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School and leisure activities in adolescents and young adults with chronic digestive disorders: Impact of burden of disease

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Abstract

First, we compared the nature of burden of disease (i.e., manifestations of the disease in daily life) in adolescents and young adults with various chronic digestive disorders with controls. After that, we investigated whether burden of disease is associated with difficulties in school and leisure activities of adolescents and young adults with various digestive disorders. For this purpose, we performed a multicenter study in 5 diagnostic groups (total N = 758; ages 12 to 25 years) including inflammatory bowel diseases (IBD), chronic liver diseases, congenital disorders, celiac disease, and food allergy and a population based control group (N = 306) using a self-report questionnaire. Especially adolescents and young adults with a chronic liver disease, IBD, and food allergy were found to experience daily manifestations of their disease. Several disease burden characteristics, of which especially depression, could be identified as important contributors to difficulties in school performance and leisure activities.

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References

  • Akobeng, A. K., Suresh-Babu, M. V., Firth, D., Miller, V., Mir, P., & Thomas, A. G. (1999). Quality of life in children with Crohn’s disease: A pilot study. Journal of Pediatric Gastroenterology and Nutrition, 28, s37-s39.

    Article  PubMed  Google Scholar 

  • Baldassano, R. N., & Picolli, D. A. (1999). Inflammatory bowel disease in pediatric and adolescent patients. Inflammatory Bowel Disease, 2, 445–448.

    Google Scholar 

  • Bekkers, M. J. T. M., van Knippenberg, F. C. E., van Dulmen, A. M., van den Borne, H. W., & van Berge Henegouwen, G. P. (1997). Survival and psycho social adjustment to stoma surgery and non stoma bowel resection: A 4 years follow-up. Journal of Psychosomatic Research, 3, 235–244.

    Article  Google Scholar 

  • Boekaerts, M., & Röder, I. (1999). Stress, coping and adjustment in children with a chronic disease: A review of the literature. Disability and Rehabilitation, 7, 311–317.

    Google Scholar 

  • Boice, M. M. (1998). Chronic illness in adolescence. Adolescence, 33, 927–939.

    PubMed  Google Scholar 

  • Bonen, A., Dagnelie, P. S., Feleus, A., Hesselink, M. A., Muris, J. W., Stockbrügger, R. W., et al. (2002). The impact of inflammatory bowel disease on labor force participation: Results of a population sampled case-control study. Inflammatory Bowel Diseases, 6, 382–389.

    Article  Google Scholar 

  • Calsbeek, H., Rijken, P. M., Bekkers, J. T. M., Kerssens, J. J., Dekker, J., & van Berge Henegouwen, G. P. (2002). Social position of adolescents with chronic digestive disorders. European Journal of Gastroenterology and Hepatology, 14, 543–549.

    Article  PubMed  Google Scholar 

  • Casellas, F., López-Vivancos, J., Badia, X., Vilaseca, J., & Malagelada, J. R. (2001). Influence of inflammatory bowel disease on different dimensions of quality of life. European Journal of Gastroenterology and Hepatology, 5, 567–572.

    Article  Google Scholar 

  • Decker, J. W. (2000). The effects of inflammatory bowel disease on adolescents. Gastroenterology Nursing, 2, 63–66.

    Article  Google Scholar 

  • Drossman, D. A., Patrick, D. L., Mitchell, C. M., Zagami, E. A., & Appelbaum, M. I. (1989). Health-related quality of life in inflammatory bowel disease. Digestive Diseases and Sciences, 9, 1379–1386.

    Article  Google Scholar 

  • Engstrom, I. (1999). Inflammatory bowel disease in children and adolescents: Mental health and family functioning. Journal of Pediatric Gastroenterology and Nutrition, 28, s28-s33.

    Article  PubMed  Google Scholar 

  • Hassink, E. A. M., Rieu, P. N. M. A., Brugman, A. T. M., & Festen, C. (1994). Quality of life after operatively corrected high anorectal malformation: A long-term follow-up study in patients aged 18 years and older. Journal of Pediatric Surgery, 29, 773–776.

    Article  PubMed  Google Scholar 

  • Hobbs, N., Perrin, J. M., & Ireys, H. T. (1985). Chronically ill children and their families. San Francisco: Jossey-Bass.

    Google Scholar 

  • Magrab, P. R. (1985). Psycho social development of chronically ill children. In N. Hobbs & J. M. Perrin (Eds.), Issues in the care of children with chronic illness (pp. 698–716). San Francisco: Jossey-Bass.

    Google Scholar 

  • Miller, B. D.,& Wood, B. L. (1991). Childhood asthmain interaction with family, school and peer systems: A developmental model for primary care. Journal of Asthma, 28, 405–414.

    Article  PubMed  Google Scholar 

  • Minderhoud, I. M., Oldenburg, B., & van Berge Henegouwen, G. P. (2002). Severe fatigue in patients with IBD in remission [Abstract]. European Journal of Gastroenterology and Hepatology, 14, A21-A22.

    Google Scholar 

  • Rabbett, H., Elbadri, A., Thwaites, R., Northover, H., Dady, I., Firth, D., et al. (1996). Quality of life in children with Crohn’s disease. Journal of Pediatric Gastroenterology and Nutrition, 23, 528–533.

    Article  PubMed  Google Scholar 

  • Spinhoven, P., Ormel, J., Sloekers, P. P. H., Kempen, G. I. J. M., Speckens, A. E. M., & van Hemert, A. M. (1997). A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine, 27, 363–370.

    Article  PubMed  Google Scholar 

  • Statistics Netherlands (CBS). (1999). Jeugd 1999. Cijfers en feiten [Youth 1999. Figures and facts]. Voorburg/Heerlen, The Netherlands: CBS.

  • Verrips, G. H., Vogels, A. G. C., Verloove-Vanhorick, S. P., Fekkes, M., Koopman, H. M., Kamphuis, R. P., et al. (1998). Health-Related Quality of Life Measure for Children—The TACQOL. Journal of Applied Therapeutics, 1/4, 357–360.

    Google Scholar 

  • Vogels, T., & van der Vliet, R. (1990). Jeugd en seks. Gedrag en gezondheidsrisico’s bij scholieren [Youth and sex. Behavior and health risks in pupils]. Hague, The Netherlands: SDU.

    Google Scholar 

  • World Health Organization. (1992). ICD-10: International statistical classification of diseases and related health problems. Geneva, Switzerland: Author.

    Google Scholar 

  • Zigmund, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavia, 67, 361–370.

    Article  Google Scholar 

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Correspondence to Hiske Calsbeek.

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This study was supported by a grant from the Foundation for Children’s Welfare Stamps Netherlands. We thank Nel Feijten, Ciska Mastenbroek, Ellen Kampman, Karin Wittebrood, and Maarten Sinaasappel for their support in this study.

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Calsbeek, H., Rijken, M., Bekkers, M.J.T.M. et al. School and leisure activities in adolescents and young adults with chronic digestive disorders: Impact of burden of disease. Int. J. Behav. Med. 13, 121–130 (2006). https://doi.org/10.1207/s15327558ijbm1302_3

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  • DOI: https://doi.org/10.1207/s15327558ijbm1302_3

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