DOI QR코드

DOI QR Code

Anxiety, Depression, and Quality of Life in Parents of Adolescents with Inflammatory Bowel Disease: A Longitudinal Study

  • Satomi Nomura (Division of Gastroenterology, Center for Pediatric Inflammatory Bowel Disease, National Center for Child Health and Development) ;
  • Yuri Hirano (Division of Gastroenterology, Center for Pediatric Inflammatory Bowel Disease, National Center for Child Health and Development) ;
  • Ichiro Takeuchi (Division of Gastroenterology, Center for Pediatric Inflammatory Bowel Disease, National Center for Child Health and Development) ;
  • Hirotaka Shimizu (Division of Gastroenterology, Center for Pediatric Inflammatory Bowel Disease, National Center for Child Health and Development) ;
  • Katsuhiro Arai (Division of Gastroenterology, Center for Pediatric Inflammatory Bowel Disease, National Center for Child Health and Development)
  • 투고 : 2023.05.26
  • 심사 : 2023.07.21
  • 발행 : 2023.09.15

초록

Purpose: The parents of adolescents with inflammatory bowel disease may experience impaired mental health and quality of life. This longitudinal study aimed to verify whether the mental health and quality of life of the parents of adolescents with inflammatory bowel disease declined when their children had active disease. Methods: Sociodemographic data, parental anxiety, depression, and quality of life were analyzed using validated questionnaires for each variable. After the baseline survey, the second and follow-up surveys were conducted at 3 and 12 months, respectively. The active disease group comprised eight parents whose children had active disease during the baseline and second surveys. The remission group comprised 14 parents whose children remained in remission during both surveys. The improved group comprised nine parents whose children experienced active disease at baseline and remission during the second survey. Parental mental health and quality of life were compared among the groups. Results: Significantly higher levels of anxiety were observed in the active disease group in all surveys (p<0.050). Although depression levels and quality of life did not differ significantly among the three groups, pairing the active disease group with other groups showed some large effect sizes. Conclusion: Parents tended to experience decreased mental health and quality of life when their adolescents experienced active inflammatory bowel disease. Consequently, our hypothesis was partially verified. Therefore, parents need support when their children have active disease; this finding highlights the need for parental support systems.

키워드

과제정보

This work was supported in part by a Grant-in-Aid from the National Center for Child Health and Development of the Ministry of Health, Labor, and Welfare, Japan (2019A-3 to KA).

