Biopsychosocial Correlates of Presence and Intensity of Pain in Adolescents With Inflammatory Bowel Disease

Murphy, Lexa K.; Rights, Jason D.; Ricciuto, Amanda; Church, Peter; Kohut, Sara Ahola

doi:10.3389/fped.2020.00559

Cited by 11 publications

(8 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lower HRQoL has been associated with worse disease-related variables, including more pain interference and worse internalizing symptoms, and is also correlated with poorer functioning across multiple domains within IBD [22][23][24] . Parents and caregivers are also affected, and their perception and approach to their child's disease can in uence the patient experiences [25][26][27][28] .…”

Section: Discussionmentioning

confidence: 99%

Transcultural adaptation and validation of IMPACT-III and IMPACT-III-P in Spanish families: A multicenter study from SEGHNP

Rodríguez-Belvís,

Palomino,

Muncunill

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose: IMPACT-III and IMPACT-III-P are health-related quality of life (HRQoL) questionnaires for patients with pediatric inflammatory bowel disease (p-IBD) and their parents/caregivers. We aimed to perform a transcultural adaptation and validation for the Spanish context. Methods: Translation, back-translation, and evaluation of the questionnaires was performed by an expert committee and 12 p-IBD families. We recruited p-IBD patients aged 10-17 and their parents/caregivers. Utility, content, and face validity were considered. Validation was performed with Cronbach's alpha coefficient and varimax rotation. We confirmed the adequacy of the factor analysis using Kaiser-Meyer-Olkin (KMO) and Bartlett’s sphericity tests. A confirmatory factor analysis was performed using the following goodness indexes: chi-square, Normed Fit Index (NFI), Root Mean Square Error of Approximation index (RMSEA), Standardized Root Mean Square Residual (SRMR), and Comparative Fit Index (CFI). The correlation coefficient between IMPACT-III and IMPACT-III-P was analyzed. Results: We included 370 patients and 356 parents/caregivers (37 hospitals). Both questionnaires had good content and face validity and were considered user-friendly. The KMO measure (0.8998 and 0.9228, respectively) and Bartlett’s sphericity test (p-value <0.001 for both) confirmed the adequacy of the factor analysis. The 4-factor model, complying with Kaiser’s criterion, explained 89.19% and 88.87% of the variance. Cronbach's alpha (0.9123 and 0.9383) indicated excellent internal consistency. The CFA showed an adequate fit (NFI 0.941 and 0.918, RMSEA 0.048 and 0.053, SRMR 0.037 and 0.044, CFI 0.879 and 0.913). The correlation coefficient was excellent (0.92). Conclusions: The SEGHNP versions of IMPACT-III and IMPACT-III-P are valid and reliable instruments for Spanish p-IBD families.

show abstract

Section: Discussionmentioning

confidence: 99%

Transcultural adaptation and validation of IMPACT-III and IMPACT-III-P in Spanish families: A multicenter study from SEGHNP

Rodríguez-Belvís,

Palomino,

Muncunill

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…As with treating IBD, a biopsychosocial approach to treating CRPS is therefore critical ( 8 ). PT and CBT have notable evidence of effectiveness, and recent CRPS literature reviews conclude that a combination of PT plus CBT is the most efficacious ( 1 , 9 , 10 ).…”

Section: Discussionmentioning

confidence: 99%

A Biopsychosocial Approach to Complex Regional Pain Syndrome in a Pediatric Inflammatory Bowel Disease Patient

Sehdev

Zoffness

Fritz³

et al. 2023

JPGN Reports

View full text Add to dashboard Cite

Pediatric chronic pain is typically framed as a purely biomedical problem requiring exclusively biomedical solutions. However, research indicates that pain is biopsychosocial, produced and reduced by a combination of biological, psychological, sociological, and environmental factors, and that treatment must therefore also be biopsychosocial, incorporating interventions such as pain psychology and physical therapy. We report a case of a 16-year-old patient with Crohn disease and complex regional pain syndrome, and the multidisciplinary approach to care that was crucial for his return to function.

show abstract

“…In fact, nearly 25% of adolescents with IBD have symptoms of depression, and most go unrecognized without intentional screening and evaluation [ 3 ]. Internalizing symptoms, in turn, are associated with increased pain frequency and severity and greater pain impact in pediatric IBD [ 4 , 5 ], as well as lower health-related quality of life [ 6 ]. In adolescents with IBD, depression correlates with pain, diarrhea, and weight loss [ 7 ].…”

Section: Making the Case For Inclusion Of A Psychologist In Ibd Carementioning

confidence: 99%

Leveraging Institutional Support to Build an Integrated Multidisciplinary Care Model in Pediatric Inflammatory Bowel Disease

Schurman

Friesen

2021

Children

View full text Add to dashboard Cite

While the biopsychosocial nature of inflammatory bowel disease (IBD) is now well accepted by clinicians, the need for integrated multidisciplinary care is not always clear to institutional administrators who serve as decision makers regarding resources provided to clinical programs. In this commentary, we draw on our own experience in building successful integrated care models within a division of pediatric gastroenterology (GI) to highlight key considerations in garnering initial approval, as well as methods to maintain institutional support over time. Specifically, we discuss the importance of making a strong case for the inclusion of a psychologist in pediatric IBD care, justifying an integrated model for delivering care, and addressing finances at the program level. Further, we review the benefit of collecting and reporting program data to support the existing literature and/or theoretical projections, demonstrate outcomes, and build alternative value streams recognized by the institution (e.g., academic, reputation) alongside the value to patients. Ultimately, success in garnering and maintaining institutional support necessitates moving from the theoretical to the practical, while continually framing discussion for a nonclinical/administrative audience. While the process can be time-consuming, ultimately it is worth the effort, enhancing the care experience for both patients and clinicians.

show abstract

Biopsychosocial Correlates of Presence and Intensity of Pain in Adolescents With Inflammatory Bowel Disease

Cited by 11 publications

References 46 publications

Transcultural adaptation and validation of IMPACT-III and IMPACT-III-P in Spanish families: A multicenter study from SEGHNP

Transcultural adaptation and validation of IMPACT-III and IMPACT-III-P in Spanish families: A multicenter study from SEGHNP

A Biopsychosocial Approach to Complex Regional Pain Syndrome in a Pediatric Inflammatory Bowel Disease Patient

Leveraging Institutional Support to Build an Integrated Multidisciplinary Care Model in Pediatric Inflammatory Bowel Disease

Contact Info

Product

Resources

About