Influences of Chronic Physical and Mental Health Conditions on Child and Adolescent Positive Health

program collaborators for Environmental influences on Child Health Outcomes

doi:10.1016/j.acap.2022.01.013

Influences of Chronic Physical and Mental Health Conditions on Child and Adolescent Positive Health

program collaborators for Environmental influences on Child Health Outcomes

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Objective: Pediatric positive health refers to children's assessments of their well-being. The purpose of this study was to contrast positive health for children aged 8 to 17 years with and without chronic physical and mental health conditions. Methods: Data were drawn from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program. Participants included 1764 children ages 8 to 17 years from 13 ECHO cohorts. We measured positive health using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health and Life Satisfaction patient-reported outcome (PRO) measures. We used multiple regression to examine cross-sectional associations between the PROs and parent-reported health conditions and sociodemographic variables. We defined a meaningful difference in average scores as a PROMIS T-score difference of >3. Results: The sample included 45% 13 to 17-year-olds, 50% females, 8% Latinx, and 23% Black/African-American. Fifty-four percent had a chronic health condition. Of the 16 chronic conditions included in the study, only chronic pain (β = -3.5; 95% CI: -5.2 to -1.9) and depression (β = -6.6; 95% CI: -8.5 to -4.6) were associated with scoring >3 points lower on global health. Only depression was associated with >3 points lower on life satisfaction (β = -6.2; 95% CI: -8.1 to -4.3). Among those with depression, 95% also had another chronic condition. Conclusions: Many children with chronic conditions have similar levels of positive health as counterparts without chronic conditions. The study results suggest that negative associations between chronic conditions and positive health may be primarily attributable to presence or co-occurrence of depression.

Original language	English (US)
Pages (from-to)	1024-1032
Number of pages	9
Journal	Academic Pediatrics
Volume	22
Issue number	6
DOIs	https://doi.org/10.1016/j.acap.2022.01.013
State	Published - Aug 2022

Funding

The authors wish to thank our ECHO colleagues, the medical, nursing, and program staff, as well as the children and families participating in the ECHO cohorts. We also acknowledge the contribution of the following ECHO program collaborators:, Financial statement: Research reported in this publication was supported by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health, under Award Numbers U2COD023375 (Coordinating Center), U24OD023382 (Data Analysis Center), U24OD023319 (PRO Core), UH3OD023332 (PI Blair CB), UH3OD023248 (PI Dabelea D), UH3OD023313 (PI Deoni SCL), UH3OD023279 (PI Elliott AJ), UH3OD023282 (PI Gern JE), UH3OD023271 (PI Karr CJ), UH3OD023389 (PI Leve LD), UH3OD023288 (PI McEvoy CT), UH3OD023342 (PI Newschaffer CJ), UH3OD023348 (PI O'Shea M), UH3OD023249 (PI Stanford JB). The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The sponsors had no role in the design and conduct of the study. Coordinating Center: Duke Clinical Research Institute, Durham, North Carolina: Smith PB, Newby KL, Benjamin DK. Person-Reported Outcomes Core: Northwestern University, Evanston, Illinois: Gershon R, Cella D. Data Analysis Center: Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland: Jacobson LP; Research Triangle Institute, Durham, North Carolina: Parker CB. Financial statement: Research reported in this publication was supported by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health , under Award Numbers U2COD023375 (Coordinating Center), U24OD023382 (Data Analysis Center), U24OD023319 (PRO Core), UH3OD023332 (PI Blair CB), UH3OD023248 (PI Dabelea D), UH3OD023313 (PI Deoni SCL), UH3OD023279 (PI Elliott AJ), UH3OD023282 (PI Gern JE), UH3OD023271 (PI Karr CJ), UH3OD023389 (PI Leve LD), UH3OD023288 (PI McEvoy CT), UH3OD023342 (PI Newschaffer CJ), UH3OD023348 (PI O'Shea M), UH3OD023249 (PI Stanford JB). The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The sponsors had no role in the design and conduct of the study.

Keywords

Patient-Reported Outcomes Measurement Information System
chronic condition
general health
life satisfaction
patient-reported outcomes

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.acap.2022.01.013

Cite this

@article{9aa76b21536447929fe6833e54057b0c,

title = "Influences of Chronic Physical and Mental Health Conditions on Child and Adolescent Positive Health",

abstract = "Objective: Pediatric positive health refers to children's assessments of their well-being. The purpose of this study was to contrast positive health for children aged 8 to 17 years with and without chronic physical and mental health conditions. Methods: Data were drawn from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program. Participants included 1764 children ages 8 to 17 years from 13 ECHO cohorts. We measured positive health using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health and Life Satisfaction patient-reported outcome (PRO) measures. We used multiple regression to examine cross-sectional associations between the PROs and parent-reported health conditions and sociodemographic variables. We defined a meaningful difference in average scores as a PROMIS T-score difference of >3. Results: The sample included 45% 13 to 17-year-olds, 50% females, 8% Latinx, and 23% Black/African-American. Fifty-four percent had a chronic health condition. Of the 16 chronic conditions included in the study, only chronic pain (β = -3.5; 95% CI: -5.2 to -1.9) and depression (β = -6.6; 95% CI: -8.5 to -4.6) were associated with scoring >3 points lower on global health. Only depression was associated with >3 points lower on life satisfaction (β = -6.2; 95% CI: -8.1 to -4.3). Among those with depression, 95% also had another chronic condition. Conclusions: Many children with chronic conditions have similar levels of positive health as counterparts without chronic conditions. The study results suggest that negative associations between chronic conditions and positive health may be primarily attributable to presence or co-occurrence of depression.",

