目的:分析儿童和青少年炎症性肠病(IBD)患者中常见人格特质和焦虑状态的存在。
方法:纵向,前景,并通过应用儿童人格问卷进行分析研究,高中人格问卷,儿童状态特质焦虑量表,在Aragon的参考IBD单位观察到的年龄在9至18岁之间的IBD患者的状态特征焦虑量表,西班牙。排除的参与者是患有活动性疾病的人,定义为小儿克罗恩病活动指数(PCDAI评分)评分>10或小儿溃疡性结肠炎活动指数(PUCAI评分)评分>10。
结果:有26名患者参加(73%为男性)。61.5%的克罗恩病(CD)和38.5%的溃疡性结肠炎(UC)。无患者出现活动性疾病。作为一个群体的人格特征是开放的,情绪稳定,冷静,清醒,明智的,进取,令人印象深刻,依赖,安详,完美主义者,和放松。与无UC患者相比,50%的CD患者有进取心(p<0.05)。在比较基于IBD类型的其余人格因素时,没有统计学上显著的差异,年龄,或性。CD患者趋于平静(p=0.0511),UC患者更加内向(p=0.0549)。与人群平均值相比,样本呈现状态焦虑水平(A/E)-1.1±0.8SD。作为特征的焦虑水平(A/R)为-0.6±1SD。在A/E的情况下,男性的水平明显低于女性(p<0.05)。
结论:IBD儿科人群中常见人格特质的存在突出,但没有比参考人群更大的焦虑。
OBJECTIVE: to analyze the presence of common personality traits and anxiety states in children and adolescents with inflammatory bowel disease (IBD).
METHODS: Longitudinal, prospecti ve, and analytical
study by applying the questionnaires Children\'s Personality Questionnaire, High School Personality Questionnaire, State-Trait Anxiety Inventory for Children, and State-Trait Anxie ty Inventory for patients with IBD aged between 9 and 18 years seen at reference IBD units in Ara gon, Spain. The participants excluded were those with active disease, defined as a score > 10 on the Pediatric Crohn\'s Disease Activity Index (PCDAI Score) or > 10 on the Pediatric Ulcerative Colitis Activity Index (PUCAI Score).
RESULTS: Twenty-six patients participated (73% male). 61.5% pre sented Crohn\'s disease (CD) and 38.5% ulcerative colitis (UC). No patient presented active disease. The personality profile as a group was characterized by being open, emotionally stable, calm, sober, sensible, enterprising, impressionable, dependent, serene, perfectionist, and relaxed. 50% of the CD patients were enterprising versus no UC patients (p < 0.05). There were no statistically significant di fferences when comparing the remaining personality factors based on IBD type, age, or sex. Patients with CD tended to be calmer (p = 0.0511) and patients with UC more introverted (p = 0.0549). The sample presented a state anxiety level (A/E) -1.1 ± 0.8 SD compared with the population average. The level of anxiety as a feature (A/R) was -0.6 ± 1 SD. Males had significantly lower levels than females in the case of A/E (p < 0.05).
CONCLUSIONS: The presence of common personality traits in the pediatric population with IBD stands out but there was no greater anxiety than in the reference population.