Objective This study aims to classify groups according to the time-use profiles of adolescents with chronic diseases and identify differences in self-perception and school adjustment by group. Methods The study made used data from the fifth wave of Korean Children and Youth Panel Survey. Among 2,351 adolescents, 958 (40.7%) with chronic diseases were analyzed using LPA and MANCOVA. Results As a result of LPA, four groups were classified according to time-use profiles of adolescents with chronic diseases: media using leisure type (13.5%), private education dependent learning type (63.2%), self-study learning type (7.7%), and balanced leisure type (13.5%). MANCOVA results showed significant differences in the level of self-perception and school adjustment according to time-use profiles, even after controlling for demographic variables that may have an effect. Adolescents in the self-study learning type, specifically, tended to set a clear goal of life based on their self-identity and were well adapted to school life. Conclusion Findings suggest that profiles of time-use may affect self-perception and school adjustment in adolescents with chronic diseases. These results indicate that it is important for chronically ill adolescents to have more meaningful experiences in daily life to develop resiliency. Therefore, various opportunities and supportive environments should be provided to adolescents with chronic diseases to spend their time in a healthier way, evaluating themselves positively and perceiving meaning in life. Keywords: adolescents with chronic disease, time use, latent profile analysis, self-perception, school adjustment
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