Self-evaluation and depression in adolescents with a chronic illness: A systematic review

Emily Hards, Faith Orchard, Sundus Khalid, Clea D'Souza, Flora Cohen, Evangeline Gowie, Maria Loades

Research output: Contribution to journalReview articlepeer-review


To conduct a systematic review to establish what is known about the relationship between depression and self-evaluation in adolescents with a chronic illness.

A systematic search was conducted using MEDLINE, EMBASE, PsycINFO, Web of Science, The Cochrane Library, and hand-searching. We sought to identify primary research that examined both the cross-sectional and longitudinal associations between depression and self-evaluation in adolescents with chronic illness. The search resulted in 8941 retrieved articles that were screened against an inclusion criteria. A total of 4 papers were included in the review. The MMAT used to assess study methodological quality.

A narrative synthesis was conducted, and a summary figure was included. These 4 studies included 236 adolescents aged 9–18 years with depression and either Type 1 Diabetes (T1D), chronic pain, headaches, or Inflammatory Bowel Disease (IBD). The limited existing evidence indicated that that depression was associated with negative self-evaluation in adolescents in some but not all chronic illnesses investigated to date. We also found some evidence that psychological intervention can help to improve self-evaluation, specifically in adolescents with T1D.

More robust studies of the association between self-evaluation and depression in adolescents with a chronic illness is needed, with attention to the nuances of differences between chronic illnesses. The existing evidence indicates that there may be a stronger association in some chronic illnesses. Pilot data suggest that specific psychological therapies may improve self-evaluation, although much more extensive evaluation is needed.
Original languageEnglish
Pages (from-to)382-397
Number of pages16
JournalClinical Child Psychology and Psychiatry
Issue number1
Early online date19 Jul 2022
Publication statusPublished - 31 Jan 2023


  • Chronic illness
  • adolescents
  • depression
  • self
  • self-evaluation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Psychology
  • Psychiatry and Mental health


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