[Study of personality and anxiety in children and adolescents with inflammatory bowel disease]

Andes Pediatr. 2021 Apr;92(2):241-249. doi: 10.32641/andespediatr.v92i2.2403.
[Article in Spanish]

Abstract

Objective: to analyze the presence of common personality traits and anxiety states in children and adolescents with inflammatory bowel disease (IBD).

Patients and method: Longitudinal, prospecti ve, and analytical study by applying the questionnaires Children's Personality Questionnaire, High School Personality Questionnaire, State-Trait Anxiety Inventory for Children, and State-Trait Anxie ty Inventory for patients with IBD aged between 9 and 18 years seen at reference IBD units in Ara gon, Spain. The participants excluded were those with active disease, defined as a score > 10 on the Pediatric Crohn's Disease Activity Index (PCDAI Score) or > 10 on the Pediatric Ulcerative Colitis Activity Index (PUCAI Score).

Results: Twenty-six patients participated (73% male). 61.5% pre sented Crohn's disease (CD) and 38.5% ulcerative colitis (UC). No patient presented active disease. The personality profile as a group was characterized by being open, emotionally stable, calm, sober, sensible, enterprising, impressionable, dependent, serene, perfectionist, and relaxed. 50% of the CD patients were enterprising versus no UC patients (p < 0.05). There were no statistically significant di fferences when comparing the remaining personality factors based on IBD type, age, or sex. Patients with CD tended to be calmer (p = 0.0511) and patients with UC more introverted (p = 0.0549). The sample presented a state anxiety level (A/E) -1.1 ± 0.8 SD compared with the population average. The level of anxiety as a feature (A/R) was -0.6 ± 1 SD. Males had significantly lower levels than females in the case of A/E (p < 0.05).

Conclusions: The presence of common personality traits in the pediatric population with IBD stands out but there was no greater anxiety than in the reference population.

MeSH terms

  • Adolescent
  • Anxiety / diagnosis*
  • Child
  • Colitis, Ulcerative / psychology*
  • Crohn Disease / psychology*
  • Extraversion, Psychological
  • Female
  • Humans
  • Inflammatory Bowel Diseases / psychology
  • Introversion, Psychological
  • Male
  • Personality Assessment*
  • Prospective Studies
  • Socioeconomic Factors
  • Spain
  • Surveys and Questionnaires

Supplementary concepts

  • Pediatric ulcerative colitis