ABSTRACT Anxiety-related impairment among youth in residential treatment facilities is common, but quality of life (QOL) among this intensive, treatment-seeking population remains largely unexplored. The purpose of this study was to investigate factors that decrease QOL among children/youth with severe anxiety disorders. Specifically, this research studied whether comorbid depression would negatively impact QOL and whether depression would predict QOL above and beyond the effects of anxiety. Depression symptomology as a potential moderator variable for QOL was also analyzed, as well as the effect of multimodal treatment on QOL. Analyses revealed that parent- and child-rated measures had different predictive utility when investigating QOL, but that depression predicted poorer QOL than anxiety. No moderation effect for depression was found. Lastly, multimodal treatment was effective in improving quality of life (d = 1.30) for treatment responders. Clinical and research implications are discussed.

中文翻译：

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住院治疗设施中儿童和青少年的生活质量和焦虑情绪

摘要居住在治疗机构中的年轻人中与焦虑相关的损伤很普遍，但是在这种密集的，寻求治疗的人群中，生活质量（QOL）仍未得到开发。这项研究的目的是调查降低患有严重焦虑症的儿童/青少年的生活质量的因素。具体而言，这项研究研究了共病性抑郁症是否会对QOL产生负面影响，以及抑郁症是否可以预测焦虑以外的QOL。还分析了抑郁症状作为QOL的潜在调节因素，以及多模态治疗对QOL的影响。分析显示，在调查QOL时，父母和儿童评估的量度具有不同的预测效用，但是抑郁症比焦虑症预测的QOL更差。没有发现抑郁症的缓和作用。最后，多模式治疗有效改善了治疗反应者的生活质量（d = 1.30）。讨论了临床和研究意义。