The impact of coping patterns and chronic health conditions on health-related quality of life among children and adolescents
This study examined the relationship among chronic disease, coping strategy patterns, and health-related quality of life (HRQOL) among children and adolescents. The cohort included 273 Israeli children and adolescents aged 8–18 years diagnosed with asthma, diabetes mellitus, or celiac disease. All completed the Coping with a Disease Questionnaire (CODI) and the DISABKIDS Chronic Generic Measure (DCGM-37). The outcome measures were as follows: association of the use of effective and non-effective coping strategies with type of disease; predictive value of coping patterns for health-related quality of life; a European sample was used for comparison. On k means cluster analysis, three strategy patterns (two “effective” and one “non-effective”) were associated with health-related quality of life and disease specifics. Disease predicted coping patterns, but it had a weak direct relationship to health-related quality of life. Coping patterns were the strongest predictor of health-related quality of life. These results are similar to the European DISABKIDS study, indicating cross-cultural parallels.
What is Known:
• The literature on coping has widely documented the existence of individual (unique) coping strategies.
• Coping strategies are considered “useful” or “non-useful,” based on whether they increase or decrease negative outcomes caused by certain stressors, such as chronic illness.
What is New:
• Our findings suggest that youngsters can use “non-useful” strategies to reduce stress caused by chronic illness, while still maintaining higher quality of life, as long as they also apply certain “useful” strategies.
• The use of certain combinations of coping strategies, rather than single strategies, is more important to our understanding of how coping affects HRQOL of children with chronic disease.
KeywordsQuality of life Coping Chronic illness Children Adolescents
Health-related quality of life
Coping with a Disease
DISABKIDS Chronic Generic Measure
the Transactional Stress and Coping model
We thank the European DISABKIDS group for granting permission to use their measurements.
Sabrina Oppenheimer and Orit Krispin conceived and designed the study and contributed equally to this work, Sigal Levy conducted the data analysis, Maayan Ozeri obtained data and coordinated research, and Alan Apter was consulted on study design and analysis. All authors revised and approved the final version of the manuscript.
Compliance with ethical standards
All procedures performed in this study were in accordance with the ethical standards of the Helsinki committee at Schneider Children’s Medical Center of Israel and the Ethics committee at the Academic College of Tel Aviv-Yafo.
Informed consent was obtained by parents of all participants included in the study and by all participants aged 14 and above.
Conflict of interest
All authors declare they have no conflict of interest.
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