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Psychological Traits and Social Factors Associated with Irritable Bowel Syndrome in Children
Daniela Pop1,2, Ida Maria Lisa Aka3, Radu Samuel Pop1,2
1Third Pediatric Discipline, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.
Insights
Psychological factors like anxiety and impaired emotional regulation, alongside negative family events, are significant risk factors for pediatric Irritable Bowel Syndrome (IBS). These elements are crucial for effective clinical assessment and management of childhood IBS.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
- Mental Health
Background:
- Irritable Bowel Syndrome (IBS) and mental health disorders are prevalent in children.
- Understanding risk factors is crucial for effective management.
Purpose of the Study:
- To evaluate psychological and social risk factors for pediatric IBS.
- To correlate these factors with gastrointestinal symptoms.
Main Methods:
- Included 24 children (aged 4-18) diagnosed with IBS (Rome IV criteria).
- Utilized questionnaires for gastrointestinal symptoms and psychological assessments.
- Collected data from both children and parents.
Main Results:
- Anxiety affected 54.2% and depression 12.5% of pediatric IBS patients.
- Higher abdominal pain intensity was noted in children without anxiety (p=0.04).
- Impaired emotional self-regulation (54.2%) and stress-related vegetative symptoms (41.6%) were common. Adverse family events reported by 70.8%.
Conclusions:
- Psychological traits and adverse family events are key risk factors for pediatric IBS.
- These factors necessitate systematic integration into clinical evaluation and treatment plans.
Abstract:
Irritable bowel syndrome (IBS) and mental health disorders represent common and significant health concerns in pediatric populations.
Objectives:
This study aimed to evaluate psychological and social risk factors associated with IBS in children and to identify correlations with their gastrointestinal symptoms.
Materials And Methods:
Children aged 4 to 18 years diagnosed with IBS according to Rome IV criteria were eligible for inclusion. Both patients and parents completed a comprehensive questionnaire detailing gastrointestinal symptom characteristics. Additionally, all children underwent psychological assessment.
Results:
The study included 24 children with IBS, with a mean age of 12.7 ± 3.4 years. Anxiety was present in 54.2% of cases, and depression in 12.5%. Comparing children with IBS and anxiety to those without these, no statistically significant differences emerged regarding the duration and frequency of abdominal pain; however, abdominal pain intensity was significantly higher in children without anxiety (p = 0.04). The duration of IBS symptoms did not significantly differ in children with or without anxiety (p = 0.21). Impaired emotional self-regulation was identified in 54.2% of participants, and 41.6% exhibited vegetative symptoms in response to stress. Furthermore, 70.8% of parents and/or children reported experiencing a negative family event.
Conclusions:
The findings suggest that psychological characteristics and adverse family events are important risk factors associated with pediatric IBS. These factors should be systematically considered as integral components of clinical assessment and management.
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