The Journal of Pediatrics
Volume 149, Issue 3 , Pages 348-353, September 2006

Quality of life and psychological adjustment in children and adolescents with neurofibromatosis type 1

University Children’s Hospital, Division of Psychosomatics and Psychiatry and Division of Neurology, Zurich, Switzerland; Institute of Psychology, Department of Social and Health Psychology, Zurich, Switzerland; and Children’s Hospital, Division of Neurology, Aarau, Switzerland

Received 31 October 2005; received in revised form 6 February 2006; accepted 18 April 2006.

Objective

To assess quality of life (QoL) and psychological adjustment in children and adolescents with neurofibromatosis type 1 (NF1).

Study design

Forty-six patients with NF1 were investigated between the ages of 7 and 16 years (mean, 11.6 years), with children and parents used as informants. TNO-AZL Questionnaire for Children’s Health-Related Quality of Life and Child Behavior Checklist scores were compared with healthy reference groups. Predictive values of sociodemographic variables, illness-related variables, and family-related variables for quality of life and psychological adjustment were assessed.

Results

Most dimensions of QoL in NF1 children and adolescents were different from reference values. Deviations in the NF1 group were an impairment of motor, cognitive, and social functioning and a reduction of positive and negative emotions. Also, psychological adjustment in patients with NF1 was significantly impaired compared with normal subjects. Illness-related variables had a negative impact on the emotional domain of QoL. Good family relationships positively affected both QoL and psychological adjustment.

Conclusions

QoL and psychological adjustment are impaired in children and adolescents with NF1. Illness-related variables and the quality of family relationships are important predictors.

Abbreviations:  CBCL, Child Behavior Checklist , FRI, Family Relationship Index , NF1, Neurofibromatosis type 1 , QoL, Quality of life , TACQOL, TNO-AZL, Questionnaire for Children’s Health-Related Quality of Life

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PII: S0022-3476(06)00342-8

doi:10.1016/j.jpeds.2006.04.025

Refers to article:

  • The impact of realized access to care on health-related quality of life: A two-year prospective cohort study of children in the California State Children’s Health Insurance Program

    Michael Seid, James W. Varni, Lesley Cummings, Matthias Schonlau
    The Journal of Pediatrics September 2006 (Vol. 149, Issue 3, Pages 354-361)

The Journal of Pediatrics
Volume 149, Issue 3 , Pages 348-353, September 2006

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