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Illness Stigma, Worry, Intrusiveness, and Depressive Symptoms in Youth With Inflammatory Bowel Disease.
Roberts, Caroline M; Baudino, Marissa N; Gamwell, Kaitlyn L; Edwards, Clayton S; Traino, Katherine A; Tung, Jeanne; Grunow, John E; Jacobs, Noel J; Mullins, Larry L; Chaney, John M.
Afiliación
  • Roberts CM; Oklahoma State University Center for Pediatric Psychology, Stillwater.
  • Baudino MN; Oklahoma State University Center for Pediatric Psychology, Stillwater.
  • Gamwell KL; Oklahoma State University Center for Pediatric Psychology, Stillwater.
  • Edwards CS; Oklahoma State University Center for Pediatric Psychology, Stillwater.
  • Traino KA; Oklahoma State University Center for Pediatric Psychology, Stillwater.
  • Tung J; University of Oklahoma Children's Physicians Pediatric Gastroenterology, Oklahoma City.
  • Grunow JE; University of Oklahoma Children's Physicians Pediatric Gastroenterology, Oklahoma City.
  • Jacobs NJ; University of Oklahoma Children's Physicians General and Community Pediatrics, Oklahoma City, OK.
  • Mullins LL; Oklahoma State University Center for Pediatric Psychology, Stillwater.
  • Chaney JM; Oklahoma State University Center for Pediatric Psychology, Stillwater.
J Pediatr Gastroenterol Nutr ; 72(3): 404-409, 2021 03 01.
Article en En | MEDLINE | ID: mdl-32925549
BACKGROUND: Youth who experience IBD-associated stigma may manifest increased worry about aversive symptoms that can intrude on their participation in routine activities (eg, school, social events), potentially resulting in limited opportunities for reinforcement and increased depressive symptoms. The present study examined an IBD stigma → IBD worry → illness intrusiveness → depressive symptoms serial mediation model, in which stigma was hypothesized to confer an indirect effect on youth depressive symptoms through the serial effects of stigma on IBD worry and illness intrusiveness. METHODS: Youth with IBD (N = 90) between the ages of 10 and 18 years were recruited from a pediatric gastroenterology clinic and completed measures of IBD stigma, IBD worry, illness intrusiveness, and depressive symptoms. RESULTS: In addition to several independent direct effects among the modeled variables, results revealed a significant IBD stigma → IBD worry → illness intrusiveness → depressive symptoms serial mediation path (effect = 0.63, 95% CI = 0.22 to 1.20), controlling for youth sex and IBD severity. CONCLUSIONS: The experience of IBD-related stigma may prompt increased worry about IBD symptoms, independent of the influence of disease activity. Further, heightened worry appears to amplify youths' experience of IBD-imposed limitations on routine and rewarding activities, increasing their risk for experiencing depressive symptoms. Our findings highlight the importance of regular screening for depressive symptoms, as well as the identification of potential risk factors associated with emotional adjustment difficulties. Stigma-specific treatment modules could be integrated within existing cognitive-behavioral approaches for reducing worry and depressive symptoms in youth with IBD.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Inflamatorias del Intestino / Colitis Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: J Pediatr Gastroenterol Nutr Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Inflamatorias del Intestino / Colitis Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: J Pediatr Gastroenterol Nutr Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos