Inflammatory bowel disease and self-esteem in adolescence.
Review article, 2008
AIM: To compare the self-esteem of adolescents suffering from inflammatory bowel disease (IBD) with that of healthy adolescents, and to identify factors affecting self-esteem in the presence of IBD. METHODS: A self-assessment questionnaire, 'I think I am' (ITIA), was completed by 71 (41 boys) out of 77 adolescents (10-16 years) with IBD. Of the participating adolescents, 23 had Crohn's disease, 44 had ulcerative colitis and 4 had indeterminate colitis. The self-esteem of adolescents with IBD was compared with that of 1037 school children. RESULTS: In this population-based study, children with IBD estimated their self-esteem in the same range as healthy adolescents. Using a multiple regression analysis, the self-esteem of adolescents with IBD was related to disease course severity and cohabitation status of parents. Children with severe disease and children of single parents were found to be most at risk of low self-esteem. CONCLUSION: This study shows that, as a group, adolescents with IBD have self-esteem in the same range as their healthy peers, but that there are some adolescents with IBD who are at risk of low self-esteem. Special attention should be given to adolescents with a severe disease course and to those with separated parents.
psychology
Parents
Questionnaires
Ulcerative
Adolescent
psychology
Colitis
Humans
Regression Analysis
Self Concept
Crohn Disease
Adolescent Psychology
psychology
Child
Marital Status
Male
Inflammatory Bowel Diseases
Female
Author
Helene Lindfred
Sahlgrenska University Hospital
Robert Saalman
Sahlgrenska University Hospital
Staffan Nilsson
University of Gothenburg
Chalmers, Mathematical Sciences, Mathematical Statistics
Kjell Reichenberg
University of Gothenburg
Acta Paediatrica, International Journal of Paediatrics
0803-5253 (ISSN) 1651-2227 (eISSN)
Vol. 97 2 201-5Subject Categories
Dermatology and Venereal Diseases
Other Social Sciences not elsewhere specified
DOI
10.1111/j.1651-2227.2007.00605.x
PubMed
18254910