참고문헌

  1. Carroll MW, Kuenzig ME, Mack DR, Otley AR, Griffiths AM, Kaplan GG, et al. The impact of inflammatory bowel disease in Canada 2018: children and adolescents with IBD. J Can Assoc Gastroenterol 2019;2 (Suppl 1):S49-S67. https://doi.org/10.1093/jcag/gwy056
  2. Reigada LC, Bruzzese JM, Benkov KJ, Levy J, Waxman AR, Petkova E, et al. Illness-specific anxiety: implications for functioning and utilization of medical services in adolescents with inflammatory bowel disease. J Spec Pediatr Nurs 2011;16:207-15. https://doi.org/10.1111/j.1744-6155.2011.00292.x
  3. Walter JG, Kahn SA, Noe JD, Schurman JV, Miller SA, Greenley RN. Feeling fine: anxiety and depressive symptoms in youth with established IBD. Inflamm Bowel Dis 2016;22:402-8. https://doi.org/10.1097/MIB.0000000000000657
  4. Assa A, Ish-Tov A, Rinawi F, Shamir R. School attendance in children with functional abdominal pain and inflammatory bowel diseases. J Pediatr Gastroenterol Nutr 2015;61:553-7. https://doi.org/10.1097/MPG.0000000000000850
  5. Chouliaras G, Margoni D, Dimakou K, Fessatou S, Panayiotou I, Roma-Giannikou E. Disease impact on the quality of life of children with inflammatory bowel disease. World J Gastroenterol 2017;23:1067-75. https://doi.org/10.3748/wjg.v23.i6.1067
  6. Engelmann G, Erhard D, Petersen M, Parzer P, Schlarb AA, Resch F, et al. Health-related quality of life in adolescents with inflammatory bowel disease depends on disease activity and psychiatric comorbidity. Child Psychiatry Hum Dev 2015;46:300-7. https://doi.org/10.1007/s10578-014-0471-5
  7. Kilroy S, Nolan E, Sarma KM. Quality of life and level of anxiety in youths with inflammatory bowel disease in Ireland. J Pediatr Gastroenterol Nutr 2011;53:275-9. https://doi.org/10.1097/MPG.0b013e318214c131
  8. Baudino MN, Roberts CM, Edwards CS, Gamwell KL, Tung J, Jacobs NJ, et al. The impact of illness intrusiveness and overparenting on depressive symptoms in parents of youth with inflammatory bowel disease. J Spec Pediatr Nurs 2022;27:e12362.
  9. Greenley RN, Reed-Knight B, Blount RL, Wilson HW. Dyadic confirmatory factor analysis of the inflammatory bowel disease family responsibility questionnaire. J Pediatr Psychol 2013;38:871-82. https://doi.org/10.1093/jpepsy/jst030
  10. Krauthammer A, Harel T, Zevit N, Shouval DS, Shamir R, Weiss B. Knowledge of disease and self-management of adolescents with inflammatory bowel diseases. Acta Paediatr 2020;109:2119-24. https://doi.org/10.1111/apa.15211
  11. Lindfred H, Saalman R, Nilsson S, Sparud-Lundin C, Lepp M. Self-reported health, self-management, and the impact of living with inflammatory bowel disease during adolescence. J Pediatr Nurs 2012;27:256-64. https://doi.org/10.1016/j.pedn.2011.02.005
  12. Tran L, Mulligan K. A systematic review of self-management interventions for children and adolescents with inflammatory bowel disease. Inflamm Bowel Dis 2019;25:685-98.  https://doi.org/10.1093/ibd/izy299
  13. Hommel KA, Greenley RN, Maddux MH, Gray WN, Mackner LM. Self-management in pediatric inflammatory bowel disease: a clinical report of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2013;57:250-7. https://doi.org/10.1097/MPG.0b013e3182999b21
  14. Cushman G, Shih S, Reed B. Parent and family functioning in pediatric inflammatory bowel disease. Children (Basel) 2020;7:188.
  15. Fishman LN, Barendse RM, Hait E, Burdick C, Arnold J. Self-management of older adolescents with inflammatory bowel disease: a pilot study of behavior and knowledge as prelude to transition. Clin Pediatr (Phila) 2010;49:1129-33. https://doi.org/10.1177/0009922810379042
  16. Gray WN, Graef DM, Schuman SS, Janicke DM, Hommel KA. Parenting stress in pediatric IBD: relations with child psychopathology, family functioning, and disease severity. J Dev Behav Pediatr 2013;34:237-44. https://doi.org/10.1097/DBP.0b013e318290568a
  17. Jelenova D, Prasko J, Ociskova M, Karaskova E, Hunkova M, Kolarova J, et al. Quality of life in adolescents with inflammatory bowel disease and their parents--comparison with healthy controls. Neuro Endocrinol Lett 2015;36:787-92.
  18. Werner H, Braegger CP, Buehr P, Koller R, Nydegger A, Spalinger J, et al. Shorter time since inflammatory bowel disease diagnosis in children is associated with lower mental health in parents. Acta Paediatr 2015;104:e32-8. https://doi.org/10.1111/apa.12781