keywords = "Patient-Reported Outcomes Measurement Information System, chronic condition, general health, life satisfaction, patient-reported outcomes",

author = "{program collaborators for Environmental influences on Child Health Outcomes} and Julia Schuchard and Blackwell, {Courtney K.} and Ganiban, {Jody M.} and Giardino, {Angelo P.} and Monica McGrath and Phillip Sherlock and Dabelea, {Dana M.} and Deoni, {Sean C.L.} and Catherine Karr and McEvoy, {Cindy T.} and Barron Patterson and Sara Santarossa and Sheela Sathyanarayana and Irene Tung and Forrest, {Christopher B.}",

note = "Publisher Copyright: {\textcopyright} 2022 Academic Pediatric Association",

year = "2022",

month = aug,

doi = "10.1016/j.acap.2022.01.013",

language = "English (US)",

volume = "22",

pages = "1024--1032",

journal = "Academic Pediatrics",

issn = "1876-2859",

publisher = "Elsevier Inc.",

number = "6",

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TY - JOUR

T1 - Influences of Chronic Physical and Mental Health Conditions on Child and Adolescent Positive Health

AU - program collaborators for Environmental influences on Child Health Outcomes

AU - Schuchard, Julia

AU - Blackwell, Courtney K.

AU - Ganiban, Jody M.

AU - Giardino, Angelo P.

AU - McGrath, Monica

AU - Sherlock, Phillip

AU - Dabelea, Dana M.

AU - Deoni, Sean C.L.

AU - Karr, Catherine

AU - McEvoy, Cindy T.

AU - Patterson, Barron

AU - Santarossa, Sara

AU - Sathyanarayana, Sheela

AU - Tung, Irene

AU - Forrest, Christopher B.

PY - 2022/8

Y1 - 2022/8

N2 - Objective: Pediatric positive health refers to children's assessments of their well-being. The purpose of this study was to contrast positive health for children aged 8 to 17 years with and without chronic physical and mental health conditions. Methods: Data were drawn from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program. Participants included 1764 children ages 8 to 17 years from 13 ECHO cohorts. We measured positive health using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health and Life Satisfaction patient-reported outcome (PRO) measures. We used multiple regression to examine cross-sectional associations between the PROs and parent-reported health conditions and sociodemographic variables. We defined a meaningful difference in average scores as a PROMIS T-score difference of >3. Results: The sample included 45% 13 to 17-year-olds, 50% females, 8% Latinx, and 23% Black/African-American. Fifty-four percent had a chronic health condition. Of the 16 chronic conditions included in the study, only chronic pain (β = -3.5; 95% CI: -5.2 to -1.9) and depression (β = -6.6; 95% CI: -8.5 to -4.6) were associated with scoring >3 points lower on global health. Only depression was associated with >3 points lower on life satisfaction (β = -6.2; 95% CI: -8.1 to -4.3). Among those with depression, 95% also had another chronic condition. Conclusions: Many children with chronic conditions have similar levels of positive health as counterparts without chronic conditions. The study results suggest that negative associations between chronic conditions and positive health may be primarily attributable to presence or co-occurrence of depression.

AB - Objective: Pediatric positive health refers to children's assessments of their well-being. The purpose of this study was to contrast positive health for children aged 8 to 17 years with and without chronic physical and mental health conditions. Methods: Data were drawn from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program. Participants included 1764 children ages 8 to 17 years from 13 ECHO cohorts. We measured positive health using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Global Health and Life Satisfaction patient-reported outcome (PRO) measures. We used multiple regression to examine cross-sectional associations between the PROs and parent-reported health conditions and sociodemographic variables. We defined a meaningful difference in average scores as a PROMIS T-score difference of >3. Results: The sample included 45% 13 to 17-year-olds, 50% females, 8% Latinx, and 23% Black/African-American. Fifty-four percent had a chronic health condition. Of the 16 chronic conditions included in the study, only chronic pain (β = -3.5; 95% CI: -5.2 to -1.9) and depression (β = -6.6; 95% CI: -8.5 to -4.6) were associated with scoring >3 points lower on global health. Only depression was associated with >3 points lower on life satisfaction (β = -6.2; 95% CI: -8.1 to -4.3). Among those with depression, 95% also had another chronic condition. Conclusions: Many children with chronic conditions have similar levels of positive health as counterparts without chronic conditions. The study results suggest that negative associations between chronic conditions and positive health may be primarily attributable to presence or co-occurrence of depression.

KW - Patient-Reported Outcomes Measurement Information System

KW - chronic condition

KW - general health

KW - life satisfaction

KW - patient-reported outcomes

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AN - SCOPUS:85126884707

SN - 1876-2859

VL - 22

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JF - Academic Pediatrics

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ER -

Influences of Chronic Physical and Mental Health Conditions on Child and Adolescent Positive Health

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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