The purpose of this prospective cross-sectional study was to look at perfectionism, illness self-management, and psychosocial outcomes in teenagers with inflammatory bowel disease (IBD). The study included adolescent IBD patients and caretakers. The Child and Adolescent Perfectionism Scale, the Strengths and Difficulties Questionnaire (SDQ), and the TRANSITION-Q were all completed by the patients. The Multidimensional Perfectionism Scale and the SDQ parent form were completed by the parents. The Pediatric Ulcerative Colitis Activity Index (PUCAI) and the Pediatric Crohn Disease Activity Index (PCDAI) were used by health care providers to report disease activity (PCDAI). The study included ninety adolescents with IBD and 76 primary caregivers. Adolescents with IBD had significant rates of self-oriented perfectionism, according to the findings. After controlling for age, gender, and illness activity, self-oriented perfectionistic striving was linked to improved disease self-management; however, adolescent and parent perfectionistic strivings were linked to higher adolescent internalizing symptoms. Furthermore, perfectionistic worries were linked to greater rates of adolescent-reported externalizing symptoms. Furthermore, multilevel mixed modeling revealed no differences within-dyad in perfectionism but revealed that adolescents report greater levels of externalizing symptoms than parents.
The current study looks at the frequency and manifestations of perfectionism in a group of teenagers with IBD. The findings indicate that different dimensions of perfectionism are associated with different psychosocial and disease management outcomes, implying that there is more evidence of a link between perfectionism, maladaptive coping, and subsequent influences on health outcomes in the context of pediatric chronic illness.
