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Arthritis und Rheuma 2022; 42(06): 416-420
DOI: 10.1055/a-1958-6998
Schwerpunkt

Psychische Gesundheit von Kindern und Jugendlichen mit chronisch entzündlichen Darmerkrankungen

Mental health in children and adolescents with inflammatory bowel disease
Henning Lenhartz
1   Katholisches Kinderkrankenhaus Wilhelmstift, Hamburg
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ZUSAMMENFASSUNG

Kinder und Jugendliche mit chronisch entzündlichen Darmerkrankungen gehören durch Schmerzen und schambesetzte Symptome (Diarrhö, Blut im Stuhl, Meteorismus) ihrer Magen-Darm-Erkrankung zu einer besonderen Risikogruppe in Bezug auf eine Einschränkung der (gesundheitsbezogenen) Lebensqualität und eine psychische Komorbidität. Es besteht ein komplexes System an Wechselwirkungen zwischen Krankheitsaktivität (hier insbesondere Schmerz), psychischen Störungen wie Depression, Ängstlichkeit und Anpassungsstörungen, Lebensqualität und Resilienz. Dieses sollte bei Routinekontrollen allgemein, aber insbesondere auch bei Diskordanz zwischen Krankheitsaktivität und Lebensqualität erfasst und behandelt werden.

ABSTRACT

Children and adolescents with inflammatory bowel diseases (IBD) belong due to pain and shameful symptoms (diarrhea, bloody stools, bloating) to a risk group for a reduced quality of life and psychological pathology. There is a complex conglomerate of interactions between activity of IBD (mainly the symptom pain), psychological problems like mood and adjustment disorders, quality of life and resilience. All these should be part of the routine check in the outpatient clinic, especially if there is a discordance between disease activity and quality of life.

Schlüsselwörter

Psychische Gesundheit - Lebensqualität - CED - Morbus Crohn - Colitis ulcerosa - adolescent

Keywords

Mental Health - Quality of Life - IBD - Crohn’s Disease - ulcerative colitis - adolescent


Publication History

Article published online:
09 December 2022

© 2022. Thieme. All rights reserved.

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