Patient health communication mediating effects between gastrointestinal symptoms and gastrointestinal worry in pediatric inflammatory bowel disease

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dc.creatorJames Varni
dc.creatorRobert Shulman
dc.creatorMariella Self
dc.creatorShehzad Saeed
dc.creatorAshish Patel
dc.creatorSamuel Nurko
dc.creatorDeborah Neigut
dc.creatorMiguel Saps
dc.creatorGeorge Zacur
dc.creatorChelsea Dark
dc.creatorCristiane Baccin Bendo Neves
dc.creatorJohn Pohl
dc.date.accessioned2024-05-09T22:23:25Z
dc.date.accessioned2025-09-09T01:34:08Z
dc.date.available2024-05-09T22:23:25Z
dc.date.issued2017-05
dc.identifier.doihttps://doi.org/10.1097/MIB.0000000000001077
dc.identifier.issn1536-4844
dc.identifier.urihttps://hdl.handle.net/1843/68159
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInflammatory Bowel Diseases
dc.rightsAcesso Restrito
dc.subjectInflammatory bowel diseases
dc.subjectCrohn disease
dc.subjectColitis, ulcerative
dc.subjectHealth communication
dc.subjectSigns and symptoms
dc.subjectQuality of life
dc.subject.otherInflammatory bowel disease
dc.subject.otherCrohn’s disease
dc.subject.otherUlcerative colitis
dc.subject.otherGastrointestinal symptoms
dc.subject.otherWorry
dc.subject.otherPatient communication
dc.subject.otherPedsQL
dc.titlePatient health communication mediating effects between gastrointestinal symptoms and gastrointestinal worry in pediatric inflammatory bowel disease
dc.typeArtigo de periódico
local.citation.epage711
local.citation.issue5
local.citation.spage704
local.citation.volume23
local.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.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://academic.oup.com/ibdjournal/article/23/5/704/4561064

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