“…Meanings concerning the disease start to consolidate in scholar ages and having an older age at the disease's onset or longer disease duration are higher risks for adjustment difficulties (Panamonta, Prathipanawatr, & Panamonta, 2012). Boys seem to be significantly more likely than girls to display behavioural and adjustment problems (Gortmaker, Walker, Weitzman, & Sobol, 1990), and girls show higher levels of anxiety (Matos, Tomé, Borges, Manso, Simões, & Ferreira, 2012), depression (La Greca, Swales, Klemp, Madigan, & Skyler, 1995), emotional distress (sadness, expressing depressive symptomatology) and suicide ideation (Suris, Parera, & Puig, 1996). In general population, it can be seen that older pupils, girls, students with low socio-economic status, or frequent health complaints reported decreased mental health (Erhart et al, 2009) and health-related quality of life (Gaspar, Matos, Ribeiro, Leal, & Ferreira, 2009).…”