Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior.

• Material Type: 博士論文
• Title: Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior.
• Author/Editor: Matsuura, Hiroki; Iwasaka, Hidemi; Nezu, Satoko; Ota, Toyosaku; Okazaki, Kosuke; Yamamuro, Kazuhiko; Nakanishi, Yoko; Kishimoto, Naoko; Iida, Junzo; Kishimoto, Toshifumi
• Author Heading: Matsuura, Hiroki; Iwasaka, Hidemi; Nezu, Satoko; Ota, Toyosaku; Okazaki, Kosuke; Yamamuro, Kazuhiko; Nakanishi, Yoko; Kishimoto, Naoko; Iida, Junzo; Kishimoto, Toshifumi
• Publication, Distribution, etc.: Dove Medical Press
• Publication Date: 2020-03-31
• Publication Date (W3CDTF): 2020-03-31
• Alternative Title: 不登校行動のある子どもの健康に関連した生活の質に及ぼす自尊感情と精神医学的診断の影響
• Periodical title: Neuropsychiatric disease and treatment
• No. or year of volume/issue: 16
• Volume: 16
• Pages: 847-858
• ISSN (Periodical Title): ISSN : 1176-6328
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2020-09-30
• Dissertation Number: 乙第1473号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: school refusal behavior; health-related quality of life; KIDSCREEN; Rosenberg self-esteem scale; autism spectrum disorder
• Target Audience: 一般
• Note (General): type:Thesis; Background: School refusal behavior (SRB), which is the refusal to attend or remain in school, has been associated with emotional, psychological, and other behavioral problems, as well as a lower health-related quality of life (HRQOL). However, the effects of self-esteem and a psychiatric diagnosis in students with SRB on HRQOL are not yet known. Understanding these relationships could help to develop more effective therapeutic interventions. Methods: A total of 175 young people (aged 8-18 years old) who visited our medical centers and outpatient clinics participated in the study. This comprised the SRB group (n = 70) and an age- and sex-matched control group (n = 105). Information about any psychiatric diagnosis was collected from medical records, HRQOL was measured using the J-KIDSCREEN-52, SRB was assessed using the School Refusal Assessment Scale-Revised for Japanese Attendance at School, self-esteem was measured using the Rosenberg Self-Esteem Scale, children's mental health status was measured using the Strengths and Difficulties Questionnaire, and social support was measured using the Oslo 3-item Social Support Scale. We performed between-group comparisons and multiple regression analysis. Results: The SRB had a significantly lower HRQOL than the control group in several of the KIDSCREEN-52 dimensions. In the SRB group, 35.7% had chronic disease and 35.7% of their parents had health problems and were receiving treatment. The multiple regression analysis revealed that, within the SRB group, a psychiatric diagnosis was associated with a lower HRQOL. However, this was not the case for a diagnosis of autistic spectrum disorder. Self-esteem positively affected HRQOL in six dimensions of the KIDSCREEN-52 within the SRB group. Conclusion: Our results could inform the development of support strategies for young people with SRB. Namely, support that enhances self-esteem could be used to increase HRQOL in young people with SRB. Furthermore, the presence of psychiatric disorders should be assessed as early as possible.; 博士（医学）・乙第1473号・令和2年9月30日; © 2020 Matsuura et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).; identifier:Neuropsychiatric disease and treatment Vol.16 p.847-858 (2020 Mar); identifier:11766328; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3789; identifier:Neuropsychiatric disease and treatment, 16: 847-858
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.2147/NDT.S246651
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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