期刊
JOURNAL OF ADOLESCENT HEALTH
卷 44, 期 5, 页码 485-492出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jadohealth.2008.09.013
关键词
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资金
- National Institute of Child Health and Human Development (NICHD) [K23HD052639]
- Health Services Research and Development Service, Department of Vetevans Affairs [CD 106291]
- National Center for Complementary and Alternative Medicine [K24AT001676]
- NICHD [K23HD044556]
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [K23HD044556, K23HD052639] Funding Source: NIH RePORTER
- NATIONAL CENTER FOR COMPLEMENTARY &ALTERNATIVE MEDICINE [K24AT001676] Funding Source: NIH RePORTER
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.
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