RESUMEN
OBJECTIVES: To test whether health-related quality of life (HRQL) based on societal standards differs between very low birth weight/very preterm (VLBW/VP) and full-term (FT) adolescents using self and parent proxy reports. Also, to examine whether self and parent reported HRQL is explained by indicators of objective functioning in childhood. STUDY DESIGN: This prospective cohort study followed 260 VLBW/VP adolescents, 12 VLBW/VP adolescents with disability, and 282 FT adolescents. Objective functioning was assessed at 8.5 years; HRQL was assessed at 13 years with the Health Utilities Index Mark 3 (HUI3). RESULTS: Adolescents reported more functional impairment than their parents especially in the psychological aspects of health. The mean difference in HUI3 multi-attribute utility scores between FT and VLBW/VP adolescents was small (parents: 0.91 [95% CI, 0.90, 0.92] vs 0.88 [95% CI, 0.86, 0.90]; adolescents: 0.87 [95% CI, 0.85, 0.89] vs 0.84 [95% CI, 0.82, 0.86]), but high for VLBW/VP adolescents with disabilities (0.18, 95% CI, -0.04, 0.40). Objective function did not predict HRQL in FT adolescents but contributed to prediction of HRQL in VLBW/VP adolescents without disabilities. Different indicators of objective functioning were important for adolescent vs parent reports. More variation in HUI3 scores was explained by objective function in VLBW/VP parent reports compared with adolescent reports (25% vs 18%). CONCLUSIONS: VLBW/VP adolescents reported poorer HRQL than their FT peers in early adolescence. Improvement in HRQL as VLBW/VP children grow up is, at least partly, explained by exclusion of the most disabled in self reports by VLBW/VP adolescents and the use of different reference points by adolescents compared with parents.
Asunto(s)
Estado de Salud , Recien Nacido Prematuro/psicología , Recién Nacido de muy Bajo Peso/psicología , Padres/psicología , Calidad de Vida , Adolescente , Niño , Estudios de Cohortes , Personas con Discapacidad , Femenino , Edad Gestacional , Humanos , Masculino , Percepción , Prevalencia , Estudios Prospectivos , Autoinforme , Encuestas y CuestionariosRESUMEN
Traumatic childhood experiences have been found to predict later internalizing problems. This prospective longitudinal study investigated whether repeated and intentional harm doing by peers (peer victimization) in childhood predicts internalizing symptoms in early adolescence. 3,692 children from the Avon Longitudinal Study of Parents and Children (ALSPAC), as well as their mothers and teachers, reported on bullying in childhood (7-10 years) and internalizing problems in early adolescence (11-14 years). Controlling for prior psychopathology, family adversity, gender and IQ, being a victim of bullying was associated with higher overall scores, as well as increased odds of scoring in the severe range (>90(th) percentile) for emotional and depression symptoms. Victims were also more likely to show persistent depression symptoms over a 2-year period. These associations were found independent of whether mothers, teachers or the children reported on bullying. It is concluded that peer victimization in childhood is a precursor of both short-lived and persistent internalizing symptoms, underlining the importance of environmental factors such as peer relationships in the etiology of internalizing problems.
Asunto(s)
Ansiedad/epidemiología , Acoso Escolar/psicología , Depresión/epidemiología , Relaciones Interpersonales , Grupo Paritario , Adolescente , Ansiedad/psicología , Niño , Factores de Confusión Epidemiológicos , Depresión/psicología , Femenino , Humanos , Modelos Lineales , Masculino , Embarazo , Estudios Prospectivos , Escalas de Valoración Psiquiátrica , Factores de Riesgo , Índice de Severidad de la Enfermedad , Factores Socioeconómicos , Estrés Psicológico/psicologíaRESUMEN
Sex differences in certain cognitive abilities, including aspects of semantic processing, are well established. However, there have been no reports investigating a sex difference in semantic categorization. A total of 55 men and 58 women each judged 25 exemplars of natural categories (e.g., FRUITS) and 25 of artifact categories (e.g., TOOLS) as a nonmember, partial member, or full member of the given category. Participants also rated confidence for each judgment. Women provided a greater number of vague (partial member) judgments whereas men provided more inclusive (full member) judgments of artifacts but more exclusive (nonmember) judgments of natural categories. The sex difference in vagueness was observed across domains (Cohen's d = .56). Confidence predicted categorization among both men and women, such that more confident participants exhibited fewer vague category judgments. However, men and women were equally confident in their category judgments, and confidence failed to explain the sex difference in categorization. Men and women appear to categorize the same common objects in systematically different ways.