Emotional sequelae of chronic inflammatory bowel disease in children and adolescents.

Clinics in gastroenterology Pub Date : 1986-01-01
T Bruce
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Abstract

It is clear that further study needs to be made of the link between emotional disorder and chronic inflammatory bowel disease in children. It is commonly accepted that such a link exists in ulcerative colitis and although there is at present no proof in either direction it seems highly probable that such a relationship is also present in Crohn's disease. We have seen that the families of children with Crohn's disease appear to find it much more than ordinarily difficult to accept such a relationship, but an objective study is projected to explore the presence of psychiatric illness in our patients and their families. Such a study will be extremely time consuming, requiring the services of a part-time research worker, and the exigencies of clinical service have so far prevented its being set in motion. We feel that our experience in St Bartholomew's Hospital during the past seven years has very clearly demonstrated the value of close liaison between the Child Psychiatry Unit and the Paediatric Inflammatory Bowel Disease Clinic, and the much greater efficacy of such a liaison as against referrals made to a separate Psychiatric Unit. It should be emphasized, however, that a liaison of this sort is time consuming, and in our experience has involved child psychiatrists, social workers, child psychotherapists and behaviour therapists. Thus the provision of such a service is expensive both in time and money. Where a new Paediatric Inflammatory Bowel Disease Clinic is being projected there must be very careful forward planning, looking particularly at financial implications if a psychiatric liaison team is to be included.

儿童和青少年慢性炎症性肠病的情绪后遗症。
很明显,需要进一步研究儿童情绪障碍和慢性炎症性肠病之间的联系。人们普遍认为这种联系存在于溃疡性结肠炎中,尽管目前没有任何证据证明这两个方向,但克罗恩病似乎也极有可能存在这种关系。我们已经看到,患有克罗恩病的儿童的家庭似乎很难接受这种关系,但我们计划进行一项客观的研究,以探索我们的患者及其家庭中精神疾病的存在。这样的研究将极其耗时,需要一名兼职研究人员的服务,而临床服务的紧迫性迄今阻止了它的启动。我们认为,过去七年来我们在圣巴塞洛缪医院的经验非常清楚地表明,儿童精神病学科和儿童炎症性肠病诊所之间密切联系的价值,以及这种联系比转诊到单独的精神病学科的效果要大得多。然而,应该强调的是,这种联络是耗时的,根据我们的经验,涉及儿童精神病学家、社会工作者、儿童心理治疗师和行为治疗师。因此,提供这种服务在时间和金钱上都是昂贵的。如果计划建立一个新的儿科炎症性肠病诊所,必须进行非常仔细的前瞻性规划,特别是如果要包括一个精神病学联络小组,则必须考虑到财务问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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