Determinants of quality of life and psychosocial adjustment to pediatric inflammatory bowel disease: A systematic review focused on Crohn's disease

Touma, Nathalie; Varay, Caroline; Baeza-Velasco, Carolina

doi:10.1016/j.jpsychores.2020.110354

Cited by 12 publications

(20 citation statements)

References 69 publications

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“…The influence of gender on depression in IBD still needs further discussion. IBD-induced depression and other psychiatric problems affect the development of children and adolescents [ 27 ]. These problems need to be prevented since they may induce the risk of suicide in the elderly [ 28 ].…”

Section: Ibd and Depressionmentioning

confidence: 99%

Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease

Chen

Bao

et al. 2021

J Neuroinflammation

120

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Inflammatory bowel disease (IBD), which mainly includes ulcerative colitis (UC) and Crohn's disease (CD), is a group of chronic bowel diseases that are characterized by abdominal pain, diarrhea, and bloody stools. IBD is strongly associated with depression, and its patients have a higher incidence of depression than the general population. Depression also adversely affects the quality of life and disease prognosis of patients with IBD. The tryptophan-kynurenine metabolic pathway degrades more than 90% of tryptophan (TRP) throughout the body, with indoleamine 2,3-dioxygenase (IDO), the key metabolic enzyme, being activated in the inflammatory environment. A series of metabolites of the pathway are neurologically active, among which kynerunic acid (KYNA) and quinolinic acid (QUIN) are molecules of great interest in recent studies on the mechanisms of inflammation-induced depression. In this review, the relationship between depression in IBD and the tryptophan-kynurenine metabolic pathway is overviewed in the light of recent publications.

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Section: Ibd and Depressionmentioning

confidence: 99%

Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease

Chen

Bao

et al. 2021

J Neuroinflammation

120

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“…“Pain talk” can be defined as a triadic collaborative process of communication between nurses, children, and parents, requiring confidence and involving participants both talking and attending to children and parents about their pain and creating opportunities for the children and parents to engage in a reciprocal way. It was a welcome finding that the emphasis was placed on triadic communication rather than just dyadic (nurse‐to‐child, mother‐to‐child; 5 , 22 ) or dyadic (nurse‐to‐parent) with no involvement of the child 23 . Our study findings demonstrated multi‐fold aims of “pain talk” regarding improving communication about children's pain.…”

Section: Discussionmentioning

confidence: 99%

“…For many, childhood pain experiences comprise acute pain incidents such as those described above, but for a minority of children and young people, instances of acute pain continue, resulting in the experience of chronic pain 3 . Some children and young people experience chronic pain as a condition 4 in itself while others experience chronic pain as part of managing a long‐term pain‐related condition such as Crohn's disease 5 . For these children and young people, pain may also be experienced as a result of acutely painful condition‐specific procedures such as injecting methotrexate, with such regular acutely painful procedures being distressing for children and young people on children's quality of life 6 …”

Section: Introductionmentioning

confidence: 99%

“…3 Some children and young people experience chronic pain as a condition 4 in itself while others experience chronic pain as part of managing a long-term pain-related condition such as Crohn's disease. 5 For these children and young people, pain may also be experienced as a result of acutely painful conditionspecific procedures such as injecting methotrexate, with such regular acutely painful procedures being distressing for children and young people on children's quality of life. 6 It is widely acknowledged that pain in children is both underreported and under-treated, even in hospital settings.…”

Section: Introductionmentioning

confidence: 99%

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“Pain talk”: A triadic collaboration in which nurses promote opportunities for engaging children and their parents about managing children’s pain

Jordan

Carter

Vasileiou

2021

Paediatric and Neonatal Pain

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Effective communication with children about pain is important and has the potential to mediate the short‐ and longer‐term effects of pain on children. Most communication studies relating to children's pain have focused on language children use to describe everyday pain experiences. However, little is known regarding how health professionals, particularly nurses, communicate with children in healthcare settings about pain. This study aimed to explore how nurses talk to children and their parents about pain and what factors influence nurses’ use of language and non‐verbal communication. A cross‐sectional mixed‐methods (predominantly qualitative) survey (“pain talk”) was conducted, comprising qualitative items about pain communication and four vignettes portraying hypothetical cases of children representing typical child pain scenarios. Participants were recruited via email, social media, newsletters, established networks, and personal contacts. A total of 141 registered (68.1%) or in‐training nurses across 11 countries with experience of managing children's pain completed the survey. Textual survey responses were analyzed using conventional qualitative content analysis. Qualitative content analysis generated a meta‐theme “Being confident and knowing how to do ‘pain talk’” and four main themes that described the functions, purpose, and delivery of “pain talk”: (a) “contextualizing and assessing,” (b) “empowering, explaining, and educating,” (c) “supporting, affirming, and confirming,” and (d) “protecting, distracting, and restoring.” “Pain talk” was a triadic collaborative communication process that required nurses to feel confident about their role and skills. This process involved nurses talking to children and parents about pain and creating engagement opportunities for children and parents. “Pain talk” aimed to promote the agency of the child and parent and their engagement in discussions and decision‐making, using information, support, and comfort. Nurses shaped their “pain talk” to the specific context of the child's pain, previous experiences, and current concerns to minimize potential distress and adverse effects and to promote optimal pain management.

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“…Esses pacientes sofrem tanto por não se sentirem saudáveis quanto pelas repercussões da doença, como as restrições alimentares, os sintomas de diarreia e o medo de usar banheiros públicos (Silva et al, 2020). Além disso, uma recente revisão sistemática com foco na DC pediátrica destacou o amplo impacto da dor abdominal no sofrimento emocional do paciente, independentemente das alterações na sua condição clínica (Touma et al, 2021). Assim, pacientes que experimentam dor durante a remissão da doença podem apresentar os mesmos níveis de sofrimento emocional que pacientes com a doença ativa que também experimentam dor (Varni et al, 2018).…”

Section: Introductionunclassified

Repercussões das Doenças Inflamatórias Intestinais no Desenvolvimento Socioemocional de Pacientes Pediátricos

Oliveira

Alvarenga²,

Paixão³

2023

PSSA

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Este estudo descreve as repercussões dos sintomas das doenças inflamatórias intestinais (DII) nas emoções, na vida escolar e nas interações sociais de pacientes pediátricos. Participaram 20 cuidadores de crianças e adolescentes com idades entre cinco e 17 anos e diagnosticados com alguma DII. Os cuidadores, que tinham entre 26 e 54 anos, forneceram informações clínicas e sociodemográficas e responderam a um questionário sobre as repercussões dos sintomas das DII na vida das crianças e dos adolescentes. A análise das frequências absolutas e relativas e o teste de aderência revelaram que os impactos dos sintomas foram significativamente maiores nas emoções quando comparados aos impactos na vida escolar e nas interações sociais (X² = 6,14; df= 2; p= 0,04). O tratamento das DII deve incluir a construção de planos terapêuticos sensíveis às necessidades psicossociais dos pacientes pediátricos.

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Determinants of quality of life and psychosocial adjustment to pediatric inflammatory bowel disease: A systematic review focused on Crohn's disease

Cited by 12 publications

References 69 publications

Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease

Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease

“Pain talk”: A triadic collaboration in which nurses promote opportunities for engaging children and their parents about managing children’s pain

Repercussões das Doenças Inflamatórias Intestinais no Desenvolvimento Socioemocional de Pacientes Pediátricos

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