caa a22 4500 606180575 CHVBK 20210128100806.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s11136-015-1002-y doi (NATIONALLICENCE)springer-10.1007/s11136-015-1002-y Six years beyond pediatric trauma: child and parental ratings of children's health-related quality of life in relation to parental mental health [Elektronische Daten] [Kerstin Sluys, Margaretha Lannge, Lennart Iselius, Lars Eriksson] Purpose: To examine the relationship between child self-report and parent proxy report of health-related quality of life (HRQL) and how parents' mental health status relates to the HRQL ratings 6years after minor to severe injury of the child. Materials and methods: This cross-sectional cohort study was performed at a regional pediatric trauma center in Stockholm, Sweden. The PedsQL 4.0 versions for ages 5-7, 8-12, and 13-18years were completed by 177 child-parent dyads 6years after injury to the child. The parents also rated their own mental health through the mental health domain (MH) in the SF-36 Health Survey. Results: The children's median age was 13years (IQR 10-16years), 54% were males, and the median ISS was 5 (IQR 2-9). Most of the parents were female (77%), born in Sweden (79%), and half had university degrees. There was no statistically significant difference between child self-report and parent proxy report in any of the PedsQL 4.0 scales or summary scales. The levels of agreement between child self-report and parent proxy reports were excellent (ICC≥0.80) for all scales with the exception of emotional functioning (ICC 0.53) which also was the scale with the lowest internal consistency in child self-report (α 0.60). Multiple regression analyses showed that worse parental mental health status correlated with worse child self-report and parent proxy report of children's HRQL. Conclusions: Children and their parents' reports on child's HRQL were in agreement. Decreased mental health in parents was associated with lower scores on parent proxy reports and child self-reports of HRQL after injury. The current investigation highlights the possible relationship between parent's mental health status and children's HRQL long after an injury, which should be considered in future investigations and in clinical care. The Author(s), 2015 Injury nationallicence Trauma nationallicence Pediatric nationallicence Parents nationallicence PedsQL nationallicence Mental health nationallicence Depression nationallicence Health-related quality of life nationallicence Sluys Kerstin Department of Molecular Medicine and Surgery, Karolinska University Hospital, L1:00, Solna, 171 76, Stockholm, Sweden aut Lannge Margaretha Department of Pediatric Emergency Surgery, Astrid Lindgrens' Children's Hospital, Karolinska University Hospital, Stockholm, Sweden aut Iselius Lennart Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden aut Eriksson Lars Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden aut Quality of Life Research Springer International Publishing 24/11(2015-11-01), 2689-2699 0962-9343 24:11<2689 2015 24 11136 https://doi.org/10.1007/s11136-015-1002-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-1002-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sluys Kerstin Department of Molecular Medicine and Surgery, Karolinska University Hospital, L1:00, Solna, 171 76, Stockholm, Sweden aut NATIONALLICENCE 700 1- Lannge Margaretha Department of Pediatric Emergency Surgery, Astrid Lindgrens' Children's Hospital, Karolinska University Hospital, Stockholm, Sweden aut NATIONALLICENCE 700 1- Iselius Lennart Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden aut NATIONALLICENCE 700 1- Eriksson Lars Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/11(2015-11-01), 2689-2699 0962-9343 24:11<2689 2015 24 11136