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Psychosocial Factors and Quality of Life of Portuguese Adolescents With Chronic Conditions – Increased Risk for Victims of Bullying Cover

Psychosocial Factors and Quality of Life of Portuguese Adolescents With Chronic Conditions – Increased Risk for Victims of Bullying

Open Access
|Oct 2024

Figures & Tables

Table 1

Variables and Measures Under Study.

VARIABLESMEASURES
Chronic condition1 – Yes; 2 – No
Being a bully1 – No; 2 – Yes
Being a victim of bullying1 – No; 2 – Yes
Being a cyberbully1 – No; 2 – Yes
Being a victim of cyberbullying1 – No; 2 – Yes
Liking school1 – Dislike; 2 – Like
Self-harm1 – No; 2 – Yes
Family supportScale with four items rated on a seven-point Likert scale, with 1 being “very strongly disagree” and 7 being “very strongly agree.” Higher values reveal greater family support. α = .95.
Support from friendsScale with four items rated on a seven-point Likert scale, with 1 being “very strongly disagree” and 7 being “very strongly agree.” Higher values reveal greater support from friends. α = .93
Relationship with teachersScale with three items rated on a five-point Likert scale, with 1 being “strongly agree” and 5 being “strongly disagree.” Higher values reveal a better relationship with teachers. α = .84.
Relationship with peersScale with three items, on a five-point Likert scale, with 1 strongly agree and 5 strongly disagree. Higher values reveal a better relationship with peers. α = .76.
Physical and psychological symptomsScale with nine items (back pain; neck pain, headache, dizziness; stomach pain; nervousness, irritation or bad mood, sadness and fear) rated on a five-point Likert scale (1 = “almost every day” and 5 = “rarely or never”). Minimum score of 9 and maximum of 45). Higher values reveal fewer symptoms. α = .82.
AnxietyScale with four items rated on a five-point Likert scale, with 1 being “never” and 5 being “always/almost always.” Higher values reveal higher levels of anxiety. α = .44.
Depressive symptomsScale with 10 items that assess depressive symptoms (e.g., feeling depressed, lack of hope, fear, loneliness, perception of unhappiness) rated on a five-point Likert scale, with 1 being “rarely or never” and 5 being “always or all the time. “Higher values reveal more depressive symptoms. α = .81.
Quality of lifeScale with ten items with scores from 0 to 5. Minimum scores of 5 and maximum scores of 50. Higher values reveal a better perception of quality of life. α = .83.
Table 2

Bivariate Analysis of Differences Between Students With and Without CC.

M ± SD or % (N)χ2/tp
TOTAL (N = 8,215)CHRONIC CONDITION YES 16.3% (n = 808)CHRONIC CONDITION NO 83.7%(n = 4,150)
Being a bully1  0.2630.608
    No90.4 (7041)89.2 (721)89.8 (3728)
    Yes9.6 (752)10.8 (87)10.2 (422)
Being a victim of bullying1  5.908≤0.01
    No82.2 (6402)80.0 (646)83.5 (3464)
    Yes17.8 (1390)20.0 (162)16.5 (686)
Being a cyberbully1  0.1560.693
    No94.7 (7380)94.1 (760)94.4 (3918)
    Yes5.3 (411)5.9 (48)5.6 (232)
Being a victim of cyberbullying1  4.780≤0.05
    No91.9 (7160)89.5 (723)91.8 (3811)
    Yes8.1 (630)10.5 (85)8.2 (339)
Liking school1  1.1160.291
    Dislike30.4 (2393)33.3 (269)35.2 (1462)
    Like69.6 (5473)66.7 (539)64.8 (2688)
Self-harm1  9.229≤0.01
    No82.0 (4042)78.2 (627)82.7 (3415)
    Yes18.0 (890)21.8 (175)17.3 (715)
Family support223.87 ± 6.4422.45 ± 6.8523.32 ± 6.57–3.437≤0.001
Support from friends221.96 ± 6.7521.99 ± 6.4121.90 ± 6.66  0.3660.715
Relationship with teachers211.28 ± 2.5210.73 ± 2.4310.91 ± 2.51–1.8920.059
Relationship with peers211.80 ± 2.4111.73 ± 2.6211.67 ± 2.46–1.8150.070
Physical and psychological symptoms236.74 ± 7.1133.37 ± 7.9536.29 ± 7.24–10.321≤0.001
Anxiety211.02 ± 2.6711.50 ± 2.7310.93 ± 2.64  5.316≤0.001
Depressive symptoms218.05 ± 5.5019.27 ± 5.9517.81 ± 5.37  6.416≤0.001
Quality of life236.43 ± 7.2835.20 ± 7.1336.68 ± 7.28–5.295≤0.001

