Is having a family member with chronic health concerns bad for young people's health? Cross-sectional evidence from a national survey of young Australians

Moffat, Anna; Redmond, Gerry

doi:10.1136/bmjopen-2016-013946

Cited by 11 publications

(8 citation statements)

References 42 publications

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“…Both scales were calculated by summing four ordinal variables (e.g., my parents treat me like a baby; are loving), resulting in scores ranging 0 to 8, with higher scores representing higher levels of control and caring. To control for associations between family health problems and adolescent mental health (Moffat & Redmond, 2017), we included a binary (yes/no) variable based on responses to whether “a close family member was seriously ill or injured” within the last year.…”

Section: Methodsmentioning

confidence: 99%

School Climate, Peer Relationships, and Adolescent Mental Health: A Social Ecological Perspective

2020

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The current study investigated peer relationship and school climate factors associated with adolescent mental health. Cross-sectional data from 2,571 fifteen-year old students in 22 Scottish secondary schools was used. Multilevel models tested for school differences in mental health, and nested linear regression models estimated peer and school effects. Results demonstrated no significant between-school variation in mental health. Peer victimization was the only peer effect associated with mental health. School-belonging, student-teacher relationships, and a perceived inclusive school climate were associated with better mental health, whereas a perceived school climate of exam pressure was associated with worse mental health. The findings highlight multiple aspects of school climate that could be targeted in school-based interventions for adolescent mental health.

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Section: Methodsmentioning

confidence: 99%

School Climate, Peer Relationships, and Adolescent Mental Health: A Social Ecological Perspective

2020

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“…Migraine‐related disability and impact increase with increased headache day frequency among those with episodic migraine (EM; <15 headache days/month averaged over the previous 3 months), with the greatest burden on average reported by individuals with chronic migraine (CM; ≥15 headache days/month averaged over the previous 3 months) . As has been observed with other chronic diseases, it would be expected that migraine would affect not only the individual with the disease but also the interpersonal dynamics, psychological health and well‐being, and financial stability of the entire family.…”

Section: Introductionmentioning

confidence: 99%

Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Buse

Fanning²,

Reed³

et al. 2019

Headache

191

184

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Objective To assess the effects of migraine on important life domains and compare differences between respondents with episodic and chronic migraine and between sexes. Background Migraine is associated with a substantial personal and societal burden and can also affect the interpersonal dynamics, psychological health and well‐being, and financial stability of the entire family of the person with migraine. Methods The Chronic Migraine Epidemiology and Outcomes (CaMEO) Study is a prospective, longitudinal, Web‐based survey study undertaken between September 2012 and November 2013 in a systematic U.S. sample of people meeting modified International Classification of Headache Disorders, 3rd edition migraine criteria: 19,891 respondents were invited to complete the Family Burden Module, which assessed the perceived impact of migraine on family relationships and life, career and finances, and overall health. Respondents were stratified by episodic migraine (<15 headache days/month) and chronic migraine (≥15 headache days/month) and sex for comparisons. Results A total of 13,064 respondents (episodic migraine: 11,944 [91.4%]; chronic migraine: 1120 [8.6%]) provided valid data. Approximately 16.8% of respondents not currently in a romantic relationship (n = 536 of 3189) and 17.8% of those in a relationship but not living together (n = 236 of 1323) indicated that headaches had contributed to relationship problems. Of those in a relationship and living together (n = 8154), 3.2% reported that they chose not to have children, delayed having children or had fewer children because of migraine (n = 260; episodic migraine: n = 193 of 7446 [2.6%]; chronic migraine: n = 67 of 708 [9.5%]; P < .001). Of individuals responding to career/finance items (n = 13,061/13,036), 32.7% indicated that headaches negatively affected ≥1 career area (n = 4271; episodic migraine: n = 3617 of 11,942 [30.3%]; chronic migraine: n = 654 of 1119 [58.4%]), and 32.1% endorsed worry about long‐term financial security due to migraine (n = 4180; episodic migraine: n = 3539 of 11,920 [29.7%]; chronic migraine: n = 641 of 1116 [57.4%]). Conclusions Migraine can negatively affect many important aspects of life including marital, parenting, romantic and family relationships, career/financial achievement and stability, and overall health. Reported burden was consistently greater among those with chronic migraine than among people with episodic migraine; however, few differences were seen between the sexes.

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“…It may impact family functioning in terms of physical, emotional, social, and financial stress and may affect daily activities-like caregiving-and family dynamics [17][18][19][20]. For example, having a chronically ill parent is related with increased stress, internalizing problems, substance use, and risk of poorer developmental outcomes for adolescents [21][22][23][24][25][26]. Similarly, siblings of chronically ill children have been found to be at increased risk for psychosocial problems and impaired cognitive and academic development [27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial functioning in adolescents growing up with chronic disease: The Dutch HBSC study

et al. 2021

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Many adolescents worldwide (indirectly) grow up with a chronic disease, which may impact their functioning and wellbeing. The objective of this study is to assess whether adolescents with a (family member with a) chronic disease differ from their healthy counterparts in terms of psychosocial functioning. Data from the Dutch 2013 HBSC-survey were used, including 7168 adolescents (Meanage = 13.7, SD = 1.57, 50.5% female). Participants indicated whether they or one of their family members had a long-term (> 3 months) disease or disability (mental/physical) and were categorized into four groups based on disease presence (none, other, self, both). Psychosocial functioning was assessed in terms of life satisfaction, self-rated health, psychosomatic health, mental health problems, support, substance use, physical exercise, screen time, and school liking. Chronically diseased adolescents (n = 162) reported lower life satisfaction, self-rated and psychosomatic health, more mental health problems, lower peer support, more substance use, and less physical exercise compared to healthy peers. Chronically diseased adolescents who also had a family member with a chronic disease (n = 74) showed comparable outcomes on these life domains, although they did not differ from their healthy peers regarding peer support, substance use, and physical activity. Healthy adolescents with a chronically diseased family member (n = 737) reported significantly lower life satisfaction, self-rated and psychosomatic health, more mental health problems, and less family support compared to healthy peers who grew up in healthy families; however, they reported more positive outcomes than adolescents who had a chronic disease themselves.Conclusion: Having a (family member with a) chronic disease is associated with impaired psychosocial functioning on various life domains. Our findings aid in understanding the psychosocial associates of chronic disease and imply that caregivers should be observant of psychosocial problems among vulnerable adolescents to provide appropriate guidance. What is Known:• Adolescents who grow up with a (family member with a) chronic disease encounter numerous challenges that may be related to poorer developmental outcomes on the long term. What is New:• This study adds a comprehensive overview of the psychosocial functioning of adolescents with a (family member with a) chronic disease, as compared to healthy counterparts that grow up in a healthy family.

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Is having a family member with chronic health concerns bad for young people's health? Cross-sectional evidence from a national survey of young Australians

Cited by 11 publications

References 42 publications

School Climate, Peer Relationships, and Adolescent Mental Health: A Social Ecological Perspective

School Climate, Peer Relationships, and Adolescent Mental Health: A Social Ecological Perspective

Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Psychosocial functioning in adolescents growing up with chronic disease: The Dutch HBSC study

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