2026-10-11T02:28:29Z
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oai:figshare.com:article/34034700
2026-09-30T17:26:58Z
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<p>Transition Questionnaire.</p>
Daniela Choukair (22783474)
Amelie Beuchert (25145073)
Cinara Paul (23595181)
Alexander Fichtner (800029)
Georg F. Hoffmann (8690349)
Hans-Christoph Friederich (175289)
Beate Wild (64810)
Medicine
Neuroscience
Biotechnology
Cancer
Science Policy
Mental Health
Infectious Diseases
Virology
patient &# 180
b criteria scale
adult health care
provide specific support
patient health questionnaire
8 %, 17
xlink "> 39
psychosomatic symptom burden
increased psychosocial burden
evaluate psychosocial burden
chronic diseases suffered
5 %) suffered
lower family functioning
7 ), 8
xlink "> adolescents
structured transition programs
xlink ">
psychosomatic burden
psychosocial burden
chronic diseases
family functioning
structured interviews
psychosocial stress
transition questionnaire
transition programs
yet implemented
systematic evaluation
specific knowledge
somatic symptoms
somatic complaints
severe depression
routine evaluation
psychological aspects
moderately impaired
informational aspects
identify needs
adolescent patients
92 adolescents
7 ).
42 adolescents
15 );
15 )).
12 ).
05 ).
<div>
<p>Purpose</p><p>Adolescents with chronic diseases often experience psychosomatic comorbidity. However, systematic evaluation of psychosocial stress is not yet implemented in structured transition programs from pediatric to adult health care. The aim was to evaluate psychosocial burden, family functioning, knowledge of their illnesses and identify needs for support.</p>
<p>Methods</p><p>Among n = 92 adolescents with chronic diseases psychosocial stress and family functioning were assessed using validated questionnaires at the beginning of transition: (Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale-7 (GAD-7), 8-item Somatic Symptom Scale (SSS-8), Somatic Symptom Disorder-B Criteria Scale (SSD-12), Systemic Clinical Outcome and Routine Evaluation (SCORE-15)). The patient´s disease-specific knowledge and need for counselling were assessed using a transition questionnaire. Semi-structured interviews were conducted in 42 adolescents with increased psychosocial burden and analysed using qualitative content analysis by Kuckartz.</p>
<p>Results</p><p>39.6% (95% CI = 29%, 50%) were moderately impaired by somatic complaints (SSS-8) and 6.5% (95% CI = 1%, 12%) raised severe concerns due to somatic symptoms (SSD-12). 20.6% (95% CI = 10.3%, 28%) showed symptoms of moderate or severe depression (PHQ-9), whereas 11.9% (95% CI = 6.8%, 17.5%) suffered from moderate or severe generalized anxiety disorder symptoms (GAD-7). Family functioning was assessed as good (SCORE-15); and a lower family functioning was significantly associated with higher psychosomatic symptom severity (p < 0.05). Qualitative analysis identified four main categories: somatic complaints, psychological aspects, informational aspects, and structural problems.</p>
<p>Discussion</p><p>At the beginning of the transition, adolescent patients with chronic diseases suffered from psychosomatic burden and a lower family functioning was associated with higher psychosomatic symptom severity. Therefore, assessment of psychosocial burden and family functioning should be integrated into transition programs to provide specific support and initiate early interventions.</p></div>
2026-09-30T17:26:54Z
Text
Journal contribution
10.1371/journal.pone.0359441.s003
https://figshare.com/articles/journal_contribution/_p_Transition_Questionnaire_p_/34034700
CC BY 4.0