Self-evaluation and depression in adolescents with a chronic illness: A systematic review

Author:

Hards Emily1ORCID,Orchard Faith2ORCID,Khalid Sundus1,D’souza Clea1,Cohen Flora1,Gowie Evangeline1,Loades Maria13

Affiliation:

1. Department of Psychology, University of Bath, UK

2. School of Psychology, University of Sussex, UK

3. Centre for Academic Child Health, University of Bristol, UK

Abstract

Objective To conduct a systematic review to establish what is known about the relationship between depression and self-evaluation in adolescents with a chronic illness. Methods A systematic search was conducted using MEDLINE, EMBASE, PsycINFO, Web of Science, The Cochrane Library, and hand-searching. We sought to identify primary research that examined both the cross-sectional and longitudinal associations between depression and self-evaluation in adolescents with chronic illness. The search resulted in 8941 retrieved articles that were screened against an inclusion criteria. A total of 4 papers were included in the review. The MMAT used to assess study methodological quality. Results A narrative synthesis was conducted, and a summary figure was included. These 4 studies included 236 adolescents aged 9–18 years with depression and either Type 1 Diabetes (T1D), chronic pain, headaches, or Inflammatory Bowel Disease (IBD). The limited existing evidence indicated that that depression was associated with negative self-evaluation in adolescents in some but not all chronic illnesses investigated to date. We also found some evidence that psychological intervention can help to improve self-evaluation, specifically in adolescents with T1D. Conclusions More robust studies of the association between self-evaluation and depression in adolescents with a chronic illness is needed, with attention to the nuances of differences between chronic illnesses. The existing evidence indicates that there may be a stronger association in some chronic illnesses. Pilot data suggest that specific psychological therapies may improve self-evaluation, although much more extensive evaluation is needed.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Clinical Psychology,General Medicine,Pediatrics, Perinatology and Child Health

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