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Maternal psychiatric disorders in pediatric inflammatory bowel disease and cystic fibrosis
P M Burke1, S Kocoshis, D Neigut
1Western Psychiatric Institute and Clinic, Pittsburgh.
Insights
Mothers of children with inflammatory bowel disease (IBD) and cystic fibrosis (CF) have high rates of lifetime depression. IBD mothers reported more suicide attempts and obsessive-compulsive disorder, while CF mothers experienced more panic attacks.
Area of Science:
- Pediatric Health
- Psychiatry
- Gastroenterology
Background:
- Maternal mental health significantly impacts child health outcomes.
- Inflammatory bowel disease (IBD) and cystic fibrosis (CF) are chronic pediatric conditions.
- Understanding the psychological burden on caregivers is crucial for comprehensive care.
Purpose of the Study:
- To compare the lifetime prevalence of psychiatric disorders in mothers of children with IBD versus CF.
- To identify specific mental health challenges faced by mothers of children with these chronic illnesses.
Main Methods:
- A-SADS interviews were administered to mothers of children diagnosed with IBD (n=72) and CF (n=44).
- Lifetime history of depression, suicide gestures/attempts, obsessive-compulsive disorder, and panic attacks were assessed.
Main Results:
- 51% of IBD mothers and 41% of CF mothers reported a history of depression.
- Mothers of children with IBD had higher rates of suicide gestures/attempts and obsessive-compulsive disorder compared to CF mothers.
- Mothers of children with CF were more likely to report a history of panic attacks.
Conclusions:
- Mothers of children with IBD and CF experience significant lifetime psychiatric morbidity, particularly depression.
- Distinct patterns of psychiatric history exist between mothers of IBD and CF patients, suggesting condition-specific caregiver support needs.
- Further research into targeted interventions for maternal mental health in chronic pediatric diseases is warranted.
Abstract:
The mothers of 72 children and adolescents with inflammatory bowel disease (IBD) and 44 mothers of children and adolescents with cystic fibrosis (CF) were given A-SADS interviews. Fifty-one percent of IBD mothers and 41% of cystic fibrosis mothers had a lifetime history of depression. More IBD than CF mothers had a history of suicide gestures or attempts, and were more likely to have a history of obsessive compulsive disorder. However, CF mothers were more likely to have experienced panic attacks.