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[Inflammatory bowel diseases-the biopsychosocial reality in childhood and adolescence]
Kathrin Krohn1, Michaela Pfeifer2, Petra Manzey2
1Abteilung Pädiatrische Gastroenterologie und Hepatologie, Integriertes Sozialpädiatrisches Zentrum (iSPZ) im Dr. von Haunerschen Kinderspital, Klinikum der Ludwig-Maximilians Universität München, Lindwurmstr. 4, 80337, München, Deutschland. Kathrin.Krohn@med.uni-muenchen.de.
Insights
Inflammatory bowel diseases (IBD) in children present significant psychosocial challenges, impacting quality of life and mental health. An interdisciplinary approach is crucial for managing these complex pediatric conditions.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
Background:
- The prevalence of pediatric inflammatory bowel diseases (IBD) is increasing globally.
- IBD in children and adolescents is characterized by unpredictable disease courses and flares.
Purpose of the Study:
- To review the psychosocial consequences and risks associated with pediatric IBD.
- To contextualize these psychosocial aspects within essential medical management.
Main Methods:
- Review of current literature on pediatric IBD.
- Synthesis of medical, diagnostic, and therapeutic information.
- Analysis of psychosocial impacts on young patients and families.
Main Results:
- Pediatric IBD significantly impairs quality of life, social interactions, and educational attainment.
- Children and adolescents with IBD face an elevated risk of mental health issues.
- The multifaceted nature of IBD, including symptoms, complications, and treatments, poses challenges.
Conclusions:
- An interdisciplinary healthcare team is essential for addressing the comprehensive needs of pediatric IBD patients and their families.
- Integrated care involving medical doctors, psychologists, social workers, dietitians, and nurses is vital.
Abstract:
The prevalence of inflammatory bowel diseases (IBD) in children is rising. These complex diseases typically take an unpredictable course with disease flares. This review serves to illustrate the psychosocial consequences and risks of inflammatory bowel diseases in children and adolescents against the background of the essential medical aspects.Pediatric gastroenterologists should perform diagnostic procedures and medical care. Central elements of diagnostic workup include upper and lower endoscopy with multiple biopsies and imaging procedures. Therapeutic options comprise immunomodulating and immunosuppressive agents, nutrition therapy and surgical interventions. With its various symptoms, complications, diagnostic procedures, and therapies, including side effect concerns, the disease is challenging for young patients and their families. Quality of life, social life, and education may be impaired. There is also an increased risk for mental-health problems. An interdisciplinary approach with the involvement of various healthcare professions such as medical doctors, psychologists, social workers, dieticians, and nurses is necessary to satisfy the needs of children and adolescents with these complex medical conditions and their families.
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