Department of Internal Medicine, Division of Gastroenterology, Rush University Medical Center, Chicago, Illinois.
Department of Pediatrics and Communicable Diseases, Division of Pediatric Gastroenterology, University of Michigan Medical School, University of Michigan, Ann Arbor, Michigan.
Clin Gastroenterol Hepatol. 2014 Dec;12(12):2055-62.e1. doi: 10.1016/j.cgh.2014.03.032. Epub 2014 Apr 12.
BACKGROUND & AIMS: Successful adjustment to college is required for academic success. We investigated whether inflammatory bowel disease (IBD) activity affects this adjustment process.
We created an online survey that included a Student Adaptation to College Questionnaire (SACQ), a general quality of life survey (SF-12), a disease-specific short IBD quality of life survey (SIBDQ), and disease activity indices. Undergraduate students across the United States were recruited via social media.
Surveys were completed by 65 students with Crohn's disease (CD), 28 with ulcerative colitis, and 214 healthy students (controls). Disease-specific quality of life (SIBDQ results) correlated with IBD disease activity (rho = -0.79; P < .0001). High college adjustment scores (SACQ results) were associated with high SIBDQ scores. Students with IBD had lower mean SACQ scores than controls (307 vs 290; P < .0001). There was a modest inverse correlation between CD activity and SACQ (rho = -0.24; P < .04). Disease activity in students with CD was associated strongly with their self-reported ability to keep up with academic work (P < .0089) and confidence in their ability to meet future academic challenges (P < .0015). Students with active IBD reported feeling as if they were not academically successful (P < .018), and students with ulcerative colitis reported irregular class attendance (P < .043).
Students with IBD do not adjust to college as well as healthy students. Disease activity affects their adjustment and attitudes about academics-especially among students with CD. Successful adjustment is important for academic success, affecting graduation rates and future economic success. Strategies to increase disease control and provide social and emotional support during college could improve adjustment to college and academic performance, and increase patients' potential.
成功适应大学生活是取得学业成功的必要条件。我们研究了炎症性肠病（IBD）的活动是否会影响这一适应过程。
我们创建了一个在线调查，其中包括大学生适应调查问卷（SACQ）、一般生活质量调查（SF-12）、疾病特异性短 IBD 生活质量调查（SIBDQ）和疾病活动指数。通过社交媒体招募了美国各地的本科生。
共完成了 65 例克罗恩病（CD）、28 例溃疡性结肠炎和 214 例健康学生（对照组）的调查。疾病特异性生活质量（SIBDQ 结果）与 IBD 疾病活动相关（rho=-0.79；P<.0001）。高大学适应评分（SACQ 结果）与高 SIBDQ 评分相关。IBD 患者的平均 SACQ 评分低于对照组（307 对 290；P<.0001）。CD 活动与 SACQ 呈适度负相关（rho=-0.24；P<.04）。CD 患者的疾病活动与他们自我报告的保持学业能力（P<.0089）和对未来学术挑战的信心（P<.0015）密切相关。患有活动性 IBD 的学生报告说，他们感觉自己在学业上没有成功（P<.018），患有溃疡性结肠炎的学生报告说他们不规则地参加课程（P<.043）。
IBD 患者不如健康学生适应大学生活。疾病活动会影响他们的适应和对学业的态度——尤其是在 CD 患者中。成功适应对于学业成功很重要，影响毕业率和未来的经济成功。在大学期间增加疾病控制并提供社会和情感支持的策略可以改善适应大学生活和学业成绩，并增加患者的潜力。
