Mackner Laura M, Crandall Wallace V, Szigethy Eva M
Division of Psychology, Department of Pediatrics, Columbus Children's Hospital and The Ohio State University, Columbus, Ohio 43205, USA.
Inflamm Bowel Dis. 2006 Mar;12(3):239-44. doi: 10.1097/01.MIB.0000217769.83142.c6.
The purpose of this article is to review research on psychosocial functioning in pediatric inflammatory bowel disease (IBD) and to provide recommendations for future research.
A literature search was conducted using the MEDLINE and PsychInfo computerized databases and bibliographies of relevant articles.
Compared with healthy children, children with IBD are at greater risk of difficulties behavioral/emotional functioning, particularly depression and anxiety, social functioning, and self-esteem. Conflicting results have been reported for the areas of family dysfunction and body image, and few studies have been published in the areas of stress and coping and eating problems. Psychosocial difficulties are clinically significant in only a subset of those with IBD and are generally similar to those found in other pediatric chronic illnesses.
The scant existing research limits conclusions about which children are most likely to experience problems. Future research should investigate a range of psychosocial outcomes, including developmentally appropriate outcomes for adolescents, and risk factors for developing problems. Prevention and intervention strategies aimed at improving psychosocial functioning in children with IBD should be developed and evaluated.
本文旨在回顾关于儿童炎症性肠病（IBD）心理社会功能的研究，并为未来研究提供建议。
使用MEDLINE和PsychInfo计算机数据库以及相关文章的参考文献进行文献检索。
与健康儿童相比，IBD患儿在行为/情绪功能、尤其是抑郁和焦虑、社交功能及自尊方面出现问题的风险更高。关于家庭功能障碍和身体意象方面的研究结果存在冲突，而在压力与应对以及饮食问题领域发表的研究较少。心理社会问题仅在一部分IBD患儿中具有临床意义，并且通常与其他儿童慢性疾病中发现的问题相似。
现有的少量研究限制了我们对哪些儿童最有可能出现问题的结论。未来的研究应调查一系列心理社会结果，包括适合青少年发育阶段的结果，以及出现问题的风险因素。应制定并评估旨在改善IBD患儿心理社会功能的预防和干预策略。
Zotero 插件