Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs

Purpose. To explore the associations and interactions among ecological factors and explain the psychosocial quality of life of children with complex needs. Methods. In this cross-sectional survey consenting parents were identified by the Children's Treatment Network. Families were eligible if t...

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Main Authors: Sandy Thurston, Louise Paul, Chenglin Ye, Patricia Loney, Gina Browne, Lehana Thabane, Peter Rosenbaum
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2010/404687
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author Sandy Thurston
Louise Paul
Chenglin Ye
Patricia Loney
Gina Browne
Lehana Thabane
Peter Rosenbaum
author_facet Sandy Thurston
Louise Paul
Chenglin Ye
Patricia Loney
Gina Browne
Lehana Thabane
Peter Rosenbaum
author_sort Sandy Thurston
collection DOAJ
description Purpose. To explore the associations and interactions among ecological factors and explain the psychosocial quality of life of children with complex needs. Methods. In this cross-sectional survey consenting parents were identified by the Children's Treatment Network. Families were eligible if the child from 0 to 19 years, resided in Simcoe/York, and there were multiple family needs. Regression analysis was used to explore associations and interactions. n=429. Results. Younger children, without conduct disorder, without hostile and punitive parenting and with low adverse family impact demonstrated the highest levels of psychosocial quality of life. Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations. Conclusions. It is not possible to fully understand the child's psychosocial quality of life in complex needs families by considering only simple associations between ecological factors. A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.
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spelling doaj-art-a828078686b64a098f262a01cb079eb52025-02-03T01:03:31ZengWileyInternational Journal of Pediatrics1687-97401687-97592010-01-01201010.1155/2010/404687404687Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex NeedsSandy Thurston0Louise Paul1Chenglin Ye2Patricia Loney3Gina Browne4Lehana Thabane5Peter Rosenbaum6Children's Treatment Network, Simcoe/York, ON, L4M 2Y1, CanadaChildren's Treatment Network, Simcoe/York, ON, L4M 2Y1, CanadaSystem-Linked Research Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 0A1, CanadaSystem-Linked Research Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 0A1, CanadaSystem-Linked Research Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 0A1, CanadaSystem-Linked Research Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8P 0A1, CanadaChildren's Health Research Institute, McMaster University, Hamilton, ON, L8N 3Z5, CanadaPurpose. To explore the associations and interactions among ecological factors and explain the psychosocial quality of life of children with complex needs. Methods. In this cross-sectional survey consenting parents were identified by the Children's Treatment Network. Families were eligible if the child from 0 to 19 years, resided in Simcoe/York, and there were multiple family needs. Regression analysis was used to explore associations and interactions. n=429. Results. Younger children, without conduct disorder, without hostile and punitive parenting and with low adverse family impact demonstrated the highest levels of psychosocial quality of life. Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations. Conclusions. It is not possible to fully understand the child's psychosocial quality of life in complex needs families by considering only simple associations between ecological factors. A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.http://dx.doi.org/10.1155/2010/404687
spellingShingle Sandy Thurston
Louise Paul
Chenglin Ye
Patricia Loney
Gina Browne
Lehana Thabane
Peter Rosenbaum
Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs
International Journal of Pediatrics
title Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs
title_full Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs
title_fullStr Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs
title_full_unstemmed Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs
title_short Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs
title_sort interactions among ecological factors that explain the psychosocial quality of life of children with complex needs
url http://dx.doi.org/10.1155/2010/404687
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