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Journal of Pediatric Psychology Advance Access published online on December 6, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn116
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: The Association Between Peer Victimization, Prosocial Support, and Treatment Adherence in Children and Adolescents with Inflammatory Bowel Disease

David M. Janicke, PhD1,2, Wendy N. Gray, MS1, Nicole A. Kahhan, BS1, Katherine W. Follansbee Junger, BA1, Kristen K. Marciel, PhD2, Eric A. Storch, PhD3 and Christopher D. Jolley, MD4

1Department of Clinical and Health Psychology, University of Florida, 2Department of Psychology, University of Miami, 3Department of Pediatrics and Psychiatry, University of South Florida, and 4Department of Pediatrics, University of Florida

All correspondence concerning this article should be addressed to David M. Janicke, Department of Clinical and Health Psychology, University of Florida, Box 100165, Gainesville, FL 32610-0165, USA. E-mail: djanicke{at}phhp.ufl.edu


  Abstract

Objective To examine the relationship between peer victimization, prosocial support, and treatment adherence in children and adolescents with Inflammatory Bowel Disease (IBD). Method Thirty-eight children diagnosed with IBD, between the ages of 7–19 years, and their parents were recruited from an outpatient Gastroenterology Clinic. Each child completed the Social Experience Questionnaire. The child, parent, and treating physician completed a one-item measure of child medication adherence. Results Child reported positive social interactions moderated the relationship between child reported peer victimization and self-reported medication adherence (t = –2.09; p = .045). These relationships held when parent report of child adherence was substituted for child reported adherence in this model (t = –2.37; p = .024). Conclusions The findings from this pilot study suggest that prosocial support may buffer children with IBD from experiencing the more negative effects of peer victimization on treatment adherence and highlight the importance of social interactions in youth with IBD. Implications for treatment are discussed.

Key words: adherence; children; inflammatory bowel disease; peer victimization; social support.

Received May 29, 2008; revision received October 7, 2008; accepted October 14, 2008


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