Wendy N. Gray|Lee A. Denson|Robert N. Baldassano|K. A. Hommel
Treatment Adherence in Adolescents With Inflammatory Bowel Disease: The Collective Impact of Barriers to Adherence and Anxiety/Depressive Symptoms
Children's Hospital of Philadelphia|Cincinnati Children's Hospital Medical Center|University of Pennsylvania|University of Cincinnati|Children's Hospital of Philadelphia|Cincinnati Children's Hospital Medical Center|University of Pennsylvania|University of Cincinnati|Cincinnati Children's Hospital Medical Center|University of Pennsylvania|Children's Hospital of Philadelphia|University of Cincinnati|Cincinnati Children's Hospital Medical Center|Children's Hospital of Philadelphia|University of Pennsylvania|University of Cincinnati
knowledge factors impacting adolescents ability adhere inflammatory bowel disease ibd regimen limited current study examines collective impact barriers adherence anxietydepressive symptoms adolescent adherence ibd regimenadolescents n 79 completed measures barriers adherence adherence anxietydepressive symptoms one two specialty pediatric ibd clinicsmost adolescents reported barriers adherence 1 8 reported borderline clinically elevated levels anxietydepressive symptoms anxietydepressive symptoms moderated relationship barriers adherence adherence post hoc probing revealed significant additive effect higher anxietydepressive symptoms barriersadherence relationship adherence significantly lower among adolescents higher barriers higher anxietydepressive symptomsin order optimize adherence adolescents interventions target barriers adherence also anxietydepressive symptoms may negatively impact efforts adhere recommended treatment