Projective Personality Tests of Children with Inflammatory Bowel Disease

Krall, Vita; Szajnberg, Nathan; Hyams, Jeffrey S.; W, Treem; Davis, Patricia M.

doi:10.2466/pms.1995.80.3c.1341

Cited by 8 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is commonly believed that Crohn's disease patients have a high prevalence of psychological disorders and may have differential personality traits. It also has been suggested that psychological disorders have a negative impact on treatment response, decreasing QoL and possibly enhancing the pathogenesis of the disease 17–26. Psychological disorders clearly relate to disease activity,27 although it remains unclear whether treatment normalizes the anxiety and depression levels in patients with Crohn's disease.…”

mentioning

confidence: 99%

Remission on thiopurinic immunomodulators normalizes quality of life and psychological status in patients with Crohnʼs disease

Calvet

Gallardo

Coronas

et al. 2006

Inflammatory Bowel Diseases

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Remission on thiopurinic immunomodulators normalizes quality of life and psychological status in patients with Crohnʼs disease

Calvet

Gallardo

Coronas

et al. 2006

Inflammatory Bowel Diseases

View full text Add to dashboard Cite

show abstract

“…Although Crohn's disease does not appear to directly affect children's cognitive abilities (Engstrom, 1992;Krall, Szajnberg, Hyams, Treem, & Davis, 1995;Szajnburg et al, 1993), the nature of the illness and the prescribed treatments may have a negative effect on children's achievement in school. Special accommodations and considerations may be required for the child or adolescent with Crohn's disease.…”

Section: Psychoeducational Implicationsmentioning

confidence: 99%

Crohn's disease.

Proctor¹,

Kranzler²

1998

View full text Add to dashboard Cite

Crohn's disease and ulcerative colitis are both forms of inflammatory bowel disease (IBD), which is a mostly chronic, recurring inflammation of the large or small bowel (or both). Important differences do exist between the two diseases, however. Crohn's disease is transmural (i.e., it affects the entire thickness of the bowel wall) and can occur at any location in the gastrointestinal tract, whereas ulcerative colitis is generally limited to the mucosal lining of the large intestine (see chapter 96). The age-specific incidence rates of Crohn's disease in North America for 10-to 19-yearolds is approximately 3.5 in 100,000 and appears to be increasing in all pediatric age groups (Hofley & Piccoli, 1994). Between 20% and 40% of all Crohn's diagnoses occur during childhood and adolescence, with the average age of onset estimated to be 11.5-13.0 years (Gryboski, 1994). According to most studies, the incidence rates for boys and girls are similar (Hofley & Piccoli, 1994).Crohn's disease affects different sections of the intestinal system. The particular location of the inflammation results in corresponding physical symptoms. The majority of children with Crohn's disease have inflammation of the terminal ileum (the distal portion of the small intestine), with more than half of these patients also having inflammation in segments of the colon. Approximately 10-20% of all children with Crohn's disease are affected only in the colon, and 10-15% have diffuse small bowel disease of the proximal ileum or jejunum (the middle of the three sections of the small intestine). Fewer than 5% of patients present with gastroduodenal disease (inflammation of the stomach and duodenum; Hofley & Piccoli, 1994).The three most common symptoms of Crohn's disease are abdominal pain (95%), diarrhea (77%), and weight loss (75%; Grybosky, 1994). In addition to these symptoms, children also may present with one of three distinct patterns of symptoms that are related to the specific location of the disease. Children with inflammation of the small bowel often present with nausea, vomiting, anorexia, postprandial cramping, and symptoms of dyspepsia. Malabsorption and diarrhea are common in these cases, and these children may have an increased incidence of mineral and vitamin deficiencies, especially iron, folate, and vitamin B-12

show abstract

“…In adolescents, depressive symptoms have tended to follow the diagnosis of IBD (8,12,13), suggesting a relationship between depression and the IBD disease process. Projective personality testing in 15 youth with newly diagnosed IBD showed affective constriction suggestive of depression, although it was unclear if this was temporally related to IBD symptom onset (14). Although no studies have established causality, several etiologic factors have been proposed, including psychologic impact of the disease on body image or life style, difficulties adapting to physical changes induced by the disease and its treatment, direct brain effects of inflammation-related cytokines and the impact of exogenous steroids used to treat disease flares (15)(16)(17)(18).…”

mentioning

confidence: 99%

Depressive Symptoms and Inflammatory Bowel Disease in Children and Adolescents: A Cross‐Sectional Study

Szigethy,

Levy‐Warren,

Whitton

et al. 2004

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Objectives:This study assessed the rates of depressive symptoms in older children and adolescents with inflammatory bowel disease (IBD) and the associations between depressive symptoms and IBD disease characteristics.Methods:One hundred and two youths (aged 11–17 years) with IBD seen consecutively in a gastroenterology clinic were screened for depressive symptoms using the Children's Depression Inventory (CDI). Subjects with CDI scores ≥12 were evaluated for current psychiatric diagnoses using the Schedule for Affective Disorders and Schizophrenia for School‐Age Children—Present and Lifetime Version (K‐SADS‐PL). Disease characteristics examined included IBD type, duration, current severity, course, age at diagnosis and steroid treatment.Results:Of the total sample, 25 (24.5%) had a CDI score ≥12, consistent with clinically significant depressive symptoms. Nineteen of 25 qualified subjects participated in the K‐SADS‐PL semi‐structured interview and 16 of 19 met criteria for major or minor depressive disorder. Mean CDI scores positively correlated with age at IBD diagnosis but not with IBD type, duration or course. Youths with moderate/severe current IBD‐related symptoms had significantly higher mean CDI scores than those with inactive disease activity. Anhedonia, fatigue and decreased appetite were selectively correlated with IBD disease severity. Subjects on steroids were more likely to have CDI scores ≥12, and those with such scores were on higher doses of steroids than subjects without clinically significant depressive symptoms (both P values < 0.05).Conclusions:These findings support the recommendation that adolescents with IBD in outpatient medical care settings, particularly older adolescents and those on steroids, should be screened for depression.

show abstract

Projective Personality Tests of Children with Inflammatory Bowel Disease

Cited by 8 publications

References 3 publications

Remission on thiopurinic immunomodulators normalizes quality of life and psychological status in patients with Crohnʼs disease

Remission on thiopurinic immunomodulators normalizes quality of life and psychological status in patients with Crohnʼs disease

Crohn's disease.

Depressive Symptoms and Inflammatory Bowel Disease in Children and Adolescents: A Cross‐Sectional Study

Contact Info

Product

Resources

About