Neiman Nicole, Boothroyd Derek, Anjur Kavya, Bensen Rachel, Yeh Ann Ming, Wren Ana Vanessa A
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Knoxville, TN, USA.
Inflamm Bowel Dis. 2025 May 12;31(5):1295-1305. doi: 10.1093/ibd/izae170.
Adolescents and young adults (AYAs) diagnosed with inflammatory bowel disease (IBD) are at an increased risk for poor physical and mental health due to the complexity of pediatric onset IBD and the unique developmental challenges of this period of life. Self-compassion is increasingly recognized as having an important role in explaining health outcomes and well-being across a range of populations. This study examines the relationship between self-compassion and psychosocial and physical health outcomes in AYAs with IBD.
In this cross-sectional study, AYAs with IBD aged 15 to 25 years completed an online survey between February 2020 and October 2021. Questionnaires included the Self-Compassion Scale-Short Form, Patient-Reported Outcomes Measurement Information System (PROMIS) measures for psychosocial, physical and global health outcomes, and IBD disease activity indices.
AYAs with higher levels of self-compassion were found to have better psychosocial (ie, anxiety, depressive symptoms, psychological stress, physical stress, peer relationships), physical (ie, fatigue), and global health outcomes. Self-compassion was a significant independent predictor of anxiety (β = -5.80, P = < .001), depressive symptoms (β = -7.09, P = < .001), psychological stress (β = -4.66, P = < .001), physical stress (β = -3.19, P = < .001), peer relationships (β = 3.39, P = .003), fatigue (β = -2.05, P = .019), and improved global health (β = 5.15, P = < .001).
This study offers preliminary support for the importance of self-compassion in AYAs with IBD and demonstrates the need for further research in this area.
由于儿童期发病的炎症性肠病（IBD）的复杂性以及这一生命阶段独特的发育挑战，被诊断为IBD的青少年和青年（AYAs）身心健康状况不佳的风险增加。自我同情在解释一系列人群的健康结果和幸福感方面的重要作用日益得到认可。本研究探讨了IBD青少年的自我同情与心理社会和身体健康结果之间的关系。
在这项横断面研究中，15至25岁的IBD青少年在2020年2月至2021年10月期间完成了一项在线调查。问卷包括自我同情量表简表、患者报告结果测量信息系统（PROMIS）中关于心理社会、身体和整体健康结果的测量，以及IBD疾病活动指数。
研究发现，自我同情水平较高的AYAs在心理社会（即焦虑、抑郁症状、心理压力、身体压力、同伴关系）、身体（即疲劳）和整体健康结果方面表现更好。自我同情是焦虑（β = -5.80，P <.001）、抑郁症状（β = -7.09，P <.001）、心理压力（β = -4.66，P <.001）、身体压力（β = -3.19，P <.001）、同伴关系（β = 3.39，P =.003）、疲劳（β = -2.05，P =.019）和整体健康改善（β = 5.15，P <.001）的显著独立预测因素。
本研究为自我同情在IBD青少年中的重要性提供了初步支持，并表明该领域需要进一步研究。
