Parental Psychological Factors and Quality of Life of Children with Inflammatory Bowel Disease: Journal of Pediatric Gastroenterology and Nutrition

M. Bramuzzo, C. De Carlo, S. Arrigo, P.M. Pavanello, C. Canaletti, F. Giudici, A. Agrusti, S. Martelossi, G. Di Leo, E. Barbi

Research output: Contribution to journalArticlepeer-review


Objectives:Parents have a central role in the management of children with inflammatory bowel disease (IBD). Alterations in parental psychological well-being may affect the patient's health-related quality of life (HRQoL). This study aimed to evaluate the correlation between maternal and paternal distress, anxiety, depression and pain catastrophizing and the HRQoL of patients with IBD.Methods:Children with IBD ages 8 to 18 years and their parents were prospectively recruited. Children answered questionnaires on HRQoL while parents completed an assessment of distress, anxiety, depression, and pain catastrophizing. Univariate and multivariate regression models analysis were used to evaluate correlations between parental measures and patient's HRQoL and between the factors related to children health and parental psychological suffering.Results:One hundred patients (45 Crohn disease, 55 ulcerative colitis), 90 mothers and 62 fathers were enrolled. Parents had high levels of distress while anxiety, depression, and pain catastrophizing levels were relatively low. Parental distress had the most substantial correlation with children's HRQoL and was associated with patients' disease activity and recent flares. On multivariate regression analysis, parental factors explained less than 20% of the variance in the children's HRQoL scores. Mothers suffered from psychological alterations more frequently than fathers, but the parental inter-rater agreement was strong in regards to distress and anxiety.Conclusions:Parental distress is high and correlates with the HRQoL of children with IBD. Interventions aimed at evaluating and managing parental distress should be considered during the management of children with IBD. © 2020 Lippincott Williams and Wilkins. All rights reserved.
Original languageEnglish
Pages (from-to)211-217
Number of pages7
JournalJ. Pediatr. Gastroenterol. Nutr.
Issue number2
Publication statusPublished - 2020


  • children
  • distress
  • health-related quality of life
  • inflammatory bowel disease
  • parents
  • adolescent
  • adult
  • anxiety
  • Article
  • catastrophizing
  • child
  • correlation analysis
  • Crohn disease
  • depression
  • disease activity
  • distress syndrome
  • evaluation study
  • father
  • female
  • human
  • major clinical study
  • male
  • mother
  • multivariate logistic regression analysis
  • pain
  • parental stress
  • priority journal
  • prospective study
  • psychological aspect
  • quality of life
  • questionnaire
  • ulcerative colitis
  • univariate analysis


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