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

4 Citations (SciVal)


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

Bibliographical note

Funding Information:
Many thanks to Justin Hodds and Maria Harffy for their support and guidance in accessing the full texts of papers. Dr Loades is funded by the National Institute for Health Research (NIHR Doctoral Research Fellowship, DRF-2016-09-021).


  • 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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