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Self-evaluation and depression in adolescents with a chronic illness: A systematic review

OBJECTIVE: To conduct a systematic review to establish what is known about the relationship between depression and self-evaluation in adolescents with a chronic illness. METHODS: A systematic search was conducted using MEDLINE, EMBASE, PsycINFO, Web of Science, The Cochrane Library, and hand-searchi...

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Detalles Bibliográficos
Autores principales: Hards, Emily, Orchard, Faith, Khalid, Sundus, D’souza, Clea, Cohen, Flora, Gowie, Evangeline, Loades, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902973/
https://www.ncbi.nlm.nih.gov/pubmed/35853094
http://dx.doi.org/10.1177/13591045221115287
Descripción
Sumario:OBJECTIVE: To conduct a systematic review to establish what is known about the relationship between depression and self-evaluation in adolescents with a chronic illness. METHODS: A systematic search was conducted using MEDLINE, EMBASE, PsycINFO, Web of Science, The Cochrane Library, and hand-searching. We sought to identify primary research that examined both the cross-sectional and longitudinal associations between depression and self-evaluation in adolescents with chronic illness. The search resulted in 8941 retrieved articles that were screened against an inclusion criteria. A total of 4 papers were included in the review. The MMAT used to assess study methodological quality. RESULTS: A narrative synthesis was conducted, and a summary figure was included. These 4 studies included 236 adolescents aged 9–18 years with depression and either Type 1 Diabetes (T1D), chronic pain, headaches, or Inflammatory Bowel Disease (IBD). The limited existing evidence indicated that that depression was associated with negative self-evaluation in adolescents in some but not all chronic illnesses investigated to date. We also found some evidence that psychological intervention can help to improve self-evaluation, specifically in adolescents with T1D. CONCLUSIONS: More robust studies of the association between self-evaluation and depression in adolescents with a chronic illness is needed, with attention to the nuances of differences between chronic illnesses. The existing evidence indicates that there may be a stronger association in some chronic illnesses. Pilot data suggest that specific psychological therapies may improve self-evaluation, although much more extensive evaluation is needed.