College adjustment in University of Michigan students with Crohn's and colitis
College adjustment in University of Michigan students with Crohn's and colitis
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DOI：
10.1002/ibd.20484
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发表时间：
2008-09-01
影响因子：
4.9
通讯作者：
Zimmermann, Ellen M.
中科院分区：
文献类型：
--
作者：
Adler, Jeremy;Raju, Sheela;Zimmermann, Ellen M.
背景：适应大学生活对学业成功至关重要。较差的大学适应与较差的学习成绩、较低的毕业率以及以后生活中较差的成功相关。关于炎症性肠病（IDB）对大学适应的影响的可用数据有限。我们假设疾病活动对石油生活质量产生负面影响，并对大学适应产生不利影响。方法：对克罗恩病（CD） 6例，溃疡性结肠炎（UC） 12例，健康对照19例进行标准化大学适应调查（SACQ）和生活质量量表（SF-12）。适当时，获得疾病特异性活度和生活质量指数（HBI， SCCAI， SIBDQ）。结果：CD、UC患者疾病活动度与大学适应均呈负相关（R = -0.6554, p = 0.0032）。IDB学生的身体质量（SF-12）低于对照组（p = 0.0009）。大学适应情绪域与SIBDQ的相关程度最高（R = 0.8228, p < 0.0001），与CID的相关程度最高（R = 0.8619），而与UC的相关程度最高（R = 0.7946）。CID组精神生活质量（SF-12）较UC组差（p = 0.0211），但与对照组无差异（p = 0.4, p = 0.6）。结论：活动性克罗恩病和结肠炎学生对大学生活的适应能力较差。身体和情感因素可能是原因之一。更积极的药物治疗和更好的情感支持可能会使大学生更快乐、更健康，从而导致更高的毕业率和未来的成功。导致更好的疾病控制和支持系统的干预措施可能会提高大学成绩，并为患有IBD的年轻人提供长期益处。
Background: Adjustment to college is critical for academic success. Poor college adjustment correlates with poor academic performance, low graduation rates, and poor success later in life. Limited data are available oil the effects of inflammatory bowel disease (IDB) on college adjustment. We hypothesize that disease activity negatively impacts oil QOL, and adversely affects college adjustment.Methods: Undergraduate students (6 Crohn's disease [CD], 12 ulcerative colitis [UC], 19 healthy controls) completed a standardized college adjustment survey (SACQ) and QOL instrument (SF-12). Where appropriate, disease specific activity and QOL indices were obtained (HBI, SCCAI, SIBDQ).Results: There was all inverse correlation between disease activity and college adjustment in CD and UC (R = -0.6554, p = 0.0032). IDB Students had lower physical QOL (SF-12) than controls (p = 0.0009). Emotional domain of college adjustment correlated best with SIBDQ (R = 0.8228, p < 0.0001), and correlated better in CID (R = 0.8619) than UC (R = 0.7946). Mental QOL (SF-12) was worse in CID than UC (p = 0.0211), but neither differed from controls (p = 0.4, p = 0.6).Conclusions: Students with active Crohn's and colitis adjust less well to college life. Physical and emotional factors likely contribute. More aggressive medical therapy and better emotional support before and during college may result ill happier and healthier college Students, leading to higher graduation rates and future Success. Interventions resulting in better disease control and support systems may improve college performance and provide long-term benefits to young adults with IBD.