Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood

Inflammatory bowel disease (IBD), which includes Crohn’s disease, ulcerative colitis, and unspecified inflammatory bowel disease, is a chronic, unpredictable and immune-mediated condition of the gastrointestinal tract. In pediatric populations, the diagnosis of a chronic and debilitating pathology s...

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Main Authors: Andreea Sălcudean, Andreea Georgiana Nan, Cristina Raluca Bodo, Marius Cătălin Cosma, Elena Gabriela Strete, Maria Melania Lica
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/11/1868
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author Andreea Sălcudean
Andreea Georgiana Nan
Cristina Raluca Bodo
Marius Cătălin Cosma
Elena Gabriela Strete
Maria Melania Lica
author_facet Andreea Sălcudean
Andreea Georgiana Nan
Cristina Raluca Bodo
Marius Cătălin Cosma
Elena Gabriela Strete
Maria Melania Lica
author_sort Andreea Sălcudean
collection DOAJ
description Inflammatory bowel disease (IBD), which includes Crohn’s disease, ulcerative colitis, and unspecified inflammatory bowel disease, is a chronic, unpredictable and immune-mediated condition of the gastrointestinal tract. In pediatric populations, the diagnosis of a chronic and debilitating pathology significantly reduces quality of life. Children diagnosed with IBD may cope with physical symptoms such as abdominal pain or fatigue, but mental and emotional well-being are also important for preventing and reducing the risk of developing psychiatric conditions. Short stature, growth delay and delayed puberty can contribute to poor body image and low self-esteem. Furthermore, treatment per se can alter psycho-social functioning due to the side effects of medication and surgical procedures such as colostomy. It is essential to acknowledge and treat early signs and symptoms of psychiatric distress in order to prevent the development of serious psychiatric disorders in adult life. The literature underlines the importance of incorporating psychological and mental health services as part of the management of inflammatory bowel disease. Diagnosing mental health problems in pediatric patients with IBD can improve their adherence to treatment and pathology course and, consequently, reduce long-term morbidity and mortality.
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spelling doaj.art-831d77b760ef40beb39c061af252db142023-11-18T07:42:12ZengMDPI AGDiagnostics2075-44182023-05-011311186810.3390/diagnostics13111868Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in AdulthoodAndreea Sălcudean0Andreea Georgiana Nan1Cristina Raluca Bodo2Marius Cătălin Cosma3Elena Gabriela Strete4Maria Melania Lica5Department M2, Discipline of Bioethics, Social & Human Sciences, University of Medicine and Pharmacy, Sciences and Technology George Emil Palade of Targu Mures, 540142 Targu Mures, RomaniaFirst Department of Psychiatry, Clinical County Hospital of Targu Mures, 540142 Targu Mures, RomaniaSecond Department of Psychiatry, Clinical County Hospital of Targu Mures, 540142 Targu Mures, RomaniaPediatric Cardiology Department, Institute of Cardiovascular Diseases and Cardiac Transplantation of Targu Mures, 540136 Targu Mures, RomaniaDepartment M4, Discipline of Psychiatry, University of Medicine and Pharmacy, Sciences and Technology George Emil Palade of Targu Mures, 540142 Targu Mures, RomaniaDepartment M2, Discipline of Bioethics, Social & Human Sciences, University of Medicine and Pharmacy, Sciences and Technology George Emil Palade of Targu Mures, 540142 Targu Mures, RomaniaInflammatory bowel disease (IBD), which includes Crohn’s disease, ulcerative colitis, and unspecified inflammatory bowel disease, is a chronic, unpredictable and immune-mediated condition of the gastrointestinal tract. In pediatric populations, the diagnosis of a chronic and debilitating pathology significantly reduces quality of life. Children diagnosed with IBD may cope with physical symptoms such as abdominal pain or fatigue, but mental and emotional well-being are also important for preventing and reducing the risk of developing psychiatric conditions. Short stature, growth delay and delayed puberty can contribute to poor body image and low self-esteem. Furthermore, treatment per se can alter psycho-social functioning due to the side effects of medication and surgical procedures such as colostomy. It is essential to acknowledge and treat early signs and symptoms of psychiatric distress in order to prevent the development of serious psychiatric disorders in adult life. The literature underlines the importance of incorporating psychological and mental health services as part of the management of inflammatory bowel disease. Diagnosing mental health problems in pediatric patients with IBD can improve their adherence to treatment and pathology course and, consequently, reduce long-term morbidity and mortality.https://www.mdpi.com/2075-4418/13/11/1868pediatric inflammatory bowel diseasepsychiatric comorbiditiesgut–brain axis
spellingShingle Andreea Sălcudean
Andreea Georgiana Nan
Cristina Raluca Bodo
Marius Cătălin Cosma
Elena Gabriela Strete
Maria Melania Lica
Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
Diagnostics
pediatric inflammatory bowel disease
psychiatric comorbidities
gut–brain axis
title Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
title_full Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
title_fullStr Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
title_full_unstemmed Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
title_short Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
title_sort association between childhood onset inflammatory bowel disease and psychiatric comorbidities in adulthood
topic pediatric inflammatory bowel disease
psychiatric comorbidities
gut–brain axis
url https://www.mdpi.com/2075-4418/13/11/1868
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