| Mind-body complementary alternative medicine use and quality of life in adolescents with inflammatory bowel disease. | |
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MedLine Citation:
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PMID: 19705417 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Mind-body complementary and alternative medicine (CAM) modalities (e.g., relaxation or meditation) for symptom management have not been well studied in adolescents with inflammatory bowel disease (IBD). The purposes of this study were to: 1) determine the prevalence of 5 types of mind-body CAM use, and consideration of use for symptom management; 2) assess characteristics associated with regular mind-body CAM use; and 3) examine whether regular and/or considered mind-body CAM use are associated with health-related quality of life (HRQOL). METHODS: Sixty-seven adolescents with IBD ages 12-19 recruited from a children's hospital completed a questionnaire on CAM use and the Pediatric Quality of Life Inventory. Logistic regression models were estimated for regular and considered CAM use. RESULTS: Participants mean (SD) age was 15.5 (2.1) years; 37 (55%) were female; 53 (79%) were white; and 20 (30%) had moderate disease severity. Adolescents used prayer (62%), relaxation (40%), and imagery (21%) once/day to once/week for symptom management. In multivariate analyses, females were more likely to use relaxation (odds ratio [OR] = 4.38, 95% confidence interval [CI] = 1.25-15.29, c statistic = 0.73). Younger adolescents were more likely to regularly use (OR = 0.63, 95% CI = 0.42-0.95, c statistic = 0.72) or consider using (OR = 0.77, 95% CI = 0.59-1.00, c statistic = 0.64) meditation. Adolescents with more severe disease (OR = 4.17, 95% CI = 1.07-16.29, c statistic = 0.83) were more willing to consider using relaxation in the future. Adolescents with worse HRQOL were more willing to consider using prayer and meditation for future symptom management (P < 0.05). CONCLUSIONS: Many adolescents with IBD either currently use or would consider using mind-body CAM for symptom management. |
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Authors:
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Sian Cotton; Yvonne Humenay Roberts; Joel Tsevat; Maria T Britto; Paul Succop; Meghan E McGrady; Michael S Yi |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Inflammatory bowel diseases Volume: 16 ISSN: 1536-4844 ISO Abbreviation: Inflamm. Bowel Dis. Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-15 Completed Date: 2010-05-05 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 9508162 Medline TA: Inflamm Bowel Dis Country: United States |
Other Details:
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Languages: eng Pagination: 501-6 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0840, USA. sian.cotton@uc.edu |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Psychology Complementary Therapies / utilization* Female Health Status Humans Imagery (Psychotherapy) Inflammatory Bowel Diseases* / epidemiology, psychology, therapy Logistic Models Male Meditation Mind-Body Therapies / utilization* Multivariate Analysis Quality of Life* Questionnaires Relaxation Therapy / utilization Social Behavior Yoga |
| Grant Support | |
ID/Acronym/Agency:
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K23 HD052639-03/HD/NICHD NIH HHS; K23 HD052639-05/HD/NICHD NIH HHS; K23HD044556/HD/NICHD NIH HHS; K23HD052639/HD/NICHD NIH HHS; K24AT001676/AT/NCCAM NIH HHS |
| Comments/Corrections | |
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