Social position of adolescents with chronic digestive disorders

Calsbeek, Hiske; Rijken, Mieke; Bekkers, Marc J. T. M.; Kerssens, J.J.; Dekker, Joost; Henegouwen, G. P. van Berge

doi:10.1097/00042737-200205000-00012

Cited by 63 publications

(40 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Compared with a control group and with adolescents with coeliac disease, the social position of food-allergic adolescents appears to be negatively affected, but to a lesser extent than for adolescents suffering from irritable bowel syndrome or chronic liver disease [22].…”

Section: Food Hypersensitivity and Quality Of Life: Comparisons With mentioning

confidence: 79%

“…Food-allergic adolescents (mean age 18.5 years) have higher number of weeks absent from school and lower self-confidence in making overtures to someone of the opposite sex compared with a control group [22]. Young adults (15-20 years old) with food allergy report more anxiety than those without an allergy [27].…”

Section: Food Hypersensitivity's Negative Impact On Family Quality Ofmentioning

confidence: 99%

See 1 more Smart Citation

Food hypersensitivity and quality of life

Marklund

Ahlstedt

Nordström

2007

Current Opinion in Allergy &Amp; Clinical Immunology

View full text Add to dashboard Cite

Although development in this research field has only just begun, it is obvious that food hypersensitivity has a significant impact on individuals' and families' QoL. An important advance is the disease-specific QoL measure instruments that have been created. There is still, however, a need for a more in-depth knowledge as a basis for further development of QoL instruments, and as a basis for societal interventions and family/individual support.

show abstract

Section: Food Hypersensitivity and Quality Of Life: Comparisons With mentioning

confidence: 79%

Section: Food Hypersensitivity's Negative Impact On Family Quality Ofmentioning

confidence: 99%

Food hypersensitivity and quality of life

Marklund

Ahlstedt

Nordström

2007

Current Opinion in Allergy &Amp; Clinical Immunology

View full text Add to dashboard Cite

show abstract

“…According to parent reports, adolescents with IBD have more emotional, social, and thought problems and lower competence than their healthy peers [35] . The disease disturbs adolescents' quality of life [25,36,37] , may have negative consequences for education and school functioning [38,39] , and may be a cause of difficulties in employment, such as finding or maintaining a desired job [40][41][42] . Furthermore, adolescents with severe IBD have disturbed sleep and are overtired tion to even minor cognitive problems that may be aggravated during the growth process [43,52,53] .…”

Section: Psychological Symptoms In Ibdmentioning

confidence: 99%

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

Filipović¹,

Filipović²

2014

WJG

View full text Add to dashboard Cite

Ulcerative colitis and Crohn's disease, commonly known as inflammatory bowel disease (IBD), draw attention from specialists of various disorders, including gastroenterology, psychiatry, and radiology. The involvement of a cortical influence in the brain-gut axis as well as the interaction of the hypothalamic-pituitary-adrenal axis and the peripheral nervous system provide an initial explanation of the psychological symptoms associated with IBD. The involvement of structures the limbic system, such as the anterior cingulate cortex, the prefrontal cortex, and the amygdala, paves the way for the discovery of the mechanisms underlying depression depression, anxiety, alexithymia, personality traits, and other psychological impairments following the onset of IBD. Psychiatric therapy in IBD patients is almost as important as the gastroenterological approach and consists of pharmacological treatment and psychotherapy. Neither of the available psychiatric treatment methods is considered the golden standard because both methods have side effects, and psychotropic medication can provoke the worsening of IBD symptoms. Thus, both approaches must be applied with awareness of the possibility of side effects. We suggest that psychiatrists and gastroenterologists work together to reach a consensus on IBD therapy to ensure success and to reduce side effects and relapse to the lowest possible rates.© 2014 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Inflammatory bowel disease; Psychiatry; Treatment; Personality traits; Depression; Anxiety Core tip: The involvement of a dysfunction of brain-gut interactions in the pathogenesis of inflammatory bowel disease (IBD) is represented by a dysfunction of the autonomic nervous system, an abnormal hypothalamicpituitary-adrenal axis and cholinergic anti-inflammatory pathway, a deleterious effect of stress and depression, an abnormal coupling of the prefrontal cortex-amygdaloid complex, and an abnormal relation between the microbiota and the brain as pro-inflammatory factors. New investigations have provided a critical link between forebrain changes and abdominal pain independent of active disease and drug treatment, providing a potential basis for an explanation of the psychological symptoms and brain influence in the pathogenesis of IBD.

show abstract

“…More specifically, an early British study showed that people who were diagnosed with diabetes during early childhood were more likely to be employed than those who developed this condition during adolescence [19]. Adolescents and young adults with inflammatory bowel disease or chronic liver disease were more often absent from school or study due to illness and less often employed than age and gender matched healthy controls [20]. Young adults who had suffered from asthma during childhood or adolescence were not less often employed than non-asthmatics, but reported slightly more limitations in their vocational and working careers [21].…”

Section: Introductionmentioning

confidence: 99%

The importance of illness duration, age at diagnosis and the year of diagnosis for labour participation chances of people with chronic illness: results of a nationwide panel-study in the Netherlands

et al. 2013

Self Cite

View full text Add to dashboard Cite

BackgroundCompared to participation rates among general populations, participation of people with chronic illness in the labour market lags behind. This is undesirable, both from the perspective of individuals’ well-being as from a macro-economic perspective for western countries where concerns exist about labour supply and sustainability of social security in the near future. To help develop successful policy measures to prevent early drop-out and support reintegration, we aimed to gain insight into the role of three age related characteristics that may relate to labour participation chances of people with chronic illness: the duration of their illness, how old they were when the chronic disease was diagnosed and the historical year in which the diagnosis was established.MethodsWe analyzed data of one (first) measurement of several cohorts of people diagnosed with a somatic chronic disease, who (had) participated in the Dutch ‘National Panel of people with Chronic illness or Disability’ since 1998 (N = 4634 in total). Multi-level logistic regression analyses were conducted to estimate random effects of the age at diagnosis and the year of diagnosis and fixed effects of illness duration on labour participation, while correcting for the effects of socio-demographic and disease characteristics and socio-economic indicators.ResultsA significant part of the variation in labour participation among people with chronic illness relates to the age they had when they were diagnosed. Furthermore, a longer illness duration is significantly associated with a lower chance of being economically active. This is more the case for men than for women. Labour participation of cancer survivors depends on the phase of the illness they find themselves in. No evidence was found that the year in which the diagnosis was established matters for employment chances later in life.ConclusionAge at diagnosis and illness duration relate to chronically ill people’s chances to participate in the labour market, but how and how strong they relate to labour participation depend on gender and the type of chronic disease at stake. Prospective studies are needed to assess illness trajectories of specific diagnostic groups along with the development of their school and work careers.

show abstract

Social position of adolescents with chronic digestive disorders

Abstract: The social position of adolescents is affected negatively by having a chronic digestive disease, in particular chronic liver disease and IBD. Negative consequences occur in education, leisure activities, labour participation, financial situation, partnership and sexuality.

Cited by 63 publications

References 9 publications

Food hypersensitivity and quality of life

Food hypersensitivity and quality of life

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

The importance of illness duration, age at diagnosis and the year of diagnosis for labour participation chances of people with chronic illness: results of a nationwide panel-study in the Netherlands

Contact Info

Product

Resources

About