Psychosocial Issues in Pediatric Inflammatory Bowel Disease: A Clinical Report of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition.

*Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH †Department of Psychology, RosalindFranklinUniversity of Medicine and Science, North Chicago, IL ‡Division of Pediatric Gastroenterology, University of Pittsburgh, Pittsburgh, PA §Division of Developmental & Behavioral Sciences/Division of Gastroenterology, Children's MercyHospitals and Clinics, Kansas City, MO ||University of Hartford, Hartford, CT ¶Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's HospitalMedical Center, Cincinnati, OH.
Journal of pediatric gastroenterology and nutrition (Impact Factor: 2.87). 04/2013; 56(4). DOI: 10.1097/MPG.0b013e3182841263
Source: PubMed

ABSTRACT Pediatric inflammatory bowel disease(IBD) can affect many areas of psychosocial functioning, and comprehensive medical care includes consideration of psychosocial issues as well as disease factors. The purpose of this clinical report is to review research on psychosocial functioning in pediatric IBD and to provide recommendations for care providers in the areas of psychopathology, health related quality of life and social, family and school functioning. Youth with IBD are at increased risk for difficulty in all areas reviewed, and many psychosocial factors are associated with disease activity, which highlights the importance of monitoring psychosocial functioning as part of clinical care. Several interventions have empirical support or show promise for addressing psychosocial difficulty, and recommendations for monitoring and treating these issues are provided.

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Available from: Eva Szigethy, Dec 17, 2014
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    • "Extradigestive manifestations may also occur [34]. IBD has been associated with significant personal and societal costs, including depression, anxiety, social deficits, self-management difficulties, poor school functioning, decreased health-related quality of life, and increased health care expenditures [35] [36] [37] [38] [39] [40]. The presentation of IBD is frequently variable, marked by symptom flares as well as extended quiescent periods in which few symptoms occur or in which pain behaviors may be infrequent or absent. "
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