[i] 1Chi-square; 2Independent sample t-test.

Adjusted residuals >1.96.

Table 3

Bivariate Analysis of the Differences Between Being or Not Being a Victim of Bullying (Students With CC).

M ± SD or % (N)χ2/tp
BEING A VICTIM OF BULLYING YES 20.0% (n = 162)BEING A VICTIM OF BULLYING NO 80.0% (n = 646)
Being a bully1  56.675≤0.001
    No72.8 (118)93.3 (603)
    Yes27.2 (44)6.7 (43)
Being a cyberbully1  28.558≤0.001
    No85.2 (138)96.3 (622)
    Yes14.8 (24)3.7 (24)
Being a victim of cyberbullying1  51.091≤0.001
    No74.1 (120)93.3 (603)
    Yes25.9 (42)6.7 (43)
Liking school1  4.258≤0.05
    Dislike40.1 (65)31.6 (204)
    Like59.9 (97)68.4 (442)
Self-harm1  31.147≤0.001
    No61.9 (99)82.2 (528)
    Yes38.1 (61)17.8 (114)
Family support219.32 ± 8.2023.23 ± 6.24  6.672≤0.001
Support from friends218.66 ± 7.3622.83 ± 5.87  7.657≤0.001
Relationship with teachers210.05 ± 2.7710.90 ± 2.31  4.011≤0.001
Relationship with peers210.06 ± 3.1811.86 ± 2.32  8.120≤0.001
Physical and psychological symptoms230.59 ± 8.2934.07 ± 7.71  5.047≤0.001
Anxiety212.51 ± 2.4711.25 ± 2.73–5.083≤0.001
Depressive symptoms221.86 ± 6.3018.63 ± 5.69–5.803≤0.001
Quality of life231.62 ± 7.4836.10 ± 6.76  7.371≤0.001

[i] 1Chi-square; 2Independent sample t-test.

Adjusted residuals >1.96.

Table 4

Multiple Linear Regression Model of Variables to Study the Quality of Life of Adolescents With CC.

UNSTANDARDIZED COEFFICIENTSTANDARDIZED COEFFICIENTt
BSTANDARD ERRORβ
Being a bully  0.93  0.620.04  1.50
Being a victim of bullying–1.070.52–0.06*–2.07
Being a cyberbully–2.050.89–0.06*–2.29
Being a victim of cyberbullying  0.580.63  0.03  0.92
Liking school  1.12  0.410.08**  2.71
Self-harm  0.17  0.030.16***  5.24
Family support  0.13  0.030.12***  3.87
Support from friends  0.11  0.090.04  1.26
Relationship with teachers  0.17  0.080.06*  2.08
Relationship with peers–0.060.47–0.00–0.14
Physical and psychological symptoms  0.12  0.030.13***  3.93
Anxiety–0.470.09–0.18***–5.13
Depressive symptoms–0.330.05–0.28***–7.23

[i] The results were adjusted for age and gender.

The variables were entered using the “enter” mode.

*p ≤ 0.05. **p ≤ 0.01. *** p ≤ 0.001.

Dependent variable: Perception of quality of life.

DOI: https://doi.org/10.5334/cie.131 | Journal eISSN: 2631-9179
Language: English
Submitted on: Mar 13, 2024
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Accepted on: May 29, 2024
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Published on: Oct 15, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Ana Cerqueira, Fábio Botelho Guedes, Tania Gaspar, Emmanuelle Godeau, Celeste Simões, Margarida Gaspar de Matos, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.