title: Illness-specific anxiety: implications for functioning and utilization of medical services in adolescents with inflammatory bowel disease.
abstract: PURPOSE. Adolescents with inflammatory bowel disease (IBD) may be at heightened risk for developing anxiety and depression. This cross-sectional pilot study examined the relationship between anxiety and depression and health-related behaviors. METHODS. Thirty-six adolescents with diagnosed IBD, ages 12-17, and their parents were recruited from two pediatric gastroenterology medical centers. RESULTS. Clinical levels of anxiety (22%) and depressive symptoms (30%) were reported by patients. Regression analyses revealed that IBD-specific anxiety was significantly associated with greater utilization of medical services and worsened psychosocial functioning. PRACTICE IMPLICATIONS. Results provide preliminary support that IBD-specific anxiety may play an important role in disease management, yet concerns are rarely systematically assessed by health professionals.
authors.affiliation: Brooklyn College of the City, University of New York, USA. lreigada@brooklyn.cuny.edu
authors.forename: Laura C
authors.initials: LC
authors.lastname: Reigada
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Bruzzese
authors.forename: Keith J
authors.initials: KJ
authors.lastname: Benkov
authors.forename: Joseph
authors.initials: J
authors.lastname: Levy
authors.forename: Amanda R
authors.initials: AR
authors.lastname: Waxman
authors.forename: Eva
authors.initials: E
authors.lastname: Petkova
authors.forename: Carrie Masia
authors.initials: CM
authors.lastname: Warner
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D017028:Caregivers / Q000523:psychology; D015984:Causality; D002648:Child; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D008297:Male; D009519:New York City / Q000453:epidemiology; D010287:Parent-Child Relations; D010865:Pilot Projects; D011788:Quality of Life; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D012917:Social Adjustment; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology