title: Health-related quality of life for children with rare diagnoses, their parents' satisfaction with life and the association between the two.
abstract: OBJECTIVE
  To examine children's health-related quality of life and parents' satisfaction with life and explore the association between the two in families where a child has a rare disorder.
  
  
  METHODS
  We used a cross-sectional study design. A questionnaire was sent to parents of 439 school children (6-18 years) with congenital rare disorders. Children's health-related quality of life (HRQOL) was examined by Pediatric Quality of Life InventoryTM 4.0 (PedsQL) Norwegian version. Satisfaction with life was examined by Satisfaction with Life Scale (SWLS).
  
  
  RESULTS
  The response rate was 48% (n = 209). The average age of the children was 12 years and 50% were girls. The parents scored their children with reduced physical, emotional, social and school functioning. The reductions were greatest in the physical area. Parents scored average to high on SWLS but significantly lower than the general Norwegian population. There was a positive association between parental SWLS and the children's social functioning and school functioning.
  
  
  CONCLUSIONS
  Children with congenital, rare disorders often require assistance from many parts of the public service system. Caring for their physical needs should not conflict with their educational and social needs. It is important that the children's school-life is organized so that the diagnosis does not interfere with the children's education and social life more than necessary.
authors.affiliation: TRS National Resource Centre for Rare Disorders, Sunnaas Rehabilitation Hospital, Nesoddtangen 1450, Norway. heidi.johansen@sunnaas.no.
authors.forename: Heidi
authors.initials: H
authors.lastname: Johansen
authors.forename: Brede
authors.initials: B
authors.lastname: Dammann
authors.forename: Inger-Lise
authors.initials: IL
authors.lastname: Andresen
authors.forename: Morten Wang
authors.initials: MW
authors.lastname: Fagerland
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D019988:Children with Disabilities; D004493:Education; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009664:Norway; D010290:Parents / Q000523:psychology*; D010549:Personal Satisfaction; D011788:Quality of Life; D035583:Rare Diseases / Q000151:congenital*; D058992:Social Participation; D011795:Surveys and Questionnaires