title: Effects of mental health on quality of life in children and adolescents living in residential and foster care: a cross-sectional study.
abstract: OBJECTIVE
  This study was conducted in order to evaluate the effects of mental health and quality of life (QOL) in children and adolescents living in residential and foster care.
  
  
  METHODS
  Two hundred and sixteen children and adolescents, aged 8-18 years, from residential and foster care participated. QOL was assessed using the Pediatric Quality-of-Life Inventory (PedsQL), levels of anxiety and depressive symptoms using the screen for child anxiety-related emotional disorders (SCARED) questionnaire and the short mood and feeling questionnaire (SMFQ), and general mental health through use of the strengths and difficulties questionnaire (SDQ).
  
  
  RESULTS
  The children and adolescents from residential care had significantly low QOL and more frequently had mental health problems. A stepwise linear regression was performed to test the associations between the SCARED, SMFQ and SDQ scores, and PedsQL (QOL). Anxiety, depressive symptoms and general mental difficulties account for significant variations in QOL (p < 0.001).
  
  
  CONCLUSIONS
  Mental health problems have significant negative effects on the QOL of children and adolescents living in residential and foster care.
authors.affiliation: Clinic for Neurology and Psychiatry for Children and Youth Belgrade, Belgrade, Serbia.
authors.forename: M
authors.initials: M
authors.lastname: Damnjanovic
authors.forename: A
authors.initials: A
authors.lastname: Lakic
authors.forename: D
authors.initials: D
authors.lastname: Stevanovic
authors.forename: A
authors.initials: A
authors.lastname: Jovanovic
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D005581:Foster Home Care / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008603:Mental Health / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D000297:Psychology, Adolescent / Q000706:statistics & numerical data*; D011788:Quality of Life / Q000523:psychology*; D012112:Residential Facilities / Q000706:statistics & numerical data*; D055771:Serbia / Q000453:epidemiology; D011795:Surveys and Questionnaires