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Adolescent and caregiver perceptions of addressing mental health in inflammatory bowel disease.
Berenblum Tobi, Catalina; Vu, Maihan; Díaz-González de Ferris, Maria E; Semerzier, Sherritta; Kappelman, Michael D; deJong, Neal A.
Afiliación
  • Berenblum Tobi C; School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Vu M; Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Díaz-González de Ferris ME; Department of Pediatrics, University of North Carolina at Chapel Hill Chapel Hill, NC, USA.
  • Semerzier S; UNC Health Care, Chapel Hill, NC, USA.
  • Kappelman MD; Division of Pediatric Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • deJong NA; Department of Pediatrics, University of North Carolina at Chapel Hill Chapel Hill, NC, USA.
J Child Health Care ; : 13674935241241350, 2024 Mar 26.
Article en En | MEDLINE | ID: mdl-38530035
ABSTRACT
Adolescents with inflammatory bowel disease (IBD) are at an increased risk of anxiety and depression compared to peers, but availability of mental health services in IBD clinics does not meet patients' needs, and use of primary care services for mental health screening and care is low. This study provides qualitative data regarding adolescent and caregiver perspectives on addressing mental health in IBD. Interviews were conducted with adolescents with IBD and caregivers of adolescents with IBD. Interview transcripts were coded and analyzed for prominent themes. Thirteen adolescents and fourteen caregivers were interviewed. Three primary themes emerged mental health stigma makes discussing it more difficult, physician-adolescent trust makes conversations about mental health easier, and asking about mental health directly can help adolescents feel comfortable. Adolescents and caregivers highlighted the importance of considering each patient and their family individually when choosing how to discuss mental health. Fostering trust with adolescents with IBD is vital to addressing mental health. While encouraging standardized screening is important, the most patient-centered approach to mental health involves considering families individually to identify and address mental health challenges. Given the increased risk of anxiety and depression in pediatric patients with IBD, all providers encountering these patients should be equipped to discuss mental health non-judgmentally.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Child Health Care Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Child Health Care Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido