{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:12:39Z","timestamp":1790100759289,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T00:00:00Z","timestamp":1702166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Clinical disease activity associated with inflammatory bowel disease (IBD)\u00a0can place physical limitations on youths' activities of daily living. In turn, functional limitations potentially contribute to youths' heightened experience of IBD\u2010induced intrusions on a wide range of routine and valued activities (i.e., illness intrusiveness), which can increase their risk for depressive symptoms. The present study examined the contributions of clinical disease activity, functional disability, and illness intrusiveness to depressive symptoms in youth with IBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Youth (<jats:italic>N<\/jats:italic>\u2009=\u2009180) completed the Functional Disability Inventory (FDI),\u00a0Illness Intrusiveness Scale\u2010Child (IIS\u2010C),\u00a0and Children's Depression Inventory\u20102 (CDI\u20102).\u00a0Physicians completed the Physicians Global Assessment of disease activity (PGA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results revealed a mediating effect for functional disability in the association between disease activity and depressive symptoms (PGA\u2009\u2192\u2009FDI\u2009\u2192\u2009CDI\u20102);\u00a0illness intrusiveness mediated the association between functional disability and depressive symptoms (i.e., FDI\u2009\u2192\u2009IIS\u2010C\u2009\u2192\u2009CDI\u20102).\u00a0Serial mediation revealed that clinical disease activity conferred an indirect effect on youth depressive symptoms through the sequential effects of functional disability and illness intrusiveness (i.e., PGA\u2009\u2192\u2009FDI\u2009\u2192\u2009IIS\u2010C\u2009\u2192\u2009CDI\u20102).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Taken together, these findings indicate that youth who encounter more physical limitations as a function of clinical disease activity are more likely to experience an amplified sense of IBD\u2010related intrusions on their ability to participate in meaningful activities. In turn, heightened illness intrusiveness increases the likelihood of depressive symptoms. Clinical interventions that help youth maintain adequate functional ability in the face of IBD disease activity and encourage involvement in positively valued activities could decrease the negative impact of IBD on youths' emotional adjustment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.12056","type":"journal-article","created":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T09:22:40Z","timestamp":1702718560000},"page":"77-84","source":"Crossref","is-referenced-by-count":3,"title":["The contributions of clinical disease activity, functional disability, and illness intrusiveness to depressive symptoms in pediatric inflammatory bowel disease"],"prefix":"10.1002","volume":"78","author":[{"given":"Clayton S.","family":"Edwards","sequence":"first","affiliation":[{"name":"Center for Pediatric Psychology Oklahoma State University Stillwater Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa 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