Patient Health Communication Mediating Effects Between Gastrointestinal Symptoms and Gastrointestinal Worry in Pediatric Inflammatory Bowel Disease

Abstract

Patient health communication explains in part the effects of gastrointestinal symptoms on gastrointestinal worry in pediatric patients with IBD. Supporting patient disease-specific communication to their health care providers and significant others may improve health-related quality of life for pediatric patients with IBD.

Diabetes management mediating effects between diabetes symptoms and health-related quality of life in adolescents and young adults with type 1 diabetes

“…33 Internal consistency reliabilities of 0.70 or greater are recommended for comparing patient groups, while an internal consistency reliability criterion of 0.90 is recommended for analyzing individual patient scores. 34 Based on a conceptual model previously tested in pediatric inflammatory bowel disease, 19,20 we also tested a more complex serial multiple mediator model 35 Finally, we explored a novel conceptual model in which social embarrassment and patient perceived treatment adherence barriers were tested as mediators in a serial multiple mediator model. Specifically, we tested the following serial multiple mediator model: diabetes symptoms !…”

“…Based on a conceptual model previously tested in pediatric inflammatory bowel disease, we also tested a more complex serial multiple mediator model with patient health communication and patient perceived treatment adherence barriers as mediators. Specifically, we tested the following serial multiple mediator model: diabetes symptoms → patient health communication → perceived treatment adherence barriers → generic HRQOL.…”

“…To address this significant gap in the empirical literature, the primary objective of the present study was to investigate the hypothesized mediating effects of diabetes management as a mechanism or intervening variable in the relationship between diabetes symptoms and overall generic HRQOL in AYA with type 1 diabetes. The secondary objective explored patient health communication and patient perceived treatment adherence barriers as mediators in a serial multiple mediator model based on a conceptual model previously tested in pediatric inflammatory bowel disease …”

“…The secondary objective explored patient health communication and patient perceived treatment adherence barriers as mediators in a serial multiple mediator model based on a conceptual model previously tested in pediatric inflammatory bowel disease. 19 Spanish language speaking and reading ability, and ages 2 to 25 years. 13,14 The exclusion criteria included type 1 or type 2 diabetes was not the primary diagnosis, and youth and/or caregivers whose dominant language was a language other than English or Spanish.…”

Overlap of inflammatory bowel disease and irritable bowel syndrome in the pediatric population

“…In line with these findings, patients with overlap of IBD with IBS and other FAPDs were shown to have more psychological internalizing disorders than patients with IBD in remission alone. Patient health communication seems linked to gastrointestinal worry and IBD symptoms as well 17 . Studies in adult patients suggest that psychological disorders are also more common in patients with overlap of IBD and FAPDs 8 .…”