Quality of life in children and adolescents in Central Kenya: associations with emotional and behavioral problems.

Journal: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

Volume: 28

Issue: 5

Year of Publication: 2019

Affiliated Institutions:  Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat , BT, Amsterdam, The Netherlands. Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat , BT, Amsterdam, The Netherlands. j.m.koot@vu.nl.

Abstract summary 

To assess the quality of life (QoL) of children and adolescents in Kenya as rated by parents and youth themselves, and examine how QoL is related to emotional and behavioral problems (EBP).QoL and EBP reports were obtained from 1022 Kenyan parents and 533 adolescents living in the country's Central Province. Parents with children between 6 and 18 years completed the Pediatric Quality of Life Inventory (PedsQL) and the Child Behavior Checklist, while the adolescents (12-18) completed the PedsQL and the Youth Self-Report.Parent-reported QoL in Kenyan youth was somewhat above that of US standardization samples, while levels of adolescent self-reports were well within the range of those from most high- and middle-income countries. Average adolescent girls' self-reports were lower on all QoL scales than boys. QoL in children/adolescents with clinical to borderline levels of EBP (cf. multicultural norms, Achenbach and Rescorla, 2007) was lower than QoL in agemates with normal levels of EBP. Regression analyses indicated unique associations of QoL with parent-reported withdrawn/depressed, somatic complaints, attention problems, and aggressive behavior, and with adolescent self-reported somatic complaints, attention problems, and rule-breaking behavior.QoL levels were well within ranges of other countries. Moreover, associations of QoL with EBP indicated that those with borderline/clinical levels of EBP had a much lower QoL most notable for those with somatic complaints and attention problems. Mental health providers might focus on interventions that reduce EBP in Kenyan children and adolescents and simultaneously reduce the risk of lowered QoL.

Authors & Co-authors:  Magai Koot

Study Outcome 

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Statistics
Citations :  Koot HM, Wallander JL, editors. Quality of life in child and adolescent illness: Concepts, methods and findings. London: Brunner-Routledge/Taylor & Francis; 2001.
Authors :  2
Identifiers
Doi : 10.1007/s11136-019-02099-8
SSN : 1573-2649
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescent;Child;Emotional and behavioral problems;Kenya;Quality of life
Study Design
Study Approach
Country of Study
Kenya
Publication Country
Netherlands