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.
Inflammatory Bowel Diseases
Crohn Disease
psychology
Male
Ulcerative
Humans
psychology
Questionnaires
Parents
Regression Analysis
Female
Self Concept
Adolescent
Adolescent Psychology
psychology
Colitis
Marital Status
Child
Author
Helene Lindfred
Queen Silvia Children's Hospital
Robert Saalman
Queen Silvia Children's Hospital
Staffan Nilsson
Chalmers, Mathematical Sciences, Mathematical Statistics
University of Gothenburg
Kjell Reichenberg
University of Gothenburg
Acta Paediatrica, International Journal of Paediatrics
0803-5253 (ISSN) 1651-2227 (eISSN)
Vol. 97 2 201-5Subject Categories (SSIF 2011)
Dermatology and Venereal Diseases
Other Social Sciences not elsewhere specified
DOI
10.1111/j.1651-2227.2007.00605.x
PubMed
18254910