Mental Health Experiences of Adolescents and Young Adults with Inflammatory Bowel Disease During Transition to Adult Care: A Qualitative Descriptive Study.

Adolescents Inflammatory bowel disease Mental health Qualitative methods Transition to adult care Young adults

Journal

The Journal of pediatrics
ISSN: 1097-6833
Titre abrégé: J Pediatr
Pays: United States
ID NLM: 0375410

Informations de publication

Date de publication:
28 May 2024
Historique:
received: 19 03 2024
revised: 09 05 2024
accepted: 22 05 2024
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 30 5 2024
Statut: aheadofprint

Résumé

To explore the mental health experiences of adolescents and young adults (AYA) with inflammatory bowel disease (IBD) enrolled in a randomized controlled trial evaluating the impact of a multimodal transition intervention. Virtual semi-structured interviews were held with 21 AYA aged 16 through 18 years with IBD. Guided by qualitative description, interviews were digitally recorded, transcribed verbatim, and analyzed using an inductive approach to reflexive thematic analysis. Three themes were generated from the data: 1) a continuum of integration between IBD and personal identity in adolescence and young adulthood, 2) manifestations of the mind-gut connection among AYA with IBD, and 3) hopes and priorities for addressing mental health in IBD care. AYA with IBD endorsed the criticality of incorporating mental health discussions into routine care during the transition to adult care, given the co-occurrence of psychosocial stressors throughout this period. A series of factors promoting and hindering the integration of IBD into one's identity were identified and could be explored in clinical encounters.

Identifiants

DOI: 10.1016/j.jpeds.2024.114123 PMID: 38815748
pubmed: 38815748
pii: S0022-3476(24)00226-9
doi: 10.1016/j.jpeds.2024.114123
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

114123

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Auteurs

Brooke Allemang (B)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada.

Mira Browne (M)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; Faculty of Health Sciences, McMaster University, Hamilton, Canada.

Melanie Barwick (M)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

Natasha Bollegala (N)

Division of Gastroenterology, Department of Medicine, Women's College Hospital, University of Toronto, Toronto, Canada.

Nancy Fu (N)

Division of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, Canada.

Kate Lee (K)

Crohn's and Colitis Canada, Toronto, Canada.

Ashleigh Miatello (A)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada.

Emily Dekker (E)

Crohn's and Colitis Canada, Toronto, Canada.

Irina Nistor (I)

Crohn's and Colitis Canada, Toronto, Canada; Division on Gastroenterology, Ambulatory IBD Clinic, Mount Sinai Hospital, Toronto, Canada.

Sara Ahola Kohut (S)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada.

Laurie Keefer (L)

Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, United States of America.

Samantha Micsinszki (S)

CanChild Centre for Childhood Disability Research and the School of Rehabilitation Science, McMaster University, Hamilton, Canada.

Thomas D Walters (TD)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada; Department of Paediatrics and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.

Anne M Griffiths (AM)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada; Department of Paediatrics and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.

David R Mack (DR)

Children's Hospital of Eastern Ontario (CHEO) Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, CHEO, Ottawa, Canada; Department of Pediatrics, University of Ottawa, Ottawa, Canada.

Sally Lawrence (S)

Division of Gastroenterology, Hepatology and Nutrition, BC Children's Hospital, University of British Columbia, Vancouver, Canada.

Karen I Kroeker (KI)

Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Canada.

Jacqueline de Guzman (J)

Crohn's and Colitis Canada, Toronto, Canada.

Aalia Tausif (A)

Crohn's and Colitis Canada, Toronto, Canada.

Pranshu Maini (P)

Faculty of Health Sciences, McMaster University, Hamilton, Canada.

Claudia Tersigni (C)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada.

Samantha J Anthony (SJ)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.

Eric I Benchimol (EI)

Child Health Evaluative Sciences, SickKids Research Institute, The Hospital for Sick Children, Toronto, Canada; SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada; Department of Paediatrics and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; ICES, Toronto, Canada. Electronic address: eric.benchimol@sickkids.ca.

Classifications MeSH