Correlates of health-related quality of life in pediatric inflammatory bowel disease: a cumulative risk model approach.
OBJECTIVE
To examine associations between disease-related, individual, and contextual risk factors and health-related quality of life (HRQoL) in a sample of youth with inflammatory bowel disease using a cumulative risk model framework.


METHODS
Participants were 50 youth (58% male; M age = 15 years). Youth and parents completed measures of HRQoL, psychological functioning, and family functioning. Disease information was collected from medical record reviews. Medication adherence was electronically monitored via MEMS cap bottles. A cumulative risk index (CRI) was constructed based on disease activity, disease type, gender, anxiety/depression, medication adherence, general family functioning, disease-specific family functioning, and socioeconomic status.


RESULTS
The CRI was associated with all youth- and mother-reported HRQoL domains. Furthermore, contextual domain factors were most consistently associated with youth and maternal reports of HRQoL.


CONCLUSIONS
These results show promise in supporting the value of the CRI in identifying potential risk factors for lower HRQoL in a cross-sectional sample.
MS, Department of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL 60064, USA. amitha.prasad@my.rfums.org.
Amitha Prasad
AP
Gumidyala
Rachel Neff
RN
Greenley
D000293:Adolescent; D001007:Anxiety / Q000523:psychology; D002648:Child; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology*; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008960:Models, Psychological; D011788:Quality of Life / Q000523:psychology*; D012307:Risk Factors; D012720:Severity of Illness Index; D012923:Social Class; D011795:Surveys and Questionnaires
adolescents; inflammatory bowel disease; quality of life