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HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland

PURPOSE: To evaluate the relationship between recent stressful life events (SLEs), stress-related symptoms (SRSs), and health-related quality of life (HRQoL) in children beginning primary school. METHODS: A community-based sample of 6- to 8-year-old children (176 boys and 175 girls at baseline) part...

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Autores principales: Kaczmarek, Maria, Trambacz-Oleszak, Sylwia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5243889/
https://www.ncbi.nlm.nih.gov/pubmed/27465622
http://dx.doi.org/10.1007/s11136-016-1371-x
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author Kaczmarek, Maria
Trambacz-Oleszak, Sylwia
author_facet Kaczmarek, Maria
Trambacz-Oleszak, Sylwia
author_sort Kaczmarek, Maria
collection PubMed
description PURPOSE: To evaluate the relationship between recent stressful life events (SLEs), stress-related symptoms (SRSs), and health-related quality of life (HRQoL) in children beginning primary school. METHODS: A community-based sample of 6- to 8-year-old children (176 boys and 175 girls at baseline) participated in a prospective longitudinal study with three waves of data collection and 1-year interval between subsequent surveys, conducted in the Wielkopolska Province, Poland. Main exposures included nine recent stressful life events and psychosomatic and behavioural symptoms related to stress (SRSs), both self-reported by children. The outcome was total HRQoL assessed by a Polish version of the PedsQL™ 4.0 (Pediatric Quality of Life Inventory) Generic Core Scales questionnaire, 5- to 7-year-old version. To evaluate the relationship between total HRQoL and predictor variables, a latent growth curve (LGC) model using multiple group design (boys and girls) with three waves and two time-varying covariates, the SLEs and SRSs, was applied. RESULTS: An unconditional multi-group LGC model revealed that the total HRQoL changed over time in a linear trajectory. After incorporating to the model, two time-varying covariates, SLEs and SRSs, the first predictor for HRQoL was only significant at the last wave in girls and at two subsequent waves, except for baseline, in boys. The second predictor revealed significant negative impacts on HRQoL over the entire period of time in both boys and girls suggesting that the pathway underlying the association of SLEs with HRQoL may be mediated by SRSs. Mean values of HRQoL at each time points did not show gender differences. CONCLUSIONS: The findings of the present study may help to develop and implement a health and safety protection training programmes addressed to parents, caregivers, and practitioners to make children’s lives easier.
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spelling pubmed-52438892017-02-01 HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland Kaczmarek, Maria Trambacz-Oleszak, Sylwia Qual Life Res Article PURPOSE: To evaluate the relationship between recent stressful life events (SLEs), stress-related symptoms (SRSs), and health-related quality of life (HRQoL) in children beginning primary school. METHODS: A community-based sample of 6- to 8-year-old children (176 boys and 175 girls at baseline) participated in a prospective longitudinal study with three waves of data collection and 1-year interval between subsequent surveys, conducted in the Wielkopolska Province, Poland. Main exposures included nine recent stressful life events and psychosomatic and behavioural symptoms related to stress (SRSs), both self-reported by children. The outcome was total HRQoL assessed by a Polish version of the PedsQL™ 4.0 (Pediatric Quality of Life Inventory) Generic Core Scales questionnaire, 5- to 7-year-old version. To evaluate the relationship between total HRQoL and predictor variables, a latent growth curve (LGC) model using multiple group design (boys and girls) with three waves and two time-varying covariates, the SLEs and SRSs, was applied. RESULTS: An unconditional multi-group LGC model revealed that the total HRQoL changed over time in a linear trajectory. After incorporating to the model, two time-varying covariates, SLEs and SRSs, the first predictor for HRQoL was only significant at the last wave in girls and at two subsequent waves, except for baseline, in boys. The second predictor revealed significant negative impacts on HRQoL over the entire period of time in both boys and girls suggesting that the pathway underlying the association of SLEs with HRQoL may be mediated by SRSs. Mean values of HRQoL at each time points did not show gender differences. CONCLUSIONS: The findings of the present study may help to develop and implement a health and safety protection training programmes addressed to parents, caregivers, and practitioners to make children’s lives easier. Springer International Publishing 2016-07-27 2017 /pmc/articles/PMC5243889/ /pubmed/27465622 http://dx.doi.org/10.1007/s11136-016-1371-x Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Kaczmarek, Maria
Trambacz-Oleszak, Sylwia
HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland
title HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland
title_full HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland
title_fullStr HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland
title_full_unstemmed HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland
title_short HRQoL impact of stressful life events in children beginning primary school: results of a prospective study in Poland
title_sort hrqol impact of stressful life events in children beginning primary school: results of a prospective study in poland
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5243889/
https://www.ncbi.nlm.nih.gov/pubmed/27465622
http://dx.doi.org/10.1007/s11136-016-1371-x
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