title: Parent-adolescent relationship in youths with a chronic condition.
abstract: BACKGROUND
  Suffering from a chronic disease or disability (CDD) during adolescence can be a burden for both the adolescents and their parents. The aim of the present study is to assess how living with a CDD during adolescence, the quality of parent-adolescent relationship (PAR) and the adolescent's psychosocial development interact with each other.
  
  
  METHODS
  Using the Swiss Multicenter Adolescent Survey on Health 2002 (SMASH02) database, we compared adolescents aged 16-20 years with a CDD (n = 760) with their healthy peers (n = 6493) on sociodemographics, adolescents' general and psychosocial health, interparental relationship and PAR.
  
  
  RESULTS
  Bivariate analyses showed that adolescents with a CDD had a poorer psychosocial health and a more difficult relationship with their parents. The log-linear model indirectly linked CDD and poor PAR through four variables: two of the adolescents' psychosocial health variables (suicide attempt and sensation seeking), the need for help regarding difficulties with parents and a highly educated mother that acted as a protective factor, allowing for a better parent-adolescent with a CDD relationship.
  
  
  CONCLUSIONS
  It is essential for health professionals taking care of adolescents with a CDD to distinguish between issues in relation with the CDD from other psychosocial difficulties, in order to help these adolescents and their parents deal with them appropriately and thus maintain a healthy PAR.
authors.affiliation: Research Group on Adolescent Health (GRSA/IUMSP), Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Christin
authors.affiliation: Research Group on Adolescent Health (GRSA/IUMSP), Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: C
authors.initials: C
authors.lastname: Akre
authors.affiliation: Research Group on Adolescent Health (GRSA/IUMSP), Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Berchtold
authors.affiliation: Research Group on Adolescent Health (GRSA/IUMSP), Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: J C
authors.initials: JC
authors.lastname: Suris
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D016497:Adolescent Health Services; D001007:Anxiety / Q000523:psychology*; D002908:Chronic Disease / Q000453:epidemiology / Q000523:psychology*; D003220:Conflict, Psychological; D019988:Children with Disabilities / Q000523:psychology*; D004243:Divorce / Q000523:psychology; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D010379:Peer Group; D013557:Switzerland / Q000453:epidemiology
keywords: adolescence; adolescent psychosocial development; chronic condition; parent-adolescent relationship