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Journal of Pediatric Psychology Advance Access published online on March 31, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj023
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received July 29, 2004
Revised February 23, 2005
Accepted March 7, 2005

Article

Brief Report: Psychosocial Adjustment in Adolescents with Inflammatory Bowel Disease

Laura M. Mackner PhD1* and Wallace V. Crandall MD2

1 Division of Psychology, Department of Pediatrics, The Ohio State University, and
2 Division of Gastroenterology, Department of Pediatrics, The Ohio State University

* To whom correspondence should be addressed.
Laura M. Mackner, E-mail: macknerl{at}chi.osu.edu


  Abstract

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.

Keywords: adolescent development; inflammatory bowel disease; psychosocial adjustment.
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