Evidence map›Paper›PMID 41204335›Full record

ArticleBMC pediatrics2025

Chronic conditions and adolescent psychosocial functioning: the moderating role of demographics.

Emma E Berkelbach van der Sprenkel, Sanne L Nijhof, Tessa M T Noijons, Elise M van de Putte, Cornelis K van der Ent, Louis J Bont, Catrin Finkenauer, Gonneke W J M Stevens

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Emma E Berkelbach van der SprenkelDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, Utrecht, 3584 EA, The Netherlands. e.e.berkelbachvandersprenkel@umcutrecht.nl.
Sanne L NijhofDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, Utrecht, 3584 EA, The Netherlands.
Tessa M T NoijonsDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, Utrecht, 3584 EA, The Netherlands.
Elise M van de PutteDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, Utrecht, 3584 EA, The Netherlands.
Cornelis K van der EntDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, Utrecht, 3584 EA, The Netherlands.
Louis J BontDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, Utrecht, 3584 EA, The Netherlands.
Catrin FinkenauerDepartment of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands.
Gonneke W J M StevensDepartment of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands.

Funding

ZonMw 05160482120001
6 · The paper itself

Abstract

backgroundThis study investigated the differences in psychosocial functioning between adolescents with and without chronic conditions and examined the moderating influence of demographic characteristics.

methodsWe conducted a cross-sectional study using nationally representative data from the Dutch Health Behavior in School-aged Children (HBSC) survey in 2017, which included 8,182 adolescents (aged 11-16 years), of whom 407 reported a chronic condition. Psychosocial functioning was assessed using ten indicators across three domains: wellbeing (life satisfaction, self-rated health, psychosomatic complaints, and mental health problems), social environment (sources of support and schoolwork pressure), and lifestyle (sleep problems, physical exercise, substance use, social media, and gaming). We examined differences in psychosocial functioning between adolescents with and without a chronic condition and assessed the potential moderating effects of demographic characteristics (gender, age, socioeconomic status, family structure, and migration background) on this association.

resultsAcross almost all indicators, adolescents with chronic conditions reported significantly lower levels of psychosocial functioning than those without chronic conditions. The effect sizes were medium to large for wellbeing indicators, and small to medium for the social environment and lifestyle indicators. For several wellbeing and social environment indicators, differences between adolescents with and without a chronic condition were more pronounced for females, older adolescents, and those from lower socioeconomic backgrounds. The differences in family support were greater among adolescents who did not live with both parents.

conclusionsAdolescents with self-reported chronic conditions experienced substantially lower levels of psychosocial functioning than those without. This highlights the need for monitoring and preventive interventions targeting specific groups to improve psychosocial functioning.

Indexed as

Psychosocial FunctioningAdolescentChildChronic DiseaseCross-Sectional StudiesFemaleHealth SurveysHumansLife StyleMaleNetherlandsPersonal SatisfactionSocial EnvironmentAdolescentChronic conditionFunctioningPsychosocial

Identifiers

PMID41204335
PMCPMC12595679

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Registered trials

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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.