Patient and Parent Psychosocial Factors Associated With Health-related Quality of Life in Pediatric Inflammatory Bowel Disease
| Autor: | Michele Herzer, Lee A. Denson, Kevin A. Hommel, Robert N. Baldassano |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Parents medicine.medical_specialty Adolescent Emotions Inflammatory bowel disease Article Quality of life (healthcare) medicine Humans Interpersonal Relations Psychiatry Depression (differential diagnoses) Depression business.industry Gastroenterology Inflammatory Bowel Diseases medicine.disease Mental health Ulcerative colitis digestive system diseases Parent distress Mental Health El Niño Pediatrics Perinatology and Child Health Quality of Life Regression Analysis Female business Psychosocial Stress Psychological Clinical psychology |
| Zdroj: | Journal of Pediatric Gastroenterology & Nutrition. 52:295-299 |
| ISSN: | 0277-2116 |
| DOI: | 10.1097/mpg.0b013e3181f5714e |
| Popis: | The aim of the study was to examine the mediating role of youth depressive symptoms in the relation between parent distress and youth health-related quality of life (HRQOL) in a sample of adolescents with inflammatory bowel disease (IBD).Sixty-two adolescents, ages 13 to 17 years, with a confirmed diagnosis of IBD completed assessments of depressive symptoms and HRQOL. Each adolescent's primary caregiver completed a measure of parent stress related to his or her child's illness. Pediatric gastroenterologists provided data for disease severity assessments.Multiple regression analyses revealed that adolescent depressive symptoms fully mediated the relation between parent distress and several dimensions of HRQOL (ie, general well-being, emotional functioning, social functioning, and total HRQOL). Moreover, mediation was observed after statistically controlling for the effect of disease severity, IBD diagnosis, and significant demographic parameters on HRQOL.Findings suggest that adolescent depressive symptoms may serve as the mechanism through which parent distress is linked to poorer HRQOL in adolescents with IBD. Close monitoring of parent illness-related distress and adolescent depressive symptoms, as well as clinical interventions targeting these factors, is needed to promote optimal outcomes in adolescents with IBD. |
| Databáze: | OpenAIRE |
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