Illness-specific anxiety: implications for functioning and utilization of medical services in adolescents with inflammatory bowel disease

J Spec Pediatr Nurs. 2011 Jul;16(3):207-15. doi: 10.1111/j.1744-6155.2011.00292.x. Epub 2011 May 31.

Abstract

PURPOSE. Adolescents with inflammatory bowel disease (IBD) may be at heightened risk for developing anxiety and depression. This cross-sectional pilot study examined the relationship between anxiety and depression and health-related behaviors. METHODS. Thirty-six adolescents with diagnosed IBD, ages 12-17, and their parents were recruited from two pediatric gastroenterology medical centers. RESULTS. Clinical levels of anxiety (22%) and depressive symptoms (30%) were reported by patients. Regression analyses revealed that IBD-specific anxiety was significantly associated with greater utilization of medical services and worsened psychosocial functioning. PRACTICE IMPLICATIONS. Results provide preliminary support that IBD-specific anxiety may play an important role in disease management, yet concerns are rarely systematically assessed by health professionals.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adolescent Health Services / statistics & numerical data*
  • Adult
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / therapy*
  • Caregivers / psychology
  • Causality
  • Child
  • Comorbidity
  • Cross-Sectional Studies
  • Depression / diagnosis
  • Depression / epidemiology
  • Depression / therapy*
  • Female
  • Humans
  • Inflammatory Bowel Diseases / diagnosis
  • Inflammatory Bowel Diseases / epidemiology
  • Inflammatory Bowel Diseases / psychology*
  • Inflammatory Bowel Diseases / therapy*
  • Male
  • New York City / epidemiology
  • Parent-Child Relations
  • Pilot Projects
  • Quality of Life
  • Severity of Illness Index
  • Sickness Impact Profile
  • Social Adjustment
  • Stress, Psychological
  • Surveys and Questionnaires
  • United States / epidemiology