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

Hiroki Matsuura,1 Hidemi Iwasaka,2 Satoko Nezu,3 Toyosaku Ota,4 Kosuke Okazaki,4 Kazuhiko Yamamuro,4 Yoko Nakanishi,5 Naoko Kishimoto,4 Junzo Iida,6 Toshifumi Kishimoto4 1Department of Psychiatry, Nara Prefecture General Rehabilitation Center, Shiki-Gun, Nara, Japan; 2Developmental Center for Child...

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Autores principales:	Matsuura H, Iwasaka H, Nezu S, Ota T, Okazaki K, Yamamuro K, Nakanishi Y, Kishimoto N, Iida J, Kishimoto T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	school refusal behavior health-related quality of life kidscreen rosenberg self-esteem scale autism spectrum disorder Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9e8cd27537454cac8f883caeac4a7b08
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spelling	oai:doaj.org-article:9e8cd27537454cac8f883caeac4a7b082021-12-02T05:12:08ZInfluence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior1178-2021https://doaj.org/article/9e8cd27537454cac8f883caeac4a7b082020-03-01T00:00:00Zhttps://www.dovepress.com/influence-of-self-esteem-and-psychiatric-diagnosis-on-health-related-q-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hiroki Matsuura,1 Hidemi Iwasaka,2 Satoko Nezu,3 Toyosaku Ota,4 Kosuke Okazaki,4 Kazuhiko Yamamuro,4 Yoko Nakanishi,5 Naoko Kishimoto,4 Junzo Iida,6 Toshifumi Kishimoto4 1Department of Psychiatry, Nara Prefecture General Rehabilitation Center, Shiki-Gun, Nara, Japan; 2Developmental Center for Child and Adult, Shigisan Hospital, Ikoma-Gun, Nara, Japan; 3Department of Epidemiology, Nara Medical University, Kashihara, Nara, Japan; 4Department of Psychiatry, Nara Medical University, Kashihara, Nara, Japan; 5Department of Psychiatry, Akitsu Kounoike Hospital, Gose, Nara, Japan; 6Faculty of Nursing, Nara Medical University, Kashihara, Nara, JapanCorrespondence: Toyosaku OtaDepartment of Psychiatry, Nara Medical University, 840 Shijyo-Cho, Kashihara, Nara 634-8522, JapanTel +81-744-22-3051Fax +81-744-22-3854Email toyosaku@naramed-u.ac.jpBackground: 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.Keywords: school refusal behavior, health-related quality of life, KIDSCREEN, Rosenberg self-esteem scale, autism spectrum disorderMatsuura HIwasaka HNezu SOta TOkazaki KYamamuro KNakanishi YKishimoto NIida JKishimoto TDove Medical Pressarticleschool refusal behaviorhealth-related quality of lifekidscreenrosenberg self-esteem scaleautism spectrum disorderNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 847-858 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	school refusal behavior health-related quality of life kidscreen rosenberg self-esteem scale autism spectrum disorder Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	school refusal behavior health-related quality of life kidscreen rosenberg self-esteem scale autism spectrum disorder Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Matsuura H Iwasaka H Nezu S Ota T Okazaki K Yamamuro K Nakanishi Y Kishimoto N Iida J Kishimoto T Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior
description	Hiroki Matsuura,1 Hidemi Iwasaka,2 Satoko Nezu,3 Toyosaku Ota,4 Kosuke Okazaki,4 Kazuhiko Yamamuro,4 Yoko Nakanishi,5 Naoko Kishimoto,4 Junzo Iida,6 Toshifumi Kishimoto4 1Department of Psychiatry, Nara Prefecture General Rehabilitation Center, Shiki-Gun, Nara, Japan; 2Developmental Center for Child and Adult, Shigisan Hospital, Ikoma-Gun, Nara, Japan; 3Department of Epidemiology, Nara Medical University, Kashihara, Nara, Japan; 4Department of Psychiatry, Nara Medical University, Kashihara, Nara, Japan; 5Department of Psychiatry, Akitsu Kounoike Hospital, Gose, Nara, Japan; 6Faculty of Nursing, Nara Medical University, Kashihara, Nara, JapanCorrespondence: Toyosaku OtaDepartment of Psychiatry, Nara Medical University, 840 Shijyo-Cho, Kashihara, Nara 634-8522, JapanTel +81-744-22-3051Fax +81-744-22-3854Email toyosaku@naramed-u.ac.jpBackground: 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.Keywords: school refusal behavior, health-related quality of life, KIDSCREEN, Rosenberg self-esteem scale, autism spectrum disorder
format	article
author	Matsuura H Iwasaka H Nezu S Ota T Okazaki K Yamamuro K Nakanishi Y Kishimoto N Iida J Kishimoto T
author_facet	Matsuura H Iwasaka H Nezu S Ota T Okazaki K Yamamuro K Nakanishi Y Kishimoto N Iida J Kishimoto T
author_sort	Matsuura H
title	Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior
title_short	Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior
title_full	Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior
title_fullStr	Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior
title_full_unstemmed	Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior
title_sort	influence of self-esteem and psychiatric diagnosis on health-related quality of life in children and adolescents with school refusal behavior
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9e8cd27537454cac8f883caeac4a7b08
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Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior

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