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A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease.

Research paper by Rachel Neff RN Greenley, Kevin A KA Hommel, Justin J Nebel, Tara T Raboin, Shun-Hwa SH Li, Pippa P Simpson, Laura L Mackner

Indexed on: 04 Feb '10Published on: 04 Feb '10Published in: Journal of pediatric psychology



Abstract

To conduct a meta-analytic review of psychosocial adjustment of youth with inflammatory bowel disease (IBD).Nineteen studies with a total of 1167 youth with IBD (M age = 14.33, 50% female) were included. Effect size (ES) estimates were calculated for anxiety symptoms & disorders, depressive symptoms & disorders, internalizing symptoms & disorders, externalizing symptoms, quality of life (QOL), social functioning, and self-esteem. Separate ESs were calculated for comparisons between IBD and youth with chronic illnesses versus healthy youth.Youth with IBD had higher rates of depressive disorders and internalizing disorders than youth with other chronic conditions. Youth with IBD had higher parent-reported internalizing symptoms, lower parent- and youth-reported QOL, and lower youth-reported social functioning compared to healthy youth.Clinical attention to depressive disorders, QOL, and social functioning may be particularly salient in the context of pediatric IBD.