Spiritual Well-Being and Mental Health Outcomes in Adolescents With or Without Inflammatory Bowel Disease
Spiritual Well-Being and Mental Health Outcomes in Adolescents With or Without Inflammatory Bowel Disease
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DOI：
10.1016/j.jadohealth.2008.09.013
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发表时间：
2009-05-01
影响因子：
7.6
通讯作者：
Yi, Michael S.
中科院分区：
文献类型：
--
作者：
Cotton, Sian;Kudel, Ian;Yi, Michael S.
Purpose: The purpose of this study was threefold: 1) to describe spiritual well-being (existential and religious well-being) in adolescents with inflammatory bowel disease (IBD) versus healthy peers; 2) to examine associations of spiritual well-being with mental health outcomes (emotional functioning and depressive symptoms); and 3) to assess the differential impact of existential versus religious well-being on mental health.Methods: A total of 155 adolescents aged 11-19 years from a children's hospital and a university hospital filled out questionnaires including the Spiritual Well-Being Scale, the Children's Depression Inventory-Short Form, and the Pediatric Quality of Life Inventory. Covariates in multivariable models included demographics, disease status, and interactions.Results: Participants' mean (SD) age was 15.1 (2.0) years; 80 (52%) were male; and 121 (78%) were of white ethnicity. Levels of existential and religious well-being were similar between adolescents with IBD and healthy peers. In multivariable analyses, existential well-being was associated with mental health (partial R-2 change = .08-11, p < .01) above and beyond other characteristics (total R-2 = .23, p < .01). Presence of disease moderated both the relationship between existential well-being and emotional functioning and that between religious well-being and depressive symptoms: that is, the relationships were stronger in adolescents with IBD as compared with healthy peers. Religious well-being was only marginally significantly associated with mental health after controlling for other factors.Conclusions: Although both healthy adolescents and those with IBD had high levels of spiritual wellbeing, having IBD moderated the relationship between spiritual well-being and mental health. Meaning/purpose was related to mental health more than was connectedness to the sacred. (C) 2009 Society for Adolescent Medicine. All rights reserved.
