Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
Login Abbonamenti Pubblicazioni Carrello Registrazione Perché registrarsi? Contatti

Focus

Distress, catastrofismo e qualità di vita dei bambini affetti da malattia infiammatoria cronica intestinale

Distress, catastrophism and quality of life in children with chronic inflammatory bowel diseases

Chiara De Carlo1, Matteo Bramuzzo2

1Scuola di Specializzazione, Università di Trieste
2IRCCS Materno-Infantile “Burlo Garofolo”, Trieste

Dicembre 2020 - pagg. 634 -637 | DOI: 10.53126/MEB39634

Abstract
Inflammatory bowel diseases can lead to the development of distress and catastrophic constructs in children and their parents and have an important impact on the patients’ quality of life. This pilot study showed that about half of children and parents report a significant state of distress that is related to a worse quality of life in children. About one fifth of patients also have catastrophising thoughts about their pain despite the remission of the disease, thus also this psychological construct has a strong correlation with the worsening of their quality of life. Psychological management could help to improve the quality of life in children with chronic inflammatory bowel diseases.
Riassunto
Le malattie infiammatorie croniche dell’intestino possono portare allo sviluppo di distress e di costrutti catastrofisti nei bambini e nei loro genitori e avere un importante impatto sulla qualità di vita dei pazienti. Questo studio pilota ha mostrato come circa la metà dei bambini e dei genitori riporti uno stato di distress significativo e come questo sia correlato a una peggiore di vita nei bambini. Circa un quinto dei bambini ha inoltre pensieri catastrofisti relativamente al proprio dolore nonostante la remissione della malattia, e anche questo costrutto psicologico ha una forte correlazione con il peggioramento della qualità di vita. Una presa in carico psicologica potrebbe aiutare a migliorare la qualità dei vita dei bambini con malattie infiammatorie croniche dell’intestino.
Contenuto riservato

Per leggere l'articolo completo è necessario effettuare il login.

Non sei ancora registrato? Registrati

Bibliografia
1. Carstens E, Moberg GP. Recognizing pain and distress in laboratory animals. ILAR J 2000;2:62-71. 2. Sullivan MJL, Thorn B, Haythornthwaite JA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001;17:52-64. 3. Cozzi G, Barbi E. Il bambino che non funziona: cosa deve sapere e saper fare il pediatra. Medico e Bambino 2018;37(1):21-6. 4. Cunningham C, Drotar D, Palermo TM, et al. Health-related quality of life in children and adolescents with inflammatory bowel disease. Children’s Health Care 2007;36:29-43. 5. De Boer M, Grootenhuis M, Derkx B, et al. Health-related quality of life and psychosocial functioning of adolescents with inflammatory bowel disease. Inflamm Bowel Dis 2005;11:400-9. 6. Wocial LD, Weaver MT. Development and psychometric testing of a new tool for detecting moral distress: the Moral Distress Thermometer. J Adv Nurs 2013;69:167-74. 7. Crombez G, Bijttebier P, Eccleston C, et al. The child version of the pain catastrophizing scale (PCS-C): a preliminary validation. Pain 2003;104:639-46. 8. Otley A, Smith C, Nicholas D, et al. The IMPACT questionnaire: a valid measure of health-related quality of life in pediatric inflammatory bowel disease. J Pediatr Gastroenterol Nutr 2002;35(4):557-63. 9. Patel SK, Mullins W, Turk A, et al. Distress screening, rater agreement, and services in pediatric oncology. Psychooncology 2011;20:1324-33. 10. Naliboff BD, Kim SE, Bolus R, et al. Gastrointestinal and psychological mediators of health-related quality of life in IBS and IBD: a structural equation modeling analysis. Am J Gastroenterol 2012;107:451-9. 11. O’Neill TJ, Raboud JM, Tinmouth J, et al. Gastrointestinal symptom distress is associated with worse mental and physical health-related quality of life. J Acquir Immune Defic Syndr 2017;75:67-76. 12. Gray WN, Boyle SL, Graef DM, et al. Health-related quality of life in youth with Crohn disease: role of disease activity and parenting stress. J Pediatr Gastroenterol Nutr 2015;60:749-53. 13. Herzer M, Denson LA, Baldassano RN, et al. Patient and parent psychosocial factors associated with health-related quality of life in pediatric inflammatory bowel disease. J Pediatr Gastroenterol Nutr 2011;52:295-9. 14. Targownik LE, Sexton KA, Bernstein MT, et al. The relationship among perceived stress, symptoms, and inflammation in persons with inflammatory bowel disease. Am J Gastroenterol 2015;110:1001-12. 15. Langhorst J, Hofstetter A, Wolfe F, et al. Short-term stress, but not mucosal healing nor depression was predictive for the risk of relapse in patients with ulcerative colitis: a prospective 12-month follow-up study. Inflamm Bowel Dis 2013;19:2380-6. 16. Wiener L, Battles H, Bedoya SZ, et al. Identifying symptoms of distress in youth living with neurofibromatosis type 1 (NF1). J Genet Couns 2018;27:115-23. 17. Pépin AJ, Lippé S, Krajinovic M, et al. How to interpret high levels of distress when using the distress thermometer in the long-term follow-up clinic? A study with acute lymphoblastic leukemia survivors. Pediatr Hematol Oncol 2017;34(3):133-7. 18. Van Tilburg MAL, Claar RL, Romano JM, et al. Psychological factors may play an important role in pediatric Crohn’s disease symptoms and disability. J Pediatr 2017:94- 101. 19. Seres G, Kovacs Z, Kovacs A, et al. Different associations of health related quality of life with pain, psychological distress and coping strategies in patients with irritable bowel syndrome and inflammatory bowel disorder. J Clin Psychol Med Settings 2008;15: 287-95. 20. Wojtowicz AA, Greenley RN, Gumidyala AP, et al. Pain severity and pain catastrophizing predict functional disability in youth with inflam- matory bowel disease. J Crohns Colitis 2014;8:1118-24. 21. Loonen HJ, Grootenhuis MA, Last BF, et al. Coping strategies and quality of life of adolescents with inflammatory bowel disease. Qual Life Res 2004;13:1011-9. 22. Giannakopoulos G, Chouliaras G, Margoni D, et al. Stressful life events and psychosocial correlates of pediatric inflammatory bowel disease activity. World J Psychiatry 2016;6(3):322-8. 23. Drell MJ, White TJH. Children’s reaction to illness and hospitalization. In: Sadock BJ, Sadock VA (eds). Kaplan & Sadock’s Comprehensive textbook of Psychiatry. 8th ed, vol II. Philadelphia (PA): Lippincott Williams & Wilkins, 2005, pagg. 3425-34.

Corrispondenza: chia.decarlo@gmail.com