Adolescents with inflammatory bowel disease feel ambivalent towards their parents' concern for them.
This is a grounded theory study to identify concepts for describing how adolescents with inflammatory bowel disease (IBD) respond to their parents' concern for them. Ten adolescent boys and seven girls were interviewed. In the analysis four main categories emerged: ambivalence, ability/inability, compliance/resistance and trust/distrust. We found ambivalence to be the most distinctive theme to appear in the way in which these young people described how they felt about their parents' response to their disease. The core category ambivalence was expressed as an oscillation between seeking close contact with one's parents or, sometimes, staving them off, one moment feeling anxiously dependent upon them or turning to them for protection and support and the next, trying to achieve a dialogue with them. The core category comprised three subcategories, ability/inability, compliance/resistance and trust/distrust. The clinical support for young individuals with IBD should include an awareness of the simultaneous existence of conflicting attitudes, reactions and emotions.
The Nordic School of Public Health and The Vårdal Institute, Lund and Göteborg Universities, Göteborg, Sweden. kjell@reichenberg.se
Kjell
K
Reichenberg
Helene
H
Lindfred
Robert
R
Saalman
D000223:Adaptation, Psychological; D000293:Adolescent; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D001294:Attitude to Health; D003142:Communication; D003220:Conflict, Psychological; D003299:Cooperative Behavior; D005239:Fear / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D008297:Male; D008960:Models, Psychological; D015404:Nursing Methodology Research; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D010353:Patient Education as Topic; D000297:Psychology, Adolescent; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D012944:Social Support; D013548:Sweden; D035502:Trust