parental psychological factors and quality of life of children with inflammatory bowel disease
Open accessAbstract
OBJECTIVES: Parents have a central role in the management of children with inflammatory bowel disease (IBD). Alterations in parental psychological well-being may affect the patient's health-related quality of life (HRQoL). This study aimed to evaluate the correlation between maternal and paternal distress, anxiety, depression and pain catastrophizing and the HRQoL of patients with IBD. METHODS: Children with IBD ages 8 to 18 years and their parents were prospectively recruited. Children answered questionnaires on HRQoL while parents completed an assessment of distress, anxiety, depression, and pain catastrophizing. Univariate and multivariate regression models analysis were used to evaluate correlations between parental measures and patient's HRQoL and between the factors related to children health and parental psychological suffering. RESULTS: One hundred patients (45 Crohn disease, 55 ulcerative colitis), 90 mothers and 62 fathers were enrolled. Parents had high levels of distress while anxiety, depression, and pain catastrophizing levels were relatively low. Parental distress had the most substantial correlation with children's HRQoL and was associated with patients' disease activity and recent flares. On multivariate regression analysis, parental factors explained less than 20% of the variance in the children's HRQoL scores. Mothers suffered from psychological alterations more frequently than fathers, but the parental inter-rater agreement was strong in regards to distress and anxiety. CONCLUSIONS: Parental distress is high and correlates with the HRQoL of children with IBD. Interventions aimed at evaluating and managing parental distress should be considered during the management of children with IBD.
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Parent behaviours are an important predictor of a child's report of pain intensity in IBD samples.
“Moreover, parent behaviours have also been shown to be an important predictor of a child’s report of pain intensity in IBD samples [8,9,10].”
From Online Acceptance and Commitment Therapy and Nutrition Workshop for Parents of Children with Inflammatory Bowel Disease: Feasibility, Acceptability, and Initial Effectiveness. (2021) · cites this paper as [10]
The Discussion (page unavailable) says parental pain catastrophizing did not correlate with patients’ reported pain, contrary to the claim that parent behaviours predict children’s reported pain intensity. The paper instead reports an association between parental pain catastrophizing and parental distress. (LLM, conf=0.87)
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- Authors
- Bramuzzo, M., De Carlo, C., Arrigo, S., Pavanello, P. M., Canaletti, C., Giudici, F., Agrusti, A., Martelossi, S., Di Leo, G., & Barbi, E.
- Affiliations
- IRCCS Materno Infantile Burlo Garofolo (IT)
- University of Trieste Trieste
- Istituto Giannina Gaslini (IT)
- Ca' Foncello Hospital (IT)
- A.M.I.C.I. Italia Onlus Trieste
- University of Padua (IT)
- University of Trieste (IT)
- Gastroenterology, Digestive Endoscopy and Clinical Nutrition Unit Institute for Maternal and Child Health ‐ IRCCS ’Burlo Garofolo’ Trieste
- Corresponding author
- Bramuzzo, Matteo
- Barbi, Egidio
- Venue
- Journal of Pediatric Gastroenterology and Nutrition
- Publisher
- Wiley
- Published
- 2020-02
- Volume
- 70
- Issue
- 2
- Pages
- 211-217
- ISSN
- 0277-2116 (ISSN-L)
- 1536-4801
- OpenAlex
- W2984143964
- Cited by
- 28
- References
- 38
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 2
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
- PubMed (publishedVersion)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion, other-oa)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- inflammatory bowel disease, pediatric inflammatory bowel disease, parental psychological distress, parental anxiety, parental depression, pain catastrophizing, health-related quality of life, Crohn's disease, ulcerative colitis, parental distress, disease activity, gender differences in parenting
- MeSH terms
- Adolescent, Child, Colitis, Ulcerative, Humans, Parents, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Inflammatory Bowel Diseases
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