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Pediatric inflammatory bowel disease
1Yale Child Study Center, Yale University School of Medicine, 230 South Frontage Road, Post Office Box 207900, New Haven, CT 06510, USA. robert.king@yale.edu
Insights
Treating pediatric inflammatory bowel disease (IBD) requires understanding its psychobiologic effects across development. Optimal care involves coordinated medical, educational, and rehabilitative services, plus psychotherapy and family support.
Area of Science:
- Pediatric gastroenterology and child psychology.
Background:
- Pediatric inflammatory bowel disease (IBD) presents complex challenges impacting child development.
- Effective management necessitates a holistic approach considering psychobiologic factors.
Observation:
- IBD affects children, adolescents, and adults, with varying psychobiologic manifestations.
- Psychological and social stresses are significant components of the disorder.
Findings:
- Optimal treatment integrates medical, educational, and rehabilitative services.
- Continuity of care from knowledgeable clinicians is crucial.
- Psychotherapeutic interventions are vital for affected children and supportive casework for families.
Implications:
- Multidisciplinary care models are essential for pediatric IBD.
- Addressing the psychobiologic aspects improves patient and family outcomes.
- Early and ongoing psychosocial support enhances coping mechanisms in pediatric IBD.
Abstract:
The treatment of children and families affected by pediatric IBD requires an awareness of the diverse psychobiologic effects of the disorder over the course of child, adolescent [53], and adult development [52]. Optimal treatment requires careful coordination of various medical, educational, and rehabilitative services and concerned, empathetic, continuity of care by knowledgeable clinicians [4]. In many cases, this care must also include individual psychotherapeutic work with affected youngsters at crucial junctures to help deal with the social and psychological stresses of IBD, as well supportive casework for parents and siblings.
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