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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021

Health-related quality of life in children with and without physical-mental multimorbidity.

Mark A Ferro, Saad A Qureshi, Lilly Shanahan, Christiane Otto, Ulrike Ravens-Sieberer

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Trajectories of health-related quality of life in youth with chronic physical illness and their siblings.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  6. Review
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  10. Equivalence of psychiatric structured interviews and symptom checklists in predicting health-related quality of life in children with chronic physical illness.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  11. Trajectories of Psychopathology Among Youth with Physical Illness.Child psychiatry and human development · 2025
    Article
  12. Article
  13. Perceived School Belonging Among Youth with Chronic Physical Illness.Journal of psychoeducational assessment · 2024
    Article
  14. Article
  15. Article
  16. Response shift in parent-reported psychopathology in children with chronic physical illness.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  17. Article
  18. Correlates of Moderate-to-Vigorous Physical Activity in Children With Physical Illness and Physical-Mental Multimorbidity.Health education & behavior : the official publication of the Society for Public Health Education · 2022
    Article
  19. Article
  20. The relationship between physical and mental health multimorbidity and children's health-related quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mark A FerroSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada. mark.ferro@uwaterloo.ca.ORCID http://orcid.org/0000-0002-0979-3233
Saad A QureshiSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.
Lilly ShanahanJacobs Center for Productive Youth Development & Department of Psychology, University of Zurich, Zurich, Switzerland.
Christiane OttoDepartment of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ulrike Ravens-SiebererDepartment of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

CIHR PJT-148602
6 · The paper itself

Abstract

purposeThis study examined health-related quality of life (HRQL) in children across different physical illnesses; estimated parent-child agreement on HRQL reports; compared HRQL between children with and without physical-mental multimorbidity; and tested if multimorbidity was associated with HRQL.

methodsChildren aged 6-16 years (mean = 11.1; n = 198) with one physical illness and their parents were recruited from a pediatric hospital. Physical illnesses were classified according to the International Statistical Classification of Diseases and Related Health Problems (ICD)-10, mental illnesses were assessed using the Mini International Neuropsychiatric Interview for Children and Adolescents, and HRQL was measured using the KIDSCREEN-27. Children who screened positive for ≥ 1 mental illness were classified as having physical-mental multimorbidity. χ

resultsHRQL was similar across ICD-10 categories. Parent-child agreement was fair to good for all HRQL domains, regardless of multimorbidity status. Parent-reported HRQL was significantly lower for children with multimorbidity compared to norms across all domains, whereas child-reported HRQL was significantly lower for physical well-being, psychological well-being, and school environment. Number of mental illnesses was negatively associated with psychological well-being and school environment in a dose-response manner.

conclusionChildren with physical-mental multimorbidity are vulnerable to experiencing lower HRQL, particularly for psychological well-being and school environment. Longitudinal studies documenting trajectories of HRQL and school-based interventions that target these domains of HRQL for children with multimorbidity are warranted.

Indexed as

Mental DisordersQuality of LifeAdolescentHealth StatusHumansMultimorbidityParentsPsychiatric Status Rating ScalesAgreementChildrenMental illnessMultimorbidityPhysical illnessWell-being

Identifiers

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.