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Meta-Analysis
. 2010 Sep;35(8):857-69.
doi: 10.1093/jpepsy/jsp120. Epub 2010 Feb 1.

A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease

Rachel Neff Greenley  1 , Kevin A Hommel, Justin Nebel, Tara Raboin, Shun-Hwa Li, Pippa Simpson, Laura Mackner
Affiliations
Meta-Analysis

A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease

Rachel Neff Greenley et al. J Pediatr Psychol. 2010 Sep.

Abstract

Objective: To conduct a meta-analytic review of psychosocial adjustment of youth with inflammatory bowel disease (IBD).

Methods: Nineteen studies with a total of 1167 youth with IBD (M age = 14.33, 50% female) were included. Effect size (ES) estimates were calculated for anxiety symptoms & disorders, depressive symptoms & disorders, internalizing symptoms & disorders, externalizing symptoms, quality of life (QOL), social functioning, and self-esteem. Separate ESs were calculated for comparisons between IBD and youth with chronic illnesses versus healthy youth.

Results: Youth with IBD had higher rates of depressive disorders and internalizing disorders than youth with other chronic conditions. Youth with IBD had higher parent-reported internalizing symptoms, lower parent- and youth-reported QOL, and lower youth-reported social functioning compared to healthy youth.

Conclusions: Clinical attention to depressive disorders, QOL, and social functioning may be particularly salient in the context of pediatric IBD.

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Figures

Fig. 1.
Fig. 1.
Average effect sizes and 95% confidence intervals by domain for analyses comparing IBD to chronic illness group and IBD to healthy comparison group
See this image and copyright information in PMC

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