炎症性肠病青少年的社会心理调整的荟萃分析综述。
A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease.
机构信息
Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA.
出版信息
J Pediatr Psychol. 2010 Sep;35(8):857-69. doi: 10.1093/jpepsy/jsp120. Epub 2010 Feb 1.
Abstract
OBJECTIVE
To conduct a meta-analytic review of psychosocial adjustment of youth with inflammatory bowel disease (IBD).
METHODS
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.
RESULTS
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.
CONCLUSIONS
Clinical attention to depressive disorders, QOL, and social functioning may be particularly salient in the context of pediatric IBD.
摘要
目的
对炎症性肠病 (IBD) 青少年的心理社会适应进行荟萃分析回顾。
方法
共纳入 19 项研究，总计 1167 名 IBD 青少年（M 年龄=14.33，50%为女性）。计算了焦虑症状和障碍、抑郁症状和障碍、内化症状和障碍、外化症状、生活质量 (QOL)、社会功能和自尊的效应量 (ES) 估计值。还分别计算了 IBD 与慢性疾病青少年和健康青少年之间的比较的 ES。
结果
与患有其他慢性疾病的青少年相比，IBD 青少年的抑郁障碍和内化障碍发生率更高。与健康青少年相比，IBD 青少年的父母报告的内化症状更多，父母和青少年报告的生活质量更低，青少年报告的社会功能更低。
结论
在儿科 IBD 背景下，对抑郁障碍、生活质量和社会功能的临床关注可能尤为重要。
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