Combined effects of youth and parent illness intrusiveness on depressive symptoms in adolescents with inflammatory bowel disease
Abstract
Purpose/Background: Inflammatory bowel disease (IBD) presents physical and emotional challenges for families, and imposes significant lifestyle intrusions on both youth and parents. The present study examined the effects of disease severity and youth illness intrusiveness on depressive symptoms in adolescents with IBD, and the moderating influence of parent illness intrusiveness on these associations. Methods: Adolescents and parents completed measures of illness intrusiveness; youth completed a measure of depressive symptoms. Physicians provided estimates of IBD severity. Results: Mediation analysis revealed an IBD severity --> youth intrusiveness --> youth depressive symptoms indirect effect. Moderated mediation analyses revealed this indirect effect to be greater among youth whose parents endorsed more IBD-related lifestyle intrusions. Conclusion: Youth encountering greater activity disruptions related to IBD severity are vulnerable to depressive symptoms. When parents also experience IBD-induced intrusions, youth are at even greater risk for depressive symptoms. Clinical implications are discussed within the context of youths' and parents' experience of IBD.
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- OSU Theses [15752]