Objective: To assess psychosocial quality of life in school-age children of divorced parents.
Methods:A cross-sectional survey was conducted at the pediatric outpatient clinic of a community hospital. Children 5 to 12 years old from married families and divorced families were included. Child quality of life was assessed through maternal reports using a Child Health Questionnaire -Parent Form 50. A multiple linear regression model was constructed including clinically relevant variables significant on univariate analysis (beta coefficient and 95%CI).Results: Three hundred and thirty families were invited to participate and 313 completed the questionnaire. Univariate analysis showed that quality of life was significantly associated with parental separation, child sex, time spent with the father, standard of living and maternal education. In a multiple linear regression model, quality of life scores decreased in boys -4.5 (-6.8 to -2.3) and increased for time spent with the father 0.09 (0.01 to 0.2). In divorced families, multiple linear regression showed that quality of life scores increased when parents had separated by mutual agreement 6.1 (2.7 to 9.4), when the mother had university level education 5.9 (1.7 to 10.1) and for each year elapsed since separation 0.6 (0.2 to 1.1), whereas scores decreased in boys -5.4 (-9.5 to -1.3) and for each one-year increment of maternal age -0.4 (-0.7 to -0.05).
Conclusion:Children's psychosocial quality of life was affected by divorce. The Child Health Questionnaire can be useful to detect a decline in the psychosocial quality of life.J Pediatr (Rio J). 2009;85(6):547-552: Argentina, child, health status, health-related quality of life, family relations, Child Health Questionnaire.
Original article IntroductionDivorce is becoming increasingly prevalent in our society, significantly affecting all parties involved, particularly children. 1 Studies in the USA and in Europe have estimated that 30 to 50% of children will suffer consequences from a divorce 1-3 ; similar rates have been reported in Argentina. 4 Parental separation is often the first major change in a child's life. This distressing event drastically alters the family's future, bringing a sense of loss due to disruption in normal routines as well as absence of daily contact with both parents. [5][6][7] Developmental and behavioral disorders, both prior to divorce and in particular during the first years following the event, have been reported. [8][9][10] 548 Jornal de Pediatria -Vol. 85, No. 6, 2009 Impact of divorce on the quality of life in children -Eymann A et al.to study design and the instruments used to measure outcomes. [8][9][10][11][12][13][14][15][16] We are aware that psychosocial health is a complex construct, multidimensional in nature but often reduced by researchers to a single structure for operational purposes which are affected by a number of factors such as parental characteristics, style of child rearing, community values, child adaptability, etc.Generic health-related quality of lif...