage>1369</epage><pages>1361-1369</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Objective In the aftermath of child maltreatment or neglect, the health-related quality of life (HRQoL) in children is likely to be affected. However, research on quality of life in maltreated children is lacking. The aim of this study is to compare the HRQoL in a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT) to match controls and to explore correlates of HRQoL. Method Of the 319 in- and outpatient children referred to the CPT at the University Children's Hospital Zurich between 2005 and 2006, an eligible sample of 180 children was contacted for a follow-up. HRQoL was assessed for 42 former patients using the self- and proxy-rated KIDSCREEN-27 for children above the age of 6 years and the TAPQOL parent report for children younger than 6 years. HRQoL-scores in the maltreatment group were compared with HRQoL in 39 matched controls. Results Self-reported HRQoL in maltreated children above the age of 6 years was significantly impaired compared to matched controls. The caregiver-rated HRQoL of maltreated children, however, was not affected. Low socioeconomic status and number of life events were associated with impaired self-reported HRQoL. Analyzed together with these factors, maltreatment lost its predictive power on HRQoL. Conclusion Maltreated children and adolescents suffer from impaired HRQoL even after the maltreatment has been disclosed and targeted by interventions. The impact of socioeconomic environment reinforces the importance of a multidisciplinary and systemic approach to maltreatment as applied by the CPT. Although the nature of discordance between child and caregiver report is not known, researchers and clinicians are strongly encouraged to assess the victim's self-reported HRQoL independently of their proxies' view.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>22996648</pmid><doi>10.1007/s11136-012-0262-z</doi><tpages>9</tpages></addata></record> |
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subjects | Adolescent Age Caregivers Case-Control Studies Child Child abuse & neglect Child Abuse - psychology Child health services Child molestation Child neglect Child psychology Child Welfare Children & youth Childrens health Control groups Families & family life Female Follow-Up Studies Gender Germany Health Status Hospitals Humans Interviews as Topic Life events Male Medicine Medicine & Public Health Outpatients - statistics & numerical data Parents Parents & parenting Proxy Public Health Quality of Life Quality of Life Research Regression Analysis Self Report Sex crimes Sexual abuse Social Support Socioeconomic Factors Socioeconomic status Sociology Surveys and Questionnaires Teenagers |
title | Health-related quality of life in the aftermath of child maltreatment: follow-up study of a hospital sample |
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