Quality of Life and Mental Health Outcomes in Children with Chronic Illness: A Pilot Observational Study

Introduction:
Living with a chronic illness during childhood can have a profound impact beyond physical symptoms, affecting emotional health, education, social interactions, and overall well-being. Children with long-term health conditions may experience anxiety, low mood, and difficulties adapting to daily challenges, but these concerns are often overlooked during routine medical care. This study aimed to evaluate quality of life and mental health outcomes among children with chronic illnesses and identify factors associated with poorer psychosocial well-being.

Methods:
A pilot observational study was conducted among 30 children aged 8-17 years with chronic illnesses attending a tertiary care paediatric centre. Quality of life was assessed using the Paediatric Quality of Life Inventory (PedsQL), while emotional well-being was evaluated using validated screening tools for anxiety and depressive symptoms. Clinical details, including duration of illness, treatment requirements, and disease-related burden, were collected and analysed in relation to psychosocial outcomes.

Results:
Among the 30 children assessed, reduced quality of life was observed, particularly affecting emotional, social, and school functioning. Several children showed symptoms suggestive of anxiety and depressive difficulties. Children with longer disease duration and greater treatment burden demonstrated poorer quality of life scores and increased psychological distress. These findings highlight that the impact of chronic illness extends beyond medical complications and influences multiple aspects of a child's daily life.

Conclusions:
Children living with chronic illnesses require care that addresses both physical and psychological needs. Incorporating routine mental health screening and providing multidisciplinary support may help improve quality of life and long-term outcomes. Further larger-scale studies are needed to develop effective strategies for supporting children and families affected by chronic illness.