ArticleHealth and quality of life outcomes2020
Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14-15-year-old adolescents: a cross-sectional study.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.
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Who cites it
64 citing papers in PubMed, 113 citations in OpenAlex.
- Adolescents' health literacy and health-related quality of life: The mediating role of self-efficacy.Public health in practice (Oxford, England) · 2026Article
- Examination of Post-Traumatic Stress Reaction, Quality of Life, and Loneliness Levels in Adolescents Who Experienced an Earthquake.Journal of child & adolescent trauma · 2026Article
- Changes in Bullying Victimization Among High School Students in the United States, 2009-2023: Role of the COVID-19 Pandemic.The Journal of school health · 2026Article
- Health-related quality of life in parents of adolescents in 2019, 2021 and 2023.BMC pediatrics · 2026Article
- Mutual associations between self-efficacy and physical fitness in Spanish adolescents: The EHDLA study.Pediatric investigation · 2026Article
- Self-esteem patterns and the associations with health-related quality of life, self-rated health and lifestyle behaviour among junior high school students: a latent class analysis.BMC psychology · 2026Article
- How does self-esteem influence oral health-related quality of life during the occlusal transition from childhood to adolescence: a 4-year follow-up.The Angle orthodontist · 2026Observational
- Parental health literacy in parents of adolescents aged 16-19: a qualitative study.BMC public health · 2026Article
- Physical exercise and health-related quality of life in mid- to late-adulthood: a multi-group chain-mediation analysis.Frontiers in psychology · 2026Article
- Physical activity and health-related quality of life among Chinese adolescents: a cross-sectional statistical path model involving sleep disturbance and depressive symptoms.Frontiers in pediatrics · 2026Article
- eHealth literacy and health responsibility among older adults: the serial indirect roles of self-efficacy and social support based on the health promotion model.Frontiers in public health · 2026Article
- The relationship between parental self-efficacy, health-related quality of life, stress and educational level on adolescents' self-efficacy: a cross-sectional study.Journal of health, population, and nutrition · 2025Article
- General Self-Efficacy as a Mediator of Physical Activity's Impact on Well-Being Among Norwegian Adolescents: A Gender and Age Perspective.Behavioral sciences (Basel, Switzerland) · 2025Article
- Loneliness and health-related quality of life in Chinese adolescents: the mediating role of depressive symptoms and the moderating role of age.Social psychiatry and psychiatric epidemiology · 2025Article
- Predicting children and adolescents at high risk of poor health‑related quality of life using machine learning methods.Health and quality of life outcomes · 2025Article
- Configuration analysis of negative silence in college classroom based on FSQCA method.Scientific reports · 2025Article
- Physical self-perception as mediator between physical activity and quality of life among Chinese university students.Scientific reports · 2025Article
- Loneliness and ease of communication with parents and friends: cross-sectional study of adolescents in Denmark.BMC public health · 2025Article
- A longitudinal examination of loneliness in left-behind children: the interaction between self-esteem and academic self-efficacy matters.BMC psychology · 2025Article
- Association Between Physical, Social, and Attitudinal Environments and Quality of Life in Adolescents With Cerebral Palsy: Insights From the SPARCLE Cross-Sectional Study.Archives of rehabilitation research and clinical translation · 2025Article
4 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo enhance and better understand health-related quality of life (HRQOL) in adolescents, it is important to study factors associated with HRQOL. The present study aimed to assess possible associations between sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness, stress and HRQOL in 14 to 15-year-old adolescents.
methodsA cross-sectional study was performed among 696 adolescents (14-15 years) in a school-based setting. Sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness and stress were analyzed. The variables were all assessed with well-validated instruments. HRQOL was analyzed using KIDSCREEN 27. Analyses included Chi-square, independent t-tests, Mann-Whitney U tests, linear regression analyses and hierarchical regression analyses. The results from linear regression models were expressed as standardized beta.
resultsThe adolescents generally reported high levels of HRQOL. However, girls scored significantly worse on HRQOL, self-efficacy, self-esteem, pain, sleep, loneliness and stress compared to boys. Using hierarchical regression analyses we found that Self-efficacy (beta = 0.11-0.24), Self-esteem: (beta = 0.12-0.21), Loneliness: (beta = - 0.24 to - 0.45) and Stress: (beta = - 0.26 to - 0.34) revealed the strongest associations with the HRQOL dimensions. Sociodemographic-, pain- and sleep related covariates were all significantly associated with some of the KIDSCREEN subscales, however their effect on the outcome was smaller than for the psychosocial variables listed above. Being a girl, not living with both parents, not having both parents working, being absent from school more than 4 days, having pain and having lack of enough sleep were all independently negatively associated with HRQOL.
conclusionsHRQOL is strongly associated with self-efficacy, self-esteem, loneliness and stress in 14 to 15-year-old adolescents. Our findings indicate that positive psychosocial factors such as self-efficacy and self-esteem might play a buffer role for negative psychosocial factors (e.g. stress) in adolescents. Further, our results show that girls score significantly worse on factors that are associated to HRQOL compared to boys. To improve HRQOL in school-based populations of adolescents, we suggest that future interventions should aim to strengthen self-efficacy and self-esteem. We recommend gender specific interventions.
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