Motivational disposition towards psychological characteristics of israeli children with inflammatory bowel diseases: A case-control study.

Autor: Badarnee M; School of Psychological Sciences, Tel-Aviv University, Israel; The Psycho-Oncology Research Center, The Chaim Sheba Medical Center, Israel; The Latif Mental Health Clinics in Umm Al-Fahim and Shefa-Amr, Israel. Electronic address: muhamme5@mail.tau.ac.il., Weiss B; Sackler Faculty of Medicine, Tel-Aviv University, Israel; Pediatric Gastroenterology and Nutrition Unit, Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Israel. Electronic address: weissb@sheba.health.gov.il., Shouval D; Sackler Faculty of Medicine, Tel-Aviv University, Israel; Pediatric Gastroenterology and Nutrition Unit, Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Israel. Electronic address: Dror.Shouval@sheba.health.gov.il., Kreitler S; School of Psychological Sciences, Tel-Aviv University, Israel; The Psycho-Oncology Research Center, The Chaim Sheba Medical Center, Israel. Electronic address: krit@tauex.tau.ac.il.
Jazyk: angličtina
Zdroj: Journal of pediatric nursing [J Pediatr Nurs] 2022 Jan-Feb; Vol. 62, pp. e131-e138. Date of Electronic Publication: 2021 Aug 28.
DOI: 10.1016/j.pedn.2021.08.020
Abstrakt: Background: Psychological stress is a general and non-specific factor associated with many health conditions, including Inflammatory Bowel Diseases (IBD). It is related not only to external stressors but also to internal characteristics which enhance patients' vulnerability to stress.
Purpose: To identify specific psychological characteristics of pediatric IBD related to stress.
Design and Methods: A case-control-cohort study that compared the psychological characteristics of 49 patients and 56 comparisons. The psychological characteristics were defined by four belief types - beliefs about self, general beliefs, beliefs about norms, and goals - which refer to a set of specific themes.
Results: The belief types differentiated between the two groups, and the patients were characterized by six themes: like routines, strive to get others' love, caring about the body and the health, doing things only at their own pace, expressing negative emotion without regulations, and feeling over-identification with others. Patients' likelihood of being characterized by the themes is 2.18 to 2.90 times higher than the comparisons.
Conclusion: Children with IBD are characterized by a set of specific psychological characteristics. These characteristics were discussed mainly concerning generating chronic stress (e.g., over-identification with others) and interpersonal conflicts (e.g., doing things only at their own pace) among the patients.
Implications for Practice: It is suggested to healthcare workers to be aware of the specific psychological characteristics of children with IBD, and sensitive to these characteristics during interactions with them. Besides, the characteristics may pave the way for developing a targeted psychological intervention that corresponds specifically to the patients' needs.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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