Mental Health and Psychological Functioning in Children and Adolescents with Inflammatory Bowel Disease: a Comparison with Children having Other Chronic Illnesses and with Healthy Children

Engström, Ingemar

doi:10.1111/j.1469-7610.1992.tb00891.x

Cited by 165 publications

(191 citation statements)

References 51 publications

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“…Depressed mood was also significantly associated with anxiety and impaired HRQOL and more IBD relapse in adults with IBD. 56 Several studies have found that adolescents with IBD are more depressed than children with other diseases [57][58][59][60] with rates up to 25%. 20 In adults with IBD, sleep quality was significantly inversely correlated with IBD activity 61 and could also have a significant impact on HRQOL.…”

Section: Psychosocial/psychological Factorsmentioning

confidence: 99%

Strategies to improve quality of life in adolescents with inflammatory bowel disease

Karwowski

Keljo

Szigethy

2009

Inflammatory Bowel Diseases

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Inflammatory bowel disease (IBD), which encompasses Crohn's disease (CD) and ulcerative colitis (UC), are chronic and debilitating conditions with unpredictable courses and complicated treatment. Pediatric IBD carries implications that extend beyond the health of the gastrointestinal tract. When these lifelong illnesses are diagnosed during adolescence, a critical developmental period, the transition to adulthood can be even more turbulent. Like other chronic diseases of childhood, patients with IBD are at risk for depression, anxiety, social isolation, and altered self-image, which can all negatively affect health-related quality of life (HRQOL). The review will draw from pertinent adult and pediatric literature about HRQOL over the past 10 years using a PubMed literature search to summarize instruments with which HRQOL is measured, and address factors that affect HRQOL in adolescents and young adults with IBD. Psychosocial interventions that have been utilized to improve quality of life in this population will also be covered. Identifying patients with impaired quality of life is of paramount importance, as is implementing strategies that may improve HRQOL, so that they may have an easier transition to adulthood while living with IBD.

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Section: Psychosocial/psychological Factorsmentioning

confidence: 99%

Strategies to improve quality of life in adolescents with inflammatory bowel disease

Karwowski

Keljo

Szigethy

2009

Inflammatory Bowel Diseases

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“…In children and adolescents, the symptoms and nature of CD might explain a higher risk for mental health disorders, including body image issues related to delayed growth and puberty, embarrassment, and isolation; perceived loss of control; and limited ability to participate in sports and school activities ( 23,24,35 ). Engstrom ( 36 ) found that psychiatric disorders and behavior problems were more common for children with IBD than for healthy children and children with diabetes or tension headache and that depression, anxiety, and low self-esteem were common in children with IBD. Th erefore, in addition to the eff ect of chronic comorbidities per se , CD has specifi c symptoms that are associated with great risk of psychiatric disorders in children.…”

Section: Inflammatory Bowel Diseasementioning

confidence: 99%

Increased Risks of Developing Anxiety and Depression in Young Patients With Crohn's Disease

Loftus

Guérin

et al. 2011

American Journal of Gastroenterology

123

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OBJECTIVES:Crohn ' s disease (CD) is associated with substantial psychosocial burden and increased risks for mental health disorders. This retrospective cohort study compared the risks of developing anxiety disorders and depression and incidences of psychotropic medication use between young CD patients and matched CD-free controls. METHODS:Medical claims, prescription drug claims, enrollment, and demographic data for patients < 18 years diagnosed with CD were obtained from the MarketScan database (1 January 2000 -30 June 2006). Each CD patient was matched with fi ve CD-free controls based on exact age, sex, and months of health plan enrollment. Incidence rates and risks of developing anxiety disorders and depression and psychotropic medication use in the 6 months after the index date were compared, as were risks of developing persistent anxiety or depression (receiving medical services related to a diagnosis of anxiety or depression or psychotropic therapy for > 1 year). SUPPLEMENTARY MATERIAL is linked to the online version of the paper at RESULTS: After adjustment for patient characteristics, the risks of developing anxiety disorders (hazard ratio (HR) [95 % confi dence interval (CI

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“…Para los autores de esta perspectiva el síntoma se desencadena cuando los factores psicosociales actúan sobre factores de predisposición biológica al dolor (9), (22), (34), (35).…”

Section: Enfoque Biopsicosocialunclassified

Los dolores abdominales psicógenos de la infancia: una revisión

Rodríguez

Martínez

Rivas³

2001

Rev. Asoc. Esp. Neuropsiq.

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RESUMEN: Revisión bibliográfica exhaustiva de los dolores abdominales funcionales de la infancia. Se describe su expresión clínica, el diagnóstico diferencial, la epidemiología y los enfoques explicativos biopsicosocial y evolutivopsicodinámico. PALABRAS CLAVE: dolor abdominal, psicológico, niños, epidemiología, revisión, modelos explicativos. SUMMARY: Thorough bibliographic review about the functional abdominal pain in childhood. It's described its clinic expression, differential diagnosis, epidemiology and the biopsychosocial and developmental-psychodinamic explanatory models. KEY WORDS: abdominal pain, psychological, children, epidemiology, review, explanatory models Expresión clínica del dolor abdominal funcionalEl dolor abdominal es, junto a la cefalea de tensión, la modalidad de expresión somática funcional más frecuente en la edad escolar. Son algias, acompañadas a veces de síntomas de palidez, vómitos o náuseas, que el niño suele localizar de manera vaga y poco precisa alrededor de todo su abdomen, principalmente en la región periumbilical, pero también en la región epigástrica. En ocasiones, esta localización se alterna o se irradia a otro lugar. Estos niños visitan con frecuencia los servicios médicos siendo sometidos a múltiples y costosas exploraciones que, ocasionalmente, terminan en intervenciones de apéndice innecesarias. En general, los dolores pueden atribuirse a numerosos factores y, dependiendo del sentido que tengan en cada niño, tendrán sus peculiaridades específicas.El horario y la duración del dolor es de gran variabilidad de unos casos a otros y de unos episodios a otros. A veces las coincidencias en el tiempo están ligadas a las situaciones conflictivas: hay escolares que se quejan todas las mañanas antes de ir al colegio, otros que no quieren comer y notan la tensión cuando se acerca esta hora, etc. La frecuencia de los episodios también varía considerablemente. Hay niños con crisis muy puntuales aunque severas en su intensidad y otros que se quejan de un dolor continuo de intensidad leve o moderada que persiste durante días.La condición de dolor abdominal recurrente en la infancia viene dada por unas características que, desde que fueron enunciadas por Apley en 1975 (1), permanecen aceptadas de un modo bastante generalizado: al menos tres episodios de dolor en los últimos tres meses, lo suficientemente severos en intensidad como para interferir en las actividades normales, y en los que se haya descartado una etiología orgánica conocida.

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Mental Health and Psychological Functioning in Children and Adolescents with Inflammatory Bowel Disease: a Comparison with Children having Other Chronic Illnesses and with Healthy Children

Cited by 165 publications

References 51 publications

Strategies to improve quality of life in adolescents with inflammatory bowel disease

Strategies to improve quality of life in adolescents with inflammatory bowel disease

Increased Risks of Developing Anxiety and Depression in Young Patients With Crohn's Disease

Los dolores abdominales psicógenos de la infancia: una revisión

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