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Gender Differences in the Social Functioning of Adolescents with Inflammatory Bowel Disease

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Abstract

Inflammatory bowel disease (IBD) has been associated with social difficulties. Boys with IBD may have increased risk for social problems due to delayed growth and puberty, but gender differences in social functioning have not been investigated. This study examined gender differences in multiple areas of social functioning for adolescents with IBD compared to healthy adolescents. Participants were 92 adolescents 11–17 years (50 with IBD, 42 healthy) and parents who completed questionnaires assessing social functioning. IBD was associated with poorer social functioning in the areas of social competence and social problems. Boys with IBD had worse social competence, with no gender differences for social problems. Gender predicted the use of social contact as a coping strategy, but no significant group differences were found for other areas of social functioning. Adolescents with IBD experience significant social difficulties in some areas, and boys are at risk for poor social competence. However, previously reported social difficulties may not extend to all areas of social functioning.

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References

  • Achenbach, T. M. (2001). Manual for the Achenbach System of Empirically Based Assessment school age forms and profiles. Burlington, VT: Author.

    Google Scholar 

  • Brain, C., & Savage, M. (1994). Growth and puberty in chronic inflammatory bowel disease. Bailliere’s Clinical Gastroenterology, 8, 83–100.

    Article  PubMed  CAS  Google Scholar 

  • Buchman, A. L. (2001). Side effects of corticosteroid therapy. Journal of Clinical Gastroenterology, 33, 289–294.

    Article  PubMed  CAS  Google Scholar 

  • Byrne, J., Fears, T. R., Steinhorn, S. C., Mulvihill, J. J., Connelly, R. R., Austin, D. F., et al. (1989). Marriage and divorce after childhood and adolescent cancer. JAMA, 262, 2693–2699.

    Article  PubMed  CAS  Google Scholar 

  • Casati, J., Toner, B. B., de Rooy, E. C., Drossman, D. A., & Maunder, R. G. (2000). Concerns of patients with inflammatory bowel disease: A review of emerging themes. Digestive Diseases and Sciences, 45, 26–31.

    Article  PubMed  CAS  Google Scholar 

  • Cavell, T. A. (1990). Social adjustment, social performance, and social skills: A tri-component model of social competence. Journal of Clinical Child Psychology, 19, 111–122.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Entner, R. (2010). Under-aged texting: Usage and actual cost. New York: The Nielson Company.

    Google Scholar 

  • Feldman, S. S., & Elliott, G. R. (1990). At the threshold: The developing adolescent. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Graber, J. A., Lewinsohn, P. M., Seeley, J. R., & Brooks-Gunn, J. (1997). Is psychopathology associated with the timing of pubertal development? Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1768–1776.

    Article  PubMed  CAS  Google Scholar 

  • Graber, J. A., Seeley, J. R., Brooks-Gunn, J., & Lewinsohn, P. M. (2004). Is pubertal timing associated with psychopathology in young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 718–726.

    Article  PubMed  Google Scholar 

  • Greenley, R. N., Hommel, K. A., Nebel, J., Raboin, T., Li, S. H., Simpson, P., et al. (2010). A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease. Journal of Pediatric Psychology, 35, 857–869.

    Article  PubMed  Google Scholar 

  • Gresham, F., & Elliott, S. (1990). Social Skills Rating System manual. Circle Pines, MN: AGS.

    Google Scholar 

  • Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.

    Article  PubMed  CAS  Google Scholar 

  • Hyams, J. S., Ferry, G. D., Mandel, F. S., Gryboski, J. D., Kibort, P. M., Kirschner, B. S., et al. (1991). Development and validation of a Pediatric Crohn’s Disease Activity Index. Journal of Pediatric Gastroenterology and Nutrition, 12, 439–447.

    PubMed  CAS  Google Scholar 

  • Hyams, J. S., Mandel, F., Ferry, G. D., Gryboski, J. D., Kibort, P. M., Kirschner, B. S., et al. (1992). Relationship of common laboratory parameters to the activity of Crohn’s disease in children. Journal of Pediatric Gastroenterology and Nutrition, 14, 216–222.

