{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:49:30Z","timestamp":1791568170869,"version":"4.3.4"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine psychological functioning and parent\u2013child mental health in pediatric gastrointestinal autoimmune disorders. Child anxiety, depression, alexithymia, negative automatic thoughts and health-related quality of life were compared across inflammatory bowel disease (IBD), celiac disease and hepatopathy. Parental psychological functioning and parent\u2013child associations were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 59 children aged 8\u201317\u00a0years with confirmed IBD, celiac disease or hepatopathy and one parent per child, recruited from a university pediatric gastroenterology department in Greece during 2024. Participants completed validated psychological questionnaires. Associations, paired parent\u2013child comparisons and diagnostic-group differences were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Greater child alexithymia and more frequent negative automatic thoughts were associated with higher symptoms across all RCADS outcomes, whereas health-related quality of life was inversely associated with all outcomes. Parental alexithymia was associated with child-reported obsessive-compulsive symptoms, while six associations of parental depression, anxiety and alexithymia with parent-rated child outcomes remained significant. Parents rated child symptoms higher than children in all paired RCADS comparisons. Diagnostic comparisons suggested the greatest psychological burden and lowest health-related quality of life among children with Crohn\u2019s disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Alexithymia and parent\u2013child mental health emerged as important dimensions of psychological functioning in pediatric gastrointestinal and hepatological autoimmune disorders. Findings support multi-informant, family-centered psychological assessment within pediatric gastroenterology, while acknowledging shared-informant variance and the cross-sectional design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045261491090","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:39:33Z","timestamp":1791391173000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Functioning and Parent\u2013Child Mental Health Interrelations in Pediatric Gastrointestinal Autoimmune Disorders"],"prefix":"10.1177","author":[{"given":"Georgia","family":"Triantafyllou","sequence":"first","affiliation":[{"name":"ATTIKON University General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1865-3280","authenticated-orcid":false,"given":"Evdokia","family":"Pasalari","sequence":"additional","affiliation":[{"name":"ATTIKON University General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afroditi","family":"Kourti","sequence":"additional","affiliation":[{"name":"ATTIKON University General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ino","family":"Kanavaki","sequence":"additional","affiliation":[{"name":"ATTIKON University General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smaragdi","family":"Fessatou","sequence":"additional","affiliation":[{"name":"ATTIKON General University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-026-08296-4"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2015.02.003"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)90005-1"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2023.09.019"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines13020305"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/crocol\/otac019"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00130-8"},{"key":"e_1_3_6_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700040010"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2011.02446.x"},{"key":"e_1_3_6_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/children7100188"},{"issue":"1","key":"e_1_3_6_12_1","first-page":"61","article-title":"The relation between maternal personality and internalizing\/externalizing behaviors: Mediating role of maternal alexithymia, children\u2019s alexithymia and emotional regulation","volume":"17","author":"Davodi-Boroujerd G.","year":"2022","unstructured":"Davodi-Boroujerd G., Abasi I., Masjedi Arani A., Aslzaker M. (2022). The relation between maternal personality and internalizing\/externalizing behaviors: Mediating role of maternal alexithymia, children\u2019s alexithymia and emotional regulation. 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The mental health continuum: Scoring human flourishing and languishing. In Lopez S. J., Snyder C. R. (Eds.), Oxford handbook of positive psychology (2nd ed., pp. 25\u201334). Oxford University Press.","edition":"2"},{"key":"e_1_3_6_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izx100"},{"key":"e_1_3_6_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"issue":"3","key":"e_1_3_6_23_1","first-page":"146","article-title":"Lived experiences of parents of children with celiac disease: A descriptive qualitative study. Pediatric gastroenterology","volume":"27","author":"Kutahyalioglu N. S.","year":"2024","unstructured":"Kutahyalioglu N. S., Ka\u015f Alay G. (2024). Lived experiences of parents of children with celiac disease: A descriptive qualitative study. Pediatric gastroenterology. 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