Journal of Pediatric Psychology Advance Access originally published online on March 31, 2005
Journal of Pediatric Psychology 2006 31(3):281-285; doi:10.1093/jpepsy/jsj023
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Brief Report: Psychosocial Adjustment in Adolescents with Inflammatory Bowel Disease
1 Division of Psychology, Department of Pediatrics, The Ohio State University, and 2 Division of Gastroenterology, Department of Pediatrics, The Ohio State University
All correspondence concerning this article should be addressed to Laura M. Mackner, Psychology Department, Columbus Children’s Hospital, 700 Children’s Drive, Columbus, Ohio 43205. E-mail: macknerl{at}chi.osu.edu
Received July 29, 2004; revision received December 13, 2004 and February 23 2005; accepted March 7, 2005
Background Inflammatory bowel disease (IBD) is an ideal disease for investigating adolescent adjustment to chronic illness, given its embarrassing, socially limiting, appearance-changing symptoms and adolescent onset. Objective To compare psychosocial adjustment among adolescents with a chronic illness to that of healthy adolescents and examine the role of adolescent disease onset. Methods Participants were 50 adolescents with IBD and their parents, and parents of 42 healthy comparison adolescents who completed questionnaires assessing behavioral, emotional, social, and family functioning. Results Adolescents with IBD were reported to have worse anxious and/or depressed and social problems than healthy adolescents. More adolescents with IBD were reported to have clinically significant social problems. Those diagnosed during adolescence were reported to have significantly worse social competence scores. Conclusions Adolescents with a chronic illness such as IBD may be at higher risk for specific psychosocial difficulties than healthy adolescents. Diagnosis of a chronic illness during adolescence may have implications for social functioning.
Key words: adolescent development; inflammatory bowel disease; psychosocial adjustment.
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