Psychological Well-Being and Life Satisfaction in Children and Adolescents with Chronic Illness: The Role of Depression, Nonproductive Thoughts, and Problematic Internet Use.

Theoretical background: The study of psychological well-being in children and adolescents living with chronic illness is of particular relevance, as the physical and psychosocial aspects of the illness can have a significant impact on their quality of life. Previous research has highlighted that dep...

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Publicado en:Children Vol. 12; no. 5; pp. 657 - 674
Autores principales: Kovács, Karolina Eszter, Boris, Péter, Nagy, Beáta Erika
Formato: research tables/charts Journal Article
Publicado: MDPI May2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Psychological Well-Being and Life Satisfaction in Children and Adolescents with Chronic Illness: The Role of Depression, Nonproductive Thoughts, and Problematic Internet Use.
      aug:
        au:
          Kovács, Karolina Eszter
          Boris, Péter
          Nagy, Beáta Erika
        affil: Institute of Psychology, Faculty of Arts, University of Debrecen, 4032 Debrecen, Hungary
      sug:
        subj:
          Psychological Well-Being
          Personal Satisfaction
          Chronic Disease
          Depression In Adolescence
          Thinking In Adolescence
          Internet Addiction In Adolescence
          Depression In Infancy and Childhood
          Internet Addiction In Infancy and Childhood
          Thinking In Infancy and Childhood
          Attitude to Illness
          Economic Aspects of Illness
          Human
          Child
          Adolescence
          Male
          Female
          Cross Sectional Studies
          Gastroenterology Care
          Pulmonary Medicine
          Oncology
          Hematology
          Rehabilitation, Pediatric
          Psychological Techniques
          Spearman's Rank Correlation Coefficient
          Cluster Analysis
          Quality of Life
          Psychological Distress
          Descriptive Statistics
          Sociodemographic Factors
          Questionnaires
          Summated Rating Scaling
          Coefficient alpha
          Scales
          Data Analysis Software
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Theoretical background: The study of psychological well-being in children and adolescents living with chronic illness is of particular relevance, as the physical and psychosocial aspects of the illness can have a significant impact on their quality of life. Previous research has highlighted that depression, nonproductive thoughts and various aspects of problematic internet use may be related to life satisfaction and ways of coping with illness. This study aims to examine how depression, nonproductive thoughts, and problematic internet use interact with illness perception and burden to affect psychological well-being and life satisfaction. Methods: A cross-sectional study was conducted with 207 chronically ill children aged 10–18 years. The children, aged between 10 and 18 years old, attended regular check-ups in different specialities (gastroenterology, pulmonology, onco-haematology, and paediatric rehabilitation). A cross-sectional study was carried out using psychological instruments to measure life satisfaction (SWLS), nonproductive thoughts (NPG-K), problematic internet use (PIU-Q), illness perception (PRISM) and illness burden (PRISM-D, IIRS), and depression (BDI-R). Spearman rank correlation analysis was used to explore the associations between variables. Results: Life satisfaction was negatively related to nonproductive thoughts (r = −0.28, p < 0.001), internet obsession (r = −0.20, p < 0.01), and internet neglect (r = −0.20, p = 0.004). Conversely, a positive correlation was found with the PRISM (r = 0.14, p = 0.042), suggesting that less dominance of illness detection is associated with higher life satisfaction. Depression and nonproductive thoughts showed a strong positive relationship (r = 0.49, p < 0.001), and depression and problematic internet use also showed significant correlations for the obsession, neglect and control subscales (r = 0.23–0.29, all p < 0.001). Cluster analysis identified three psychological profiles: 'positive fighters', 'avoidant sufferers', and 'negative observers', distinguished by differences in depression, nonproductive thoughts, illness burden, and well-being. Conclusions: The results suggest that the quality of life of children and adolescents with chronic illness is significantly affected by mental health factors, particularly depression, nonproductive thoughts and problematic internet use. Illness perception and illness-related distress also play a key role in shaping life satisfaction and overall psychosocial well-being. These findings underscore the need for targeted psychological interventions in pediatric chronic care to enhance well-being and promote adaptive coping and suggest that psychological interventions and targeted psychosocial support can significantly improve these children's quality of life. Further research is needed to explore intervention options and to develop optimal support strategies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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