Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/68159
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dc.creatorJames Varnipt_BR
dc.creatorRobert Shulmanpt_BR
dc.creatorMariella Selfpt_BR
dc.creatorShehzad Saeedpt_BR
dc.creatorAshish Patelpt_BR
dc.creatorSamuel Nurkopt_BR
dc.creatorDeborah Neigutpt_BR
dc.creatorMiguel Sapspt_BR
dc.creatorGeorge Zacurpt_BR
dc.creatorChelsea Darkpt_BR
dc.creatorCristiane Baccin Bendo Nevespt_BR
dc.creatorJohn Pohlpt_BR
dc.date.accessioned2024-05-09T22:23:25Z-
dc.date.available2024-05-09T22:23:25Z-
dc.date.issued2017-05-
dc.citation.volume23pt_BR
dc.citation.issue5pt_BR
dc.citation.spage704pt_BR
dc.citation.epage711pt_BR
dc.identifier.doihttps://doi.org/10.1097/MIB.0000000000001077pt_BR
dc.identifier.issn1536-4844pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/68159-
dc.description.resumoBackground: To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. Methods: The Pediatric Quality of Life Inventory Gastrointestinal Symptoms, Gastrointestinal Worry, and Communication Scales, and Pediatric Quality of Life Inventory 4.0 Generic Core Scales were completed in a 9-site study by 252 pediatric patients with IBD. Gastrointestinal Symptoms Scales measuring stomach pain, constipation, or diarrhea and patient communication were tested for bivariate and multivariate linear associations with Gastrointestinal Worry Scales specific to patient worry about stomach pain or bowel movements. Mediational analyses were conducted to test the hypothesized mediating effects of patient health communication as an intervening variable in the relationship between gastrointestinal symptoms and gastrointestinal worry. Results: The predictive effects of gastrointestinal symptoms on gastrointestinal worry were mediated in part by patient health communication with health care providers/significant others in their daily life. In predictive models using multiple regression analyses, the full conceptual model of demographic variables, gastrointestinal symptoms (stomach pain, constipation, or diarrhea), and patient communication significantly accounted for 46, 43, and 54 percent of the variance in gastrointestinal worry (all Ps < 0.001), respectively, reflecting large effect sizes. Conclusions: Patient health communication explains in part the effects of gastrointestinal symptoms on gastrointestinal worry in pediatric patients with IBD. Supporting patient disease-specific communication to their health care providers and significant others may improve health-related quality of life for pediatric patients with IBD.pt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInflammatory Bowel Diseases-
dc.rightsAcesso Restritopt_BR
dc.subjectInflammatory bowel diseasept_BR
dc.subjectCrohn’s diseasept_BR
dc.subjectUlcerative colitispt_BR
dc.subjectGastrointestinal symptomspt_BR
dc.subjectWorrypt_BR
dc.subjectPatient communicationpt_BR
dc.subjectPedsQLpt_BR
dc.subject.otherInflammatory bowel diseasespt_BR
dc.subject.otherCrohn diseasept_BR
dc.subject.otherColitis, ulcerativept_BR
dc.subject.otherHealth communicationpt_BR
dc.subject.otherSigns and symptomspt_BR
dc.subject.otherQuality of lifept_BR
dc.titlePatient health communication mediating effects between gastrointestinal symptoms and gastrointestinal worry in pediatric inflammatory bowel diseasept_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://academic.oup.com/ibdjournal/article/23/5/704/4561064pt_BR
Appears in Collections:Artigo de Periódico

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