Clinical Report
Psychosocial Issues in Pediatric Inflammatory Bowel Disease
Report of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition
Laura M. Mackner,
Rachel Neff Greenley,
Eva Szigethy,
Michele Herzer,
Kate Deer, Kevin A. Hommel,
Corresponding Author
Laura M. Mackner
Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH
Address correspondence and reprint requests to Laura M. Mackner, PhD, Center for Biobehavioral Health, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 (e-mail: [email protected]).Search for more papers by this authorRachel Neff Greenley
Department of Psychology, Rosalind-Franklin University of Medicine and Science, North Chicago, IL
Search for more papers by this authorEva Szigethy
Division of Pediatric Gastroenterology, University of Pittsburgh, Pittsburgh, PA
Search for more papers by this authorMichele Herzer
Division of Developmental and Behavioral Sciences/Division of Gastroenterology, Children's Mercy Hospitals and Clinics, Kansas City, MO
Search for more papers by this authorKevin A. Hommel
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Search for more papers by this authorLaura M. Mackner,
Rachel Neff Greenley,
Eva Szigethy,
Michele Herzer,
Kate Deer, Kevin A. Hommel,
Corresponding Author
Laura M. Mackner
Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH
Address correspondence and reprint requests to Laura M. Mackner, PhD, Center for Biobehavioral Health, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 (e-mail: [email protected]).Search for more papers by this authorRachel Neff Greenley
Department of Psychology, Rosalind-Franklin University of Medicine and Science, North Chicago, IL
Search for more papers by this authorEva Szigethy
Division of Pediatric Gastroenterology, University of Pittsburgh, Pittsburgh, PA
Search for more papers by this authorMichele Herzer
Division of Developmental and Behavioral Sciences/Division of Gastroenterology, Children's Mercy Hospitals and Clinics, Kansas City, MO
Search for more papers by this authorKevin A. Hommel
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Search for more papers by this authorThis article has been developed as a Journal CME Activity by NASPGHAN. Visit http://www.naspghan.org/wmspage.cfm?parm1=361 to view instructions, documentation, and the complete necessary steps to receive CME credit for reading this article.
This work was supported by a grant from Nationwide Children's Hospital and R01HD058317 (L.M.M.), Crohn's and Colitis Foundation of America Senior Research Award #2838 (R.N.G.), NIMH 1R01 MH077770 and DP2 OD001210 (E.S.), K23 DK079037, PHS Grant P30 DK 078392 (K.A.H.).
The authors report no conflicts of interest.
ABSTRACT
Pediatric inflammatory bowel disease (IBD) can affect many areas of psychosocial functioning, and comprehensive medical care includes consideration of psychosocial issues as well as disease factors. The purpose of this clinical report is to review research on psychosocial functioning in pediatric IBD and to provide recommendations for care providers in the areas of psychopathology, health-related quality of life, and social, family, and school functioning. Youth with IBD are at increased risk for difficulty in all areas reviewed, and many psychosocial factors are associated with disease activity, which highlights the importance of monitoring psychosocial functioning as part of clinical care. Several interventions have empirical support or show promise for addressing psychosocial difficulty, and recommendations for monitoring and treating these issues are provided.
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