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Parental illness encouragement behavior among children with functional gastrointestinal disorders: a factor analysis

Jennifer Verrill Schurman1, Heather L Hunter, Caroline Elder Danda

  • 1Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA. jschurman@cmh.edu

Journal of Clinical Psychology in Medical Settings
|September 5, 2012
PubMed

Insights

This study examined parental responses to childhood functional gastrointestinal disorders (FGIDs) using the Illness Behavior Encouragement Scale (IBES). Results show the IBES has two reliable scales, offering insights into parental behavior patterns.

Area of Science:

  • Pediatric Psychology
  • Gastroenterology
  • Behavioral Science

Background:

  • Functional gastrointestinal disorders (FGIDs) are common in children.
  • Parental responses can influence illness behavior and outcomes.
  • The Illness Behavior Encouragement Scale (IBES) measures parental reactions to childhood pain.

Purpose of the Study:

  • To evaluate the factor structure of the IBES in children with FGIDs.
  • To determine if the IBES scales are reliable and consistent across different reporting methods.
  • To understand parental behavior patterns in response to childhood FGIDs.

Main Methods:

  • A sample of 279 children with FGIDs and 135 primary caregivers completed the 12-item IBES.
  • Factor analysis was used to assess the scale's structure.
  • Invariance testing was conducted across parent self-report and child-report data.

Main Results:

  • The IBES demonstrated a two-factor structure, with distinct scales for parental behaviors.
  • This structure was found to be invariant between parent and child reports.
  • Findings align with previous research on similar scales in different pediatric populations.

Conclusions:

  • The IBES is a reliable measure with two distinct scales for assessing parental behavior in pediatric FGIDs.
  • Parental behaviors cluster reliably and can be measured consistently.
  • Further research should explore how these distinct parental behaviors impact FGID outcomes in children.

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