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Self-reported quality of life and self-esteem in sad and anxious school children.

ABSTRACT: Anxiety and depressive symptoms are common in childhood, however problems in need of intervention may not be identified. Children at risk for developing more severe problems can be identified based on elevated symptom levels. Quality of life and self-esteem are important functional domains and may provide additional valuable information.Schoolchildren (n?=?915), aged 9-13, who considered themselves to be more anxious or sad than their peers, completed self-reports of anxiety (Multidimensional Anxiety Scale for children (MASC-C), depression (The Short Mood and Feelings Questionnaire; SMFQ), quality of life (Kinder Lebensqualität Fragebogen; KINDL) and self-esteem (Beck self-concept inventory for youth (BSCI-Y) at baseline of a randomized controlled indicative study. Using multivariate analyses, we examined the relationships between internalizing symptoms, quality of life and self-esteem in three at-risk symptom groups. We also examined gender and age differences.52.1 % of the screened children scored above the defined at-risk level reporting elevated symptoms of either Anxiety and Depression (Combined group) (26.6 %), Depression only (15.4 %) or Anxiety only (10.2 %). One-way ANOVA analysis showed significant mean differences between the symptom groups on self-reported quality of life and self-esteem. Regression analysis predicting quality of life and self-esteem showed that in the Depression only group and the Combined group, symptom levels were significantly associated with lower self-reported scores on both functional domains. In the Combined group, older children reported lower quality of life and self-esteem than younger children. Internalizing symptoms explained more of the variance in quality of life than in self-esteem. Symptoms of depression explained more of the variance than anxious symptoms. Female gender was associated with higher levels of internalizing symptoms, but there was no gender difference in quality of life and self-esteem.Internalizing symptoms were associated with lower self-reported quality of life and self-esteem in children in the at-risk groups reporting depressive or depressive and anxious symptoms. A transdiagnostic approach targeting children with internalizing symptoms may be important as an early intervention to change a possible negative trajectory. Tailoring the strategies to the specific symptom pattern of the child will be important to improve self-esteem.Trial registration in Clinical trials: NCT02340637 , June 12, 2014.

SUBMITTER: Martinsen KD

PROVIDER: S-EPMC5022161 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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Self-reported quality of life and self-esteem in sad and anxious school children.

Martinsen Kristin D KD Neumer Simon-Peter SP Holen Solveig S Waaktaar Trine T Sund Anne Mari AM Kendall Philip C PC

BMC psychology 20160913 1

<h4>Background</h4>Anxiety and depressive symptoms are common in childhood, however problems in need of intervention may not be identified. Children at risk for developing more severe problems can be identified based on elevated symptom levels. Quality of life and self-esteem are important functional domains and may provide additional valuable information.<h4>Methods</h4>Schoolchildren (n = 915), aged 9-13, who considered themselves to be more anxious or sad than their peers, completed self-repo ...[more]

PMID: 27624487

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Project description:BackgroundQuality of life and self-esteem are functional domains that may suffer when having mental problems. In this study, we examined the change in quality of life and self-esteem when targeting anxious and depressive symptoms in school children (8-12 years) using a CBT-based transdiagnostic intervention called EMOTION, Kids Coping with anxiety and depression. The aim of this study was to investigate quality of life and self-esteem in children with elevated levels of anxious and depressive symptoms, and further if the EMOTION intervention could influence these important functional domains.MethodsThe study had a clustered randomized design (cRCT), where N?=?795 children recruited from 36 schools participated. The children were included based on self-reports of anxious and depressive symptoms. Schools were the unit of randomization and were assigned to intervention or control condition. Children in the intervention condition received the 10-week EMOTION intervention. Mixed effects models were used to take account of the possible clustering of data. Separate models were estimated for the dependent variables.ResultsChildren with elevated levels of anxious and depressive symptoms reported lower levels of quality of life and self-esteem compared to normative samples, with girls and older children reporting the lowest levels. For both genders and older children, a large and significant increase in quality of life and self-esteem was found among the children who received the intervention compared to the children in the control condition. Children in the intervention group reporting both anxious and depressive symptoms showed a significantly larger increase in both quality of life and self-esteem compared to the controls. Reductions in quality of life and self-esteem were partially mediated by reductions in symptoms of anxiety and depression.ConclusionsParticipating in an intervention targeting emotional symptoms may have a positive effect on quality of life and self-esteem in addition to reducing anxious and depressive symptoms. Improved quality of life may increase the child's satisfaction and subjective perception of wellbeing. As low self-esteem may lead to anxious and depressive symptoms, improving this functional domain in children may make them more robust dealing with future emotional challenges. Trial registration NCT02340637, retrospectively registered.

Project description:Intervention 1: Group A is comprised of eleven male participants in group therapy, motivational interviewing on Saturdays for 5 weeks, they leave behind. Intervention 2: Conducted five sessions of group motivational interviewing intervention groups. Each group will have five sessions.) Self-esteem and quality of life questionnaire before and 4 months after an intervention in both intervention and control groups Comparing the results obtained in the two groups. Intervention 3: Group B consisted of 12 participants will be women who will pass on Monday 5 sessions of motivational counseling. Intervention 4: Group C consisted of six male and six female participants who will be attending on Wednesdays for five sessions of motivational counseling team will leave behind. Intervention 5: Society ostomy care than the control group who received no intervention will not receive. Intervals prior to the intervention group questionnaires, one month and four months for the control group filled out.;Group A is comprised of eleven male participants in group therapy, motivational interviewing on Saturdays for 5 weeks, they leave behind.;Conducted five sessions of group motivational interviewing intervention groups. Each group will have five sessions.) Self-esteem and quality of life questionnaire before and 4 months after an intervention in both intervention and control groups Comparing the results obtained in the two groups;Group B consisted of 12 participants will be women who will pass on Monday 5 sessions of motivational counseling.;Group C consisted of six male and six female participants who will be attending on Wednesdays for five sessions of motivational counseling team will leave behind.;Society ostomy care than the control group who received no intervention will not receive. Intervals prior to the intervention group questionnaires, one month and four months for the control group filled out. Primary outcome(s): Quality of Life. Timepoint: Before - one and four months later. Method of measurement: Ostomy patients’ quality of life questionnaire.;Self- esteem. Timepoint: Before - one and four months later. Method of measurement: Esteem Scale. Study Design: Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive.

Dataset Information

Self-reported quality of life and self-esteem in sad and anxious school children.

Publications

Self-reported quality of life and self-esteem in sad and anxious school children.

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