Psychosocial aspects of inflammatory bowel disease in children


Authors: E. Karásková 1;  J. Praško 2;  D. Jelenová 2;  J. Kolářová 1;  M. Hunková 2;  M. Ocisková 2;  V. Mihál 1
Authors‘ workplace: Dětská klinika FN a LF UP, Olomouc přednosta prof. MUDr. V. Mihál, CSc. 1;  Psychiatrická klinika FN a LF UP, Olomouc přednosta prof. MUDr. J. Praško, CSc. 2
Published in: Čes-slov Pediat 2016; 71 (2): 111-115.
Category: Review

Overview

Approximately 25% of patients with inflammatory bowel disease (IBD) have the onset of symptoms before the age of 21. The onset of the disease in childhood has its own specifics. The paediatric disease is more aggressive, and negatively affects the quality of life of the patients, their parents and siblings.

Recent research on paediatric IBD patients was performed in Paediatric and Psychiatric Department of University Hospital Olomouc during the years 2013–2015. The aim of the study was to compare the quality of life (questionnaires KidScreen-10 a PedsQL Family Impact Module, the presence of depression (CDI – Children´s Depression Inventory), anxiety disorders (SAD – The Scale of Anxiety in Children) and assessment of heart rate variability in children with IBD and healthy controls. The second aim of the study was to compare anxiety and depression of patient´s parents and parents of healthy children (BDI – Beck Depression Inventory and BAI – Beck Anxiety Inventory). The study included 29 children with IBD aged 13-16 years (15 boys) and 35 healthy controls.

No difference in the incidence of depression in children with IBD compared to healthy controls was found. Decreased heart rate variability was measured, which suggests a reduced adaptability to stress in children with IBD compared to healthy controls. Higher anxiety scores in mothers of IBD patients and higher scores of depression in their fathers were detected, as compared to parents of healthy controls.

Key words:
children, Crohn’s disease, ulcerative colitis, heart rate variability, psychopathology, quality of life


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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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