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Low prevalence of behavioural and emotional problems among Swiss paediatric patients with inflammatory bowel disease

Denise Herzog1, Markus A Landolt, Patrick Buehr

  • 1Division of Paediatric Gastroenterology, Canton Hospital of Fribourg, Switzerland.

Archives of Disease in Childhood
|October 23, 2012
PubMed

Insights

Children with inflammatory bowel disease (IBD) show low rates of emotional and behavioral adjustment problems. These issues are comparable to those found in the general youth population, suggesting IBD itself may not significantly impact these areas.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Chronic Disease Management

Background:

  • Inflammatory bowel disease (IBD) diagnosis in children can raise concerns about potential behavioral and emotional maladjustment.
  • Previous research on the prevalence of these issues in pediatric IBD populations has yielded conflicting results.

Purpose of the Study:

  • To evaluate emotional and behavioral adjustment in pediatric patients with IBD.
  • To investigate potential associations between adjustment issues and clinical/demographic factors in this cohort.

Main Methods:

  • Analysis of data from the Swiss IBD Cohort Study.
  • Utilized parent-rated Strengths and Difficulties Questionnaire (SDQ) and self-reported Child Depression Inventory (CDI) for 126 pediatric IBD patients.

Main Results:

  • Overall abnormal SDQ scores (11.4%) were similar to the general population (10%).
  • Higher rates of abnormal sub-scores were noted for emotional problems (20.2%) and peer issues (17.1%).
  • Clinical depression prevalence, assessed by CDI, was lower in IBD patients than in healthy youth; no correlations were found with disease characteristics.

Conclusions:

  • Pediatric IBD patients in Switzerland exhibit a low prevalence of behavioral and emotional adjustment problems.
  • The observed rates are comparable to the general population, indicating no significant increase in maladjustment solely due to IBD.
Abstract

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