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Psychosocial functioning in pediatric inflammatory bowel disease
Abstract
BACKGROUND: The purpose of this article is to review research on psychosocial functioning in pediatric inflammatory bowel disease (IBD) and to provide recommendations for future research. METHODS: A literature search was conducted using the MEDLINE and PsychInfo computerized databases and bibliographies of relevant articles. RESULTS: Compared with healthy children, children with IBD are at greater risk of difficulties behavioral/emotional functioning, particularly depression and anxiety, social functioning, and self-esteem. Conflicting results have been reported for the areas of family dysfunction and body image, and few studies have been published in the areas of stress and coping and eating problems. Psychosocial difficulties are clinically significant in only a subset of those with IBD and are generally similar to those found in other pediatric chronic illnesses. CONCLUSIONS: The scant existing research limits conclusions about which children are most likely to experience problems. Future research should investigate a range of psychosocial outcomes, including developmentally appropriate outcomes for adolescents, and risk factors for developing problems. Prevention and intervention strategies aimed at improving psychosocial functioning in children with IBD should be developed and evaluated.
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“Difficulties in IBD self-management experienced by CA include treatment non-adherence 8, 9 and impaired psychosocial function 10, 11 .”
From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [10]
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Cunningham, C., & Greenley, R. N. (2009) · Springer eBooks · doi:10.1007/978-0-387-87687-0_20 · Cited by 6
Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease
Lee, Y. J., & Oh, E. G. (2014) · Korean Journal of Adult Nursing · doi:10.7475/kjan.2014.26.4.383 · Cited by 4
Shcherbakova, O. V., Poddoubnyi, I. V., & Kozlov, M. Y. (2017) · Koloproktologia · doi:10.33878/2073-7556-2017-0-4-88-98 · Cited by 4
Pediatric Crohn's disease: epidemiology and emerging treatment options
Catto‐Smith, A. G., & Kansal, S. (2014) · Pediatric Health Medicine and Therapeutics · doi:10.2147/phmt.s45509 · Cited by 4
Kurtz, B. P., Muriel, A. C., & Abrams, A. N. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4377-1927-7.00042-x · Cited by 3
Randall, J. A., Guobyte, A., Delbecque, L., Newton, L., Symonds, T. L., & Hunter, T. M. (2020) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-020-00238-1 · Cited by 3
Measurement of Quality of Life in Pediatric Inflammatory Bowel Disease
Grant, A. K., & Otley, A. R. (2017) · Springer eBooks · doi:10.1007/978-3-319-49215-5_51 · Cited by 3
(2009) · Primary Health Care · doi:10.7748/phc.19.7.14.s26 · Cited by 3
Living with inflammatory bowel disease: a modified photovoice study of adolescent mental health
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Azevedo, S., Oliveira, M. M., Nogueira, P., & Lopes, A. I. (2025) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-025-00870-9 · Cited by 2
Screening for Psychosocial and Family Risk in Pediatric Gastrointestinal Disorders
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Paediatric IBD: the host, diet & microbes in pathogenesis & treatment: a narrative review
Dijk, S., Armstrong, H., Valcheva, R. S., & Wine, E. (2021) · Digestive Medicine Research · doi:10.21037/dmr-20-160 · Cited by 1
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Metadata
- Authors
- MacKner, L. M., Crandall, W. V., & Szigethy, E. M.
- Affiliations
- The Ohio State University (US)
- Children's Hospital of Pittsburgh (US)
- ORCID
- Szigethy, Eva M.
- Venue
- Inflammatory Bowel Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-03
- Volume
- 12
- Issue
- 3
- Pages
- 239-244
- ISSN
- 1078-0998 (ISSN-L)
- OpenAlex
- W2119287918
- Cited by
- 122
- References
- 50
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 3 · 2018: 8 · 2017: 7 · 2016: 7 · 2015: 4 · 2014: 8 · 2013: 8 · 2012: 3
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Inflammatory Bowel Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
- Keywords
- pediatric inflammatory bowel disease, psychosocial functioning
- MeSH terms
- Adaptation, Psychological, Adolescent, Body Image, Child, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Psychology, Self Concept, Inflammatory Bowel Diseases, Incidence, Sickness Impact Profile, Risk Assessment
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