title: Brief report: psychosocial adjustment in adolescents with inflammatory bowel disease.
abstract: BACKGROUND
  Inflammatory bowel disease (IBD) is an ideal disease for investigating adolescent adjustment to chronic illness, given its embarrassing, socially limiting, appearance-changing symptoms and adolescent onset.
  
  
  OBJECTIVE
  To compare psychosocial adjustment among adolescents with a chronic illness to that of healthy adolescents and examine the role of adolescent disease onset.
  
  
  METHODS
  Participants were 50 adolescents with IBD and their parents, and parents of 42 healthy comparison adolescents who completed questionnaires assessing behavioral, emotional, social, and family functioning.
  
  
  RESULTS
  Adolescents with IBD were reported to have worse anxious and/or depressed and social problems than healthy adolescents. More adolescents with IBD were reported to have clinically significant social problems. Those diagnosed during adolescence were reported to have significantly worse social competence scores.
  
  
  CONCLUSIONS
  Adolescents with a chronic illness such as IBD may be at higher risk for specific psychosocial difficulties than healthy adolescents. Diagnosis of a chronic illness during adolescence may have implications for social functioning.
authors.affiliation: Division of Psychology, Department of Pediatrics, The Ohio State University, USA. macknerl@chi.osu.edu
authors.forename: Laura M
authors.initials: LM
authors.lastname: Mackner
authors.forename: Wallace V
authors.initials: WV
authors.lastname: Crandall
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D016022:Case-Control Studies; D005195:Family Relations; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology*; D008297:Male; D012917:Social Adjustment; D014481:United States