Health-Related Quality of Life Predicts Psychology Referral in Youth with Inflammatory Bowel Disease.

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DOI: 10.1016/j.pedn.2019.04.016


PURPOSE: The current study sought to explore psychosocial data gathered from routine screening within an interdisciplinary IBD program, with two-fold aims: 1) to examine parent-child agreement across health-related quality of life domains and 2) to evaluate the differential predictive value of child and parent ratings of health-related quality of life domains on referrals for psychological services.

DESIGN AND METHODS: A convenience sample of 92 youth (ages 8-18) and their parents completed the Pediatric Quality of Life Inventory.

RESULTS: Children and parents showed moderate to good agreement across health-related quality of life domains. Additionally, regression analyses revealed that child and parent-proxy reports of emotional difficulties, parent report of school difficulties, and child report of physical symptoms were significantly predictive of psychology referral status.

CONCLUSIONS: Study findings suggest moderate to good agreement among child and parent-proxy reporters and support the shared value of both child and parent ratings of health-related quality of life in predicting psychology referrals in youth with IBD.

PRACTICE IMPLICATIONS: Routine psychosocial screening among youth with IBD can promote the early identification of emotional and behavioral needs, and family receipt of appropriate, evidence-based intervention.

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Journal of pediatric nursing



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MeSH Keywords

Adolescent; Child; Female; Humans; Inflammatory Bowel Diseases; Male; Quality of Life; Referral and Consultation; Surveys and Questionnaires


Crohn's disease; Pediatrics; Psychosocial screening; Referral; Ulcerative colitis

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