Evidence map›Paper›PMID 41455941›Full record

ArticleBMC public health2025

The role of social support in the association between adolescent emotional and behavioral problems and quality of life in young adulthood in youth residential care leavers.

Milou Leiting, Katharina Beck, Süheyla Seker, David Bürgin, Delfine d'Huart, Jörg M Fegert, Nils Jenkel, Cyril Boonmann, Klaus Schmeck, Marc Schmid

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Milou LeitingChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland. milou.leiting@upk.ch.ORCID http://orcid.org/0009-0006-9198-3613
Katharina BeckChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Süheyla SekerDepartment of Social Work, Stockholm University, Stockholm, Sweden.
David BürginChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Delfine d'HuartChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Jörg M FegertDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Nils JenkelChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Cyril BoonmannChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Klaus SchmeckChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Marc SchmidChild and Adolescent Psychiatric Research Department, University Psychiatric Clinics, University of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdults with a history of residential out-of-home care (care leavers) often experience emotional and behavioral problems, which can negatively impact quality of life (QoL) into adulthood. Social support can improve mental health and reduce psychological symptoms. However, longitudinal studies examining how early emotional and behavioral problems are associated with the QoL of young adult care leavers are lacking. This study investigated the relationship between emotional and behavioral problems in adolescence and QoL in young adulthood, as well as the mediating and/or moderating role of social support.

methodsA total of 220 care leavers (Mage at baseline = 15.9 years, SD = 2.1; Mage at follow−up = 26.1 years, SD = 2.8, 32.9% female) were surveyed at baseline during their out-of-home placement regarding emotional and behavioral problems via the “Achenbach System of Empirically Based Assessment” (ASEBA) and with the “Multidimensional Scale of Perceived Social Support” (MSPSS) and the “World Health Organization Quality-of-Life Questionnaire” (WHOQoL-BREF) at follow-up. Structural equation modeling was used to examine the mediating and moderating role of MSPSS on the relationship of ASEBA and WHOQoL-BREF.

resultsSymptom severity during adolescence was significantly negatively associated with QoL in all four domains (psychological, physical, social, and environmental). In the mediation model, the total direct effect of emotional and behavioral problems on QoL was significant (β = -0.315, p = .001, 95% CI [-0.501, -0.128]). Social support significantly partially mediated (β = -0.142, p = .028, 95% CI [-0.269, -0.015]) and moderated (β = 0.136, p = .026, 95% CI [0.011, 0.261]) the relationship between emotional and behavioral problems in adolescence and QoL in adulthood.

conclusionsThe study shows that higher levels of adolescent emotional and behavioral problems are associated with reduced psychological, physical, social, and environmental adult QoL among residential care leavers. Social support has a compensatory and protective effect on this relationship, highlighting the importance of strengthening social networks, particularly during the transition to adulthood, to improve the QoL of care leavers.

Indexed as

Foster Home CareProblem BehaviorQuality of LifeSocial SupportAdolescentAdultFemaleHumansMaleResidential FacilitiesSurveys and QuestionnairesYoung AdultCare leaversChild welfareEmotional and behavioral problemsHigh-risk sampleOut-of-home careQuality of lifeSocial supportYouth residential care

Identifiers

PMID41455941
PMCPMC12805749

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LicenceCC BY-NC-ND
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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.