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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
Main Authors: Jud, Andreas, Landolt, Markus A., Tatalias, Alexandra, Lach, Lucyna M., Lips, Ulrich
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container_title Quality of life research
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creator Jud, Andreas
Landolt, Markus A.
Tatalias, Alexandra
Lach, Lucyna M.
Lips, Ulrich
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. 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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.</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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