Scholarlink

Background <p>Adults with a history of residential out-of-home care (care leavers) often experience emotional and behavioral problems, which can negatively impact quality of life (QoL) into adulthood. Social support can improve mental health and reduce psychological symptoms. However, longitudinal studies examining how early emotional and behavioral problems are associated with the QoL of young adult care leavers are lacking. This study investigated the relationship between emotional and behavioral problems in adolescence and QoL in young adulthood, as well as the mediating and/or moderating role of social support.</p> Methods <p>A total of 220 care leavers (<i>M</i><sub><i>age at baseline</i></sub> = 15.9 years, <i>SD</i> = 2.1; <i>M</i><sub><i>age at follow−up</i></sub> = 26.1 years, <i>SD</i> = 2.8, 32.9% female) were surveyed at baseline during their out-of-home placement regarding emotional and behavioral problems via the “Achenbach System of Empirically Based Assessment” (ASEBA) and with the “Multidimensional Scale of Perceived Social Support” (MSPSS) and the “World Health Organization Quality-of-Life Questionnaire” (WHOQoL-BREF) at follow-up. Structural equation modeling was used to examine the mediating and moderating role of MSPSS on the relationship of ASEBA and WHOQoL-BREF.</p> Results <p>Symptom severity during adolescence was significantly negatively associated with QoL in all four domains (psychological, physical, social, and environmental). In the mediation model, the total direct effect of emotional and behavioral problems on QoL was significant (β = -0.315, <i>p</i> = .001, 95% CI [-0.501, -0.128]). Social support significantly partially mediated (β = -0.142, <i>p</i> = .028, 95% CI [-0.269, -0.015]) and moderated (β = 0.136, <i>p</i> = .026, 95% CI [0.011, 0.261]) the relationship between emotional and behavioral problems in adolescence and QoL in adulthood.</p> Conclusions <p>The study shows that higher levels of adolescent emotional and behavioral problems are associated with reduced psychological, physical, social, and environmental adult QoL among residential care leavers. Social support has a compensatory and protective effect on this relationship, highlighting the importance of strengthening social networks, particularly during the transition to adulthood, to improve the QoL of care leavers.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The role of social support in the association between adolescent emotional and behavioral problems and quality of life in young adulthood in youth residential care leavers

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月27日

查看全文
  • Milou Leiting,
  • Katharina Beck,
  • Süheyla Seker,
  • David Bürgin,
  • Delfine d’Huart,
  • Jörg M. Fegert,
  • Nils Jenkel,
  • Cyril Boonmann,
  • Klaus Schmeck,
  • Marc Schmid

摘要

Background

Adults with a history of residential out-of-home care (care leavers) often experience emotional and behavioral problems, which can negatively impact quality of life (QoL) into adulthood. Social support can improve mental health and reduce psychological symptoms. However, longitudinal studies examining how early emotional and behavioral problems are associated with the QoL of young adult care leavers are lacking. This study investigated the relationship between emotional and behavioral problems in adolescence and QoL in young adulthood, as well as the mediating and/or moderating role of social support.

Methods

A total of 220 care leavers (Mage at baseline = 15.9 years, SD = 2.1; Mage at follow−up = 26.1 years, SD = 2.8, 32.9% female) were surveyed at baseline during their out-of-home placement regarding emotional and behavioral problems via the “Achenbach System of Empirically Based Assessment” (ASEBA) and with the “Multidimensional Scale of Perceived Social Support” (MSPSS) and the “World Health Organization Quality-of-Life Questionnaire” (WHOQoL-BREF) at follow-up. Structural equation modeling was used to examine the mediating and moderating role of MSPSS on the relationship of ASEBA and WHOQoL-BREF.

Results

Symptom severity during adolescence was significantly negatively associated with QoL in all four domains (psychological, physical, social, and environmental). In the mediation model, the total direct effect of emotional and behavioral problems on QoL was significant (β = -0.315, p = .001, 95% CI [-0.501, -0.128]). Social support significantly partially mediated (β = -0.142, p = .028, 95% CI [-0.269, -0.015]) and moderated (β = 0.136, p = .026, 95% CI [0.011, 0.261]) the relationship between emotional and behavioral problems in adolescence and QoL in adulthood.

Conclusions

The study shows that higher levels of adolescent emotional and behavioral problems are associated with reduced psychological, physical, social, and environmental adult QoL among residential care leavers. Social support has a compensatory and protective effect on this relationship, highlighting the importance of strengthening social networks, particularly during the transition to adulthood, to improve the QoL of care leavers.