Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress
Research on health-related quality of life (HRQoL) of school-aged children born preterm (< 37 weeks of gestational age) is scarce and there are few studies examining the relationship with medical and family factors. The aims were to analyze HRQoL in a sample of 8-year-old children born preter...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1463804/full |
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| author | Melissa Liher Martínez-Shaw Melissa Liher Martínez-Shaw Kari Anne I. Evensen Kari Anne I. Evensen Kari Anne I. Evensen Sandra Melero Sandra Melero Yolanda Sánchez-Sandoval Yolanda Sánchez-Sandoval |
| author_facet | Melissa Liher Martínez-Shaw Melissa Liher Martínez-Shaw Kari Anne I. Evensen Kari Anne I. Evensen Kari Anne I. Evensen Sandra Melero Sandra Melero Yolanda Sánchez-Sandoval Yolanda Sánchez-Sandoval |
| author_sort | Melissa Liher Martínez-Shaw |
| collection | DOAJ |
| description | Research on health-related quality of life (HRQoL) of school-aged children born preterm (< 37 weeks of gestational age) is scarce and there are few studies examining the relationship with medical and family factors. The aims were to analyze HRQoL in a sample of 8-year-old children born preterm with very low birth weight (VLBW), to test a proposed theoretical model that examines the relationship with medical and socio-family factors, and to explore the mediation effects of maternal factors between perinatal variables, demographic characteristics and HRQoL. A total of 147 VLBW children and 116 mothers were assessed. The measures included for assessment were self-and parent-reported HRQoL, functional social support, maternal stress, socio-family risk index and neonatal medical risk index. Mediation analysis was applied to investigate mediation effects of the maternal factors. Mean self-and parent-reported KIDSCREEN scores were 55.1 (SD 10.1) and 58.2 (SD 9.1), respectively, indicating better HRQoL than the normed sample with a mean of 50 (p < 0.001). The total effect of the initial theoretical model was not significant, thus another partial model was validated. Socio-family risk index significantly influenced HRQoL (direct effect), and this relationship was mediated by functional social support and maternal stress (indirect effects). School-aged VLBW children and their parents reported better HRQoL than the mean reference value on KIDSCREEN-10 and -27. Maternal stress and social support had a mediating effect on the children’s HRQoL. These results could be used to tailor interventions in these families. |
| format | Article |
| id | doaj-art-9878baa5aae24755aae54a5ffbc8ebd7 |
| institution | Kabale University |
| issn | 1664-1078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-9878baa5aae24755aae54a5ffbc8ebd72025-01-07T10:21:27ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-12-011510.3389/fpsyg.2024.14638041463804Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stressMelissa Liher Martínez-Shaw0Melissa Liher Martínez-Shaw1Kari Anne I. Evensen2Kari Anne I. Evensen3Kari Anne I. Evensen4Sandra Melero5Sandra Melero6Yolanda Sánchez-Sandoval7Yolanda Sánchez-Sandoval8Department of Psychology, Faculty of Education Sciences, University of Cadiz, Cádiz, SpainInstituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Cádiz, SpainDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayChildren’s Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, NorwayDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, NorwayDepartment of Psychology, Faculty of Education Sciences, University of Cadiz, Cádiz, SpainInstituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Cádiz, SpainDepartment of Psychology, Faculty of Education Sciences, University of Cadiz, Cádiz, SpainInstituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Cádiz, SpainResearch on health-related quality of life (HRQoL) of school-aged children born preterm (< 37 weeks of gestational age) is scarce and there are few studies examining the relationship with medical and family factors. The aims were to analyze HRQoL in a sample of 8-year-old children born preterm with very low birth weight (VLBW), to test a proposed theoretical model that examines the relationship with medical and socio-family factors, and to explore the mediation effects of maternal factors between perinatal variables, demographic characteristics and HRQoL. A total of 147 VLBW children and 116 mothers were assessed. The measures included for assessment were self-and parent-reported HRQoL, functional social support, maternal stress, socio-family risk index and neonatal medical risk index. Mediation analysis was applied to investigate mediation effects of the maternal factors. Mean self-and parent-reported KIDSCREEN scores were 55.1 (SD 10.1) and 58.2 (SD 9.1), respectively, indicating better HRQoL than the normed sample with a mean of 50 (p < 0.001). The total effect of the initial theoretical model was not significant, thus another partial model was validated. Socio-family risk index significantly influenced HRQoL (direct effect), and this relationship was mediated by functional social support and maternal stress (indirect effects). School-aged VLBW children and their parents reported better HRQoL than the mean reference value on KIDSCREEN-10 and -27. Maternal stress and social support had a mediating effect on the children’s HRQoL. These results could be used to tailor interventions in these families.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1463804/fullpreterm childrenhealth-related quality of lifesocio-family risk indexsocial supportmaternal stressmediation analysis |
| spellingShingle | Melissa Liher Martínez-Shaw Melissa Liher Martínez-Shaw Kari Anne I. Evensen Kari Anne I. Evensen Kari Anne I. Evensen Sandra Melero Sandra Melero Yolanda Sánchez-Sandoval Yolanda Sánchez-Sandoval Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress Frontiers in Psychology preterm children health-related quality of life socio-family risk index social support maternal stress mediation analysis |
| title | Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress |
| title_full | Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress |
| title_fullStr | Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress |
| title_full_unstemmed | Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress |
| title_short | Health-related quality of life in children born preterm at school age: the mediating role of social support and maternal stress |
| title_sort | health related quality of life in children born preterm at school age the mediating role of social support and maternal stress |
| topic | preterm children health-related quality of life socio-family risk index social support maternal stress mediation analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1463804/full |
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