Mind-body complementary alternative medicine use and quality of life in adolescents with inflammatory bowel disease.
BACKGROUND
Mind-body complementary and alternative medicine (CAM) modalities (e.g., relaxation or meditation) for symptom management have not been well studied in adolescents with inflammatory bowel disease (IBD). The purposes of this study were to: 1) determine the prevalence of 5 types of mind-body CAM use, and consideration of use for symptom management; 2) assess characteristics associated with regular mind-body CAM use; and 3) examine whether regular and/or considered mind-body CAM use are associated with health-related quality of life (HRQOL).


METHODS
Sixty-seven adolescents with IBD ages 12-19 recruited from a children's hospital completed a questionnaire on CAM use and the Pediatric Quality of Life Inventory. Logistic regression models were estimated for regular and considered CAM use.


RESULTS
Participants mean (SD) age was 15.5 (2.1) years; 37 (55%) were female; 53 (79%) were white; and 20 (30%) had moderate disease severity. Adolescents used prayer (62%), relaxation (40%), and imagery (21%) once/day to once/week for symptom management. In multivariate analyses, females were more likely to use relaxation (odds ratio [OR] = 4.38, 95% confidence interval [CI] = 1.25-15.29, c statistic = 0.73). Younger adolescents were more likely to regularly use (OR = 0.63, 95% CI = 0.42-0.95, c statistic = 0.72) or consider using (OR = 0.77, 95% CI = 0.59-1.00, c statistic = 0.64) meditation. Adolescents with more severe disease (OR = 4.17, 95% CI = 1.07-16.29, c statistic = 0.83) were more willing to consider using relaxation in the future. Adolescents with worse HRQOL were more willing to consider using prayer and meditation for future symptom management (P < 0.05).


CONCLUSIONS
Many adolescents with IBD either currently use or would consider using mind-body CAM for symptom management.
Cotton
Sian
S
Department of Family Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0840, USA. sian.cotton@uc.edu
Humenay Roberts
Yvonne
Y
Tsevat
Joel
J
Britto
Maria T
MT
Succop
Paul
P
McGrady
Meghan E
ME
Yi
Michael S
MS
D000293:Adolescent; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D019018:Imagery, Psychotherapy; D015212:Inflammatory Bowel Diseases / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D016015:Logistic Models; D008297:Male; D019122:Meditation; D026441:Mind-Body Therapies / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D000297:Psychology, Adolescent; D011788:Quality of Life; D012064:Relaxation Therapy / Q000706:statistics & numerical data; D012919:Social Behavior; D011795:Surveys and Questionnaires; D015013:Yoga
J Pediatr Psychol. 2004 Jun;29(4):243-57
15148347
J Pediatr Gastroenterol Nutr. 2001 Feb;32(2):171-7
11321388
Am J Gastroenterol. 2002 Feb;97(2):382-8
11866277
J Adolesc Health. 2009 May;44(5):485-92
19380097
Ambul Pediatr. 2001 Mar-Apr;1(2):122-5
11888385
Patient Educ Couns. 2008 Sep;72(3):436-42
18657376
Pain Res Manag. 2006 Winter;11(4):217-23
17149454
Inflamm Bowel Dis. 2004 Sep;10(5):599-605
15472521
Inflamm Bowel Dis. 2005 Apr;11(4):400-6
15803032
Med Care. 2001 Aug;39(8):800-12
11468499
J Pediatr Gastroenterol Nutr. 2009 Jan;48(1):55-60
19172124
Clin Gastroenterol Hepatol. 2003 Nov;1(6):446-52
15017644
J Paediatr Child Health. 2004 Dec;40(12):681-4
15569284
Semin Gastrointest Dis. 1999 Jan;10(1):14-9
10065768
Am J Gastroenterol. 1998 May;93(5):697-701
9625111
Dig Dis Sci. 1979 Aug;24(8):620-4
467213
Qual Life Res. 2004 Jun;13(5):1011-9
15233514
Evid Based Complement Alternat Med. 2008 Mar;5(1):41-50
18317547
Scand J Gastroenterol. 2001 Apr;36(4):375-82
11336162
Arch Pediatr Adolesc Med. 2002 Oct;156(10):1042-4
12361452
Pediatrics. 1995 Jul;96(1 Pt 1):105-10
7596696
Gastroenterol Clin Biol. 2006 Jan;30(1):14-23
16514377
Nat Clin Pract Gastroenterol Hepatol. 2008 Nov;5(11):624-36
18825145
Cochrane Database Syst Rev. 2007 Oct 17;(4):CD005110
17943840
J Pediatr. 2009 Apr;154(4):527-34
19028387