    Article  PubMed  CAS  Google Scholar 

  • Langeveld, N. E., Ubbink, M. C., Last, B. F., Grootenhuis, M. A., Voute, P. A., & De Haan, R. J. (2003). Educational achievement, employment and living situation in long-term young adult survivors of childhood cancer in the Netherlands. Psychooncology, 12, 213–225.

    Article  PubMed  CAS  Google Scholar 

  • Lenhart, A., Purcell, K., Smith, A., & Zickuhr, K. (2010). Social media and mobile internet use among teens and young adults. Washington, D.C.: Pew Research Center.

    Google Scholar 

  • Lindberg, E., Lindquist, B., Holmquist, L., & Hildebrand, H. (2000). Inflammatory bowel disease in children and adolescents in Sweden, 1984–1995. Journal of Pediatric Gastroenterology and Nutrition, 30, 259–264.

    Article  PubMed  CAS  Google Scholar 

  • Marcotte, D., Fortin, L., Potvin, P., & Papillon, M. (2002). Gender differences in depressive symptoms during adolescence: Role of gender-typed characteristics, self-esteem, body image, stressful life events, and pubertal status. Journal of Emotional & Behavioral Disorders, 10, 29–42.

    Article  Google Scholar 

  • Markowitz, J., Grancher, K., Rosa, J., Aiges, H., & Daum, F. (1993). Growth failure in pediatric inflammatory bowel disease. Journal of Pediatric Gastroenterology and Nutrition, 16, 373–380.

    Article  PubMed  CAS  Google Scholar 

  • Parker, J. G., Rubin, K. H., Price, J. M., & DeRosier, M. E. (1995). Peer relationships, child development, and adjustment: A developmental psychopathology perspective. In D. Cicchetti & D. S. Cohen (Eds.), Developmental psychopathology (Vol. 2, pp. 96–161). New York: Wiley.

    Google Scholar 

  • Rauck, A. M., Green, D. M., Yasui, Y., Mertens, A., & Robison, L. L. (1999). Marriage in the survivors of childhood cancer: A preliminary description from the Childhood Cancer Survivor Study. Medical and Pediatric Oncology, 33, 60–63.

    Article  PubMed  CAS  Google Scholar 

  • Rubin, K. H., Bukowski, W. M., & Parker, J. G. (1998). Peer interactions, relationships, and groups. In E. Damon (Ed.), Handbook of child psychology (5th ed., Vol. 3, pp. 619–700). New York, NY: Wiley.

    Google Scholar 

  • Sentongo, T. A., Semeao, E. J., Piccoli, D. A., Stallings, V. A., & Zemel, B. S. (2000). Growth, body composition, and nutritional status in children and adolescents with Crohn’s disease. Journal of Pediatric Gastroenterology and Nutrition, 31, 33–40.

    Article  PubMed  CAS  Google Scholar 

  • Thies, K. M., & Walsh, M. E. (1999). A developmental analysis of cognitive appraisal of stress in children and adolescents with chronic illness. Children’s Health Care, 28, 15–32.

    Article  Google Scholar 

  • Thompson, R. J., & Gustafson, K. E. (1996). Adaptation to chronic childhood illness (pp. 131–156). Washington, DC: APA.

    Book  Google Scholar 

  • Tobin, D. L. (2001). User manual for the Coping Strategies Inventory. Unpublished manuscript.

  • Vannatta, K., Gartstein, M. A., Zeller, M., & Noll, R. B. (2006). Peer acceptance during childhood and adolescence: How important are appearance, athleticism, and academic competence? Manuscript under review.

  • Vannatta, K., Getzoff, E. A., Gilman, D. K., Noll, R. B., Gerhardt, C. A., Powers, S. W., et al. (2008). Friendships and social interactions of school-aged children with migraine. Cephalalgia, 28, 734–743.

    Article  PubMed  CAS  Google Scholar 

  • Weisz, J. R., & Hawley, K. M. (2002). Developmental factors in the treatment of adolescents. Journal of Consulting and Clinical Psychology, 70, 21–43.

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was supported by a grant from Nationwide Children’s Hospital.

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Correspondence to Laura M. Mackner.

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Mackner, L.M., Vannatta, K. & Crandall, W.V. Gender Differences in the Social Functioning of Adolescents with Inflammatory Bowel Disease. J Clin Psychol Med Settings 19, 270–276 (2012). https://doi.org/10.1007/s10880-011-9292-x

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