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Arch Pediatr Adolesc Med. 2006 Jan;160(1):93-9.

Impact of adolescent mental disorders and physical illnesses on quality of life 17 years later.

Author information

1
Epidemiology of Mental Disorders, New York State Psychiatric Institute, 100 Haven Avenue #31F, New York, NY 10032, USA. chenhen@pi.cpmc.columbia.edu

Abstract

OBJECTIVE:

To investigate associations of mental disorders and physical illnesses during adolescence with quality of life (QOL) 17 years later.

DESIGN:

The Children in the Community Study, a prospective longitudinal investigation.

SETTING:

Upstate New York.

PARTICIPANTS:

A community-based sample of mothers and their offspring were interviewed.

MAIN OUTCOME MEASURES:

Axis I disorders and Axis II personality disorders and physical illnesses were assessed by self-report and mother report in 1985-1986. Outcome indicators of QOL were assessed in 2001-2004.

RESULTS:

Compared with participants without adolescent illness or disorder, those with a history of physical illness reported poorer physical health (mean difference [MD], -4.8); those with a history of an Axis I disorder reported poorer physical health (MD, -8.0) and more problematic social relationships (MD, -4.5); and those with a history of personality disorder reported poorer physical health (MD, -8.2), more problematic social relationships (MD, -5.0), lower psychological well-being (MD, -3.6), and more adversity within their environmental context (MD, -4.6) in adulthood. Comorbid physical illness and mental disorder were associated with all 5 QOL domains (MD, -3.1 to -11.9). After adjusting for all demographic variables and comorbidity, associations remained between physical illness and poor physical health (effect size [ES], -0.33); an Axis I disorder and problematic social relationships (ES, -0.37); and personality disorder and problematic social relationships (ES, -0.36), low psychological well-being (ES, -0.23), impaired role function (ES, -0.24), and an adverse environmental context (ES, -0.50).

CONCLUSIONS:

Mental disorders may have more adverse long-term associations with QOL than do physical illnesses. Adolescent personality disorders may have a more adverse impact on adult QOL than do adolescent Axis I disorders.

PMID:
16389217
DOI:
10.1001/archpedi.160.1.93
[Indexed for MEDLINE]

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