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  • Psychosocial profile in portuguese adolescents with chronic disease attending an outpatient department in a hospital setting
    Publication . Santos, Teresa; Matos, MG; Marques, Adilson; Simões, Celeste; Leal, Isabel Maria Pereira Leal; Machado, Maria do Céu
    Living with a chronic disease (CD) in adolescence involves new multifaceted challenges. This study aims to conduct a psychosocial characterization of a group of adolescents with chronic diseases in a hospital setting and to compare such dimensions for the total group and for different diseases. A cross-sectional study included 135 adolescents with chronic diseases (51.9% boys; 48.1% girls), having an average age of 14±1.5 years (SD=1.5) and attending a paediatric outpatient department in a hospital setting. Statistically significant differences were found among the different chronic diseases for the variables self-regulation (adolescents with diabetes had significantly higher competencies) and multiple psychosomatic symptoms (adolescents with neurologic diseases reported significantly more complaints). Boys presented both better health-related quality of life and psychosomatic health when compared to girls. No statistically significant differences were observed for health-related quality of life, psychosomatic health, resilience, and social support. These findings bring important suggestions especially while planning interventions, which must take into account the promotion of a healthy psychosocial development, through an inclusive perspective (covering different chronic diseases), that take into consideration specific and gendered approaches. Such suggestions might help healthcare professionals to better plan interventions in order to increase their effectiveness.
  • Factors affecting the well-being of adolescents living with unemployed parents in times of economic recession: Findings from the portuguese HBSC study
    Publication . Frasquilho, Diana; Matos, Margarida Gaspar de; Marques, Adilson; Gaspar, Tania; Almeida, José Miguel Caldas de
    Objectives: Using a national representative sample of adolescents with unemployed parents, this study examined which factors (sociodemographic and of satisfaction with family life and peers) are related to the negative effect of parents' unemployment on emotional well-being. Study design: Cross-sectional survey study. Methods: Data on adolescents (14.1 ± 1.7 years old), with at least one parent unemployed (n ¼ 1311, 53.2% girls), was provided by the Portuguese Health Behaviour in School-aged Children study. Descriptive statistics and logistic regression analyses were performed. Results: A high proportion of adolescents reported being emotionally affected by father's unemployment but not by their mother's. Older boys and older girls were more likely to report that their same-gender parent's unemployment situation (sons-fathers and daughters-mothers) has had a negative effect on their well-being. Girls from low socioeconomic status and with poor family satisfaction were more likely to report negative emotional well-being related to parental unemployment. Conclusions: This study presents evidence on factors that can shape adolescents' emotional well-being related to parents' unemployment situation. Given the recessionary context and high unemployment rates, these insights are valuable to assist the design of an action to improve the levels of well-being of Portuguese adolescents from unemployed families.