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Assessment of Identity and Quality of Life in Diabetic and Renal Transplant Adolescents in Comparison to Healthy Adolescents
Authors:Tziona Lugasi  Marie Achille  Tom Blydt-Hansen  Marie-José Clermont  Louis Geoffroy  Laurent Legault  Véronique Phan  Lorraine E. Bell
Affiliation:1. Department of Psychology, Université de Montréal, C.P. 6128 Succ. Centre-Ville, Montreal, QC, H3C 3J7, Canada
2. Department of Pediatric Nephrology, Manitoba Institute of Child Health, Winnipeg, MB, Canada
3. Department of Nephrology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, QC, Canada
4. Department of Endocrinology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, QC, Canada
5. Department of Endocrinology, Montreal Children’s Hospital, Montreal, QC, Canada
6. Division of Nephrology, Department of Pediatrics, Montreal Children’s Hospital, Montreal, QC, Canada
Abstract:Identity development represents a central task of adolescence. Identity achievement is characterized by a coherent sense of who one is following a period of exploration and can help navigate the challenges of adulthood. This study examined identity within a quality of life (QOL) context in 85 adolescents with a renal transplant or with Type 1 diabetes in comparison to 90 healthy controls. Results revealed significant differences in ideological identity, with patients showing higher levels of diffusion and controls showing higher levels of foreclosure. No differences with respect to interpersonal identity, QOL, perceived control over the QOL domains, and perceived opportunities for growth and development were found. Future research should assess identity and QOL over a longer period of time to determine whether differences between chronically ill and healthy young adults can be detected.
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