  19. Diederen K, Haverman L, Grootenhuis MA, Benninga MA, Kindermann A. Parental distress and quality of life in pediatric inflammatory bowel disease: implications for the outpatient clinic. J Pediatr Gastroenterol Nutr 2018;66:630-6. https://doi.org/10.1097/MPG.0000000000001756
  20. Gray WN, Boyle SL, Graef DM, Janicke DM, Jolley CD, Denson LA, et al. Health-related quality of life in youth with Crohn disease: role of disease activity and parenting stress. J Pediatr Gastroenterol Nutr 2015;60:749-53. https://doi.org/10.1097/MPG.0000000000000696
  21. Herzer M, Denson LA, Baldassano RN, Hommel KA. Patient and parent psychosocial factors associated with health-related quality of life in pediatric inflammatory bowel disease. J Pediatr Gastroenterol Nutr 2011;52:295-9. https://doi.org/10.1097/MPG.0b013e3181f5714e
  22. Touma N, Varay C, Baeza-Velasco C. Determinants of quality of life and psychosocial adjustment to pediatric inflammatory bowel disease: a systematic review focused on Crohn's disease. J Psychosom Res 2021;142:110354.
  23. Guilfoyle SM, Denson LA, Baldassano RN, Hommel KA. Pediatric parenting stress in inflammatory bowel disease: application of the pediatric inventory for parents. Child Care Health Dev 2012;38:273-9. https://doi.org/10.1111/j.1365-2214.2010.01200.x
  24. World Health Organization. Adolescent health [Internet]. [cited 2022 Aug 17]. Available from: https://www.who.int/health-topics/adolescent-health#tab=tab_1 
  25. Shima S. [NIMH/CES-D Scale Depression/self-report scale]. Chiba Test Center, 1998. p. 2-4. Japanese. 
  26. Hidano T, Fukuhara M, Iwawaki S, Soga S, Spielberger CD. [New STAI manual State-Trait Anxiety Inventory-form JYZ]. Jitsumu Kyoiku shuppan, 2000. p. 17-22. Japanese. 
  27. Tazaki M, Nakane M. [WHOQOL26 guidance revised edition]. Kaneko-Shobo, 2007. p. 10-2. Japanese. 
  28. Mizumoto A, Takeuchi O. [Basics and considerations for reporting effect sizes in research papers]. Stud Engl Lang Teach 2008;38:57-66. Japanese. 
  29. Giannakopoulos G, Chouliaras G, Margoni D, Korlou S, Hantzara V, Panayotou I, et al. Stressful life events and psychosocial correlates of pediatric inflammatory bowel disease activity. World J Psychiatry 2016;6:322-8. https://doi.org/10.5498/wjp.v6.i3.322
  30. Cesa KT, Cunningham CA, Noll RB, Kim SC. Parental distress in pediatric inflammatory bowel diseases: associations with time from diagnosis, disease activity, and demographic factors. Crohns Colitis 360 2022;4:otac019.
  31. Fukami N, Narama M. [Experiences of parents whose children were diagnosed with inflammatory bowel disease in childhood or adolescence: focus on parent's sense in daily life]. J Jpn Soc Child Health Nurs 2018;27:140-8. Japanese. 
  32. Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. J Pediatr Psychol 2013;38:809-28. https://doi.org/10.1093/jpepsy/jst049
  33. Zarrouq B, Abbas N, Hilaly JE, Asri AE, Abbouyi S, Omari M, et al. An investigation of the association between religious coping, fatigue, anxiety and depressive symptoms during the COVID-19 pandemic in Morocco: a web-based cross-sectional survey. BMC Psychiatry 2021;21:264.
  34. Murphy LK, Rights JD, Ricciuto A, Church PC, Ahola Kohut SA. Biopsychosocial correlates of presence and intensity of pain in adolescents with inflammatory bowel disease. Front Pediatr 2020;8:559.
  35. Goodman SH, Simon H, McCarthy L, Ziegler J, Ceballos A. Testing models of associations between depression and parenting self-efficacy in mothers: a meta-analytic review. Clin Child Fam Psychol Rev 2022;25:471-99. https://doi.org/10.1007/s10567-022-00398-0
  36. Greenley RN, Cunningham C. Parent quality of life in the context of pediatric inflammatory bowel disease. J Pediatr Psychol 2009;34:129-36.
  37. Wakimizu R, Yamaguchi K, Fujioka H. Family empowerment and quality of life of parents raising children with Developmental Disabilities in 78 Japanese families. Int J Nurs Sci 2016;4:38-45.
  38. Knez R, Franciskovic T, Samarin RM, Niksic M. Parental quality of life in the framework of pediatric chronic gastrointestinal disease. Coll Antropol 2011.35 Suppl 2:275-80.
  39. Mueller R, Ziade F, Pittet V, Fournier N, Ezri J, Schoepfer A, et al. Quality of life in Swiss pediatric inflammatory bowel disease patients: do patients and their parents experience disease in the same way? J Crohn's Colitis 2016;10:269-76. https://doi.org/10.1093/ecco-jcc/jjv199