The Influence of multiple determinants on health related quality of life and mental health of a Spanish representative sample of adolescents and youths

Villalonga Olives, Ester

The Influence of multiple determinants on health related quality of life and mental health of a Spanish representative sample of adolescents and youths

Document Type

Doctoral thesis
Published Version

Author

Villalonga Olives, Ester

Director

Alonso Caballero, Jordi
Rajmil Rajmil, Luis Alberto

Publication Date

2011-11-30

Pages

120 p.

Citation

Villalonga Olives, E. The Influence of multiple determinants on health related quality of life and mental health of a Spanish representative sample of adolescents and youths. Universitat Pompeu Fabra; 2011. handle: http://hdl.handle.net/10803/82131

This citation was generated automatically.

Doctoral program

Programa de doctorat en Biomedicina

Abstract

The thesis is based on the Kidscreen Follow-up study. A representative sample of Spanish adolescents and youths and one of their parents were assessed twice (3 years apart) to evaluate adolescents and youths health related quality of life and mental health. The specific objectives of this thesis were to assess the effect of life events, and family and social variables (parents' mental health and home life) on three different health related outcomes: heath related quality of life, mental health, and psychosomatic complaints of adolescents and youths. The Coddington Life Events Scales were adapted into Spanish using the translation and back-translation process. Multiple linear regression and structural equation modelling were used to analyze the effect of the determinants selected. Life events and parents' mental health acted as risk factors for the outcomes selected, specially on mental health outcomes, whereas family factors like the relation with family members in home life were protective factors. Social factors inside the family should be promoted and reinforced to protect adolescents and youths from the effect of risk factors.
Aquesta tesi és part de l'estudi KIDSCREEN Follow-up. Utilitzant una mostra representativa d'adolescents i joves de l'estat espanyol, es van mesurar diferents aspectes relacionats amb la salut, avaluant la mostra dues vegades (amb una separació de 3 anys). Concretament, l'objectiu de la tesi va ser avaluar l'efecte dels aconteixements vitals i factors familiars i socials (salut mental dels pares i vida familiar) en tres resultats en salut: la qualitat de vida relacionada amb la salut, la salut mental i els problemes psicosomàtics dels adolescents i joves. Per això, es va adaptar l'escala Coddington Life Events Scales seguint la metodologia de traducció-retrotraducció. Es van utilizar models de regressió i models d'equacions estructurals per analitzar l'efecte dels determinants en salut. Els aconteixements vitals i la salut mental dels pares van ser dos factors de risc importants, especialment en la salut mental dels adolescents i joves. Per altra banda, les variables familiars com la relació dels membres de la família van actuar com a factors protectors. La cohesió dels membres de la família s'ha de promoure per tal de protegir els adolescents i joves de l'efecte de factors de risc.

Keywords

Adolescents, representative sample, Spanish general population, life events, parents’ mental health, social capital, family relations, psychosomatic complaints, health related quality of life, structural equation modelling, Coddington Life Events Scales, reliability, Adolescents, joves, mostra representativa, població general espanyola, salut mental dels pares, capital social, vida familiar, salut mental, problemes psicosomàtics, qualitat de vida relacionada amb la salut, models d’equacions estructurals, Escala d’aconteixements de Coddington, fiabilitat