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Main Authors: Marieke Verkleij, Berber Vlieg‐Boerstra, Geesje H. Hofsteenge, Eric Haarman, Jos Twisk, Alexandra L. Quittner, Tim de Meij
Format: Artículo Open Access
Published: Wiley 2025
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Online Access:https://onlinelibrary.wiley.com/doi/10.1002/ppul.71021
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author Marieke Verkleij
Berber Vlieg‐Boerstra
Geesje H. Hofsteenge
Eric Haarman
Jos Twisk
Alexandra L. Quittner
Tim de Meij
author_facet Marieke Verkleij
Berber Vlieg‐Boerstra
Geesje H. Hofsteenge
Eric Haarman
Jos Twisk
Alexandra L. Quittner
Tim de Meij
Marieke Verkleij
Berber Vlieg‐Boerstra
Geesje H. Hofsteenge
Eric Haarman
Jos Twisk
Alexandra L. Quittner
Tim de Meij
collection Wiley Open Access
contents The Dutch Gastrointestinal Symptom Tracker for People With Cystic Fibrosis: Associations With Anxiety, Depression, and Health‐Related Quality of Life Marieke Verkleij Berber Vlieg‐Boerstra Geesje H. Hofsteenge Eric Haarman Jos Twisk Alexandra L. Quittner Tim de Meij Pediatric Pulmonology ABSTRACTBackgroundPeople with CF (pwCF) frequently have gastrointestinal symptoms (GI), including abdominal pain and irregular bowel movements. These are often embarrassing, difficult to report, and frequently missed. Thus, a GI Symptom Tracker was created and validated in the USA and translated and validated in Dutch. This questionnaire consists of four subscales: Eating Challenges, Stools, Adherence Challenges, and Abdominal Symptoms. The aim of this study was to investigate the relationship between GI symptoms, anxiety/depression, and health‐related quality of life (HRQoL) in Dutch pwCF.MethodsIn this prospective, cross‐sectional single‐center pilot study, pwCF completed the Dutch GI Symptom Tracker, GAD‐7 (anxiety), PHQ‐9 (depression), and CFQ‐R (HRQoL) from September 2021 to June 2022. Regression analyses were used to analyze the univariable associations between GI symptoms, anxiety/depression, and HRQoL.ResultsA total of 51 pwCF were enrolled consecutively (n = 41 adults, 66% female, mean age (y) [range] = 32.7 [19–71] and n = 10 adolescents, 70% female, mean age (y) [range] = 14.2 [12–17]). Elevated levels of anxiety (scores ≥ 10 on GAD‐7) were found in 17% of adults and 0% of adolescents. Elevated depression scores (≥ 10 on PHQ‐9) were found in 9% of adults and 20% of adolescents. GI scales “Abdominal Symptoms” and “Stools” were significantly, positively associated with elevated symptoms of anxiety and depression. Most GI scales were associated with lower HRQoL.ConclusionThis is the first study investigating the link between GI symptoms assessed by the Dutch GI Symptom Tracker and anxiety/depression and HRQoL in Dutch pwCF. More GI symptoms were associated with higher anxiety and depression scores and worse HRQoL. Additional research is needed to better understand how mental and physical health are linked in GI symptoms in CF. 10.1002/ppul.71021 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/ppul.71021
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publisher Wiley
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spellingShingle The Dutch Gastrointestinal Symptom Tracker for People With Cystic Fibrosis: Associations With Anxiety, Depression, and Health‐Related Quality of Life
Marieke Verkleij
Berber Vlieg‐Boerstra
Geesje H. Hofsteenge
Eric Haarman
Jos Twisk
Alexandra L. Quittner
Tim de Meij
Pediatric Pulmonology
The Dutch Gastrointestinal Symptom Tracker for People With Cystic Fibrosis: Associations With Anxiety, Depression, and Health‐Related Quality of Life Marieke Verkleij Berber Vlieg‐Boerstra Geesje H. Hofsteenge Eric Haarman Jos Twisk Alexandra L. Quittner Tim de Meij Pediatric Pulmonology ABSTRACTBackgroundPeople with CF (pwCF) frequently have gastrointestinal symptoms (GI), including abdominal pain and irregular bowel movements. These are often embarrassing, difficult to report, and frequently missed. Thus, a GI Symptom Tracker was created and validated in the USA and translated and validated in Dutch. This questionnaire consists of four subscales: Eating Challenges, Stools, Adherence Challenges, and Abdominal Symptoms. The aim of this study was to investigate the relationship between GI symptoms, anxiety/depression, and health‐related quality of life (HRQoL) in Dutch pwCF.MethodsIn this prospective, cross‐sectional single‐center pilot study, pwCF completed the Dutch GI Symptom Tracker, GAD‐7 (anxiety), PHQ‐9 (depression), and CFQ‐R (HRQoL) from September 2021 to June 2022. Regression analyses were used to analyze the univariable associations between GI symptoms, anxiety/depression, and HRQoL.ResultsA total of 51 pwCF were enrolled consecutively (n = 41 adults, 66% female, mean age (y) [range] = 32.7 [19–71] and n = 10 adolescents, 70% female, mean age (y) [range] = 14.2 [12–17]). Elevated levels of anxiety (scores ≥ 10 on GAD‐7) were found in 17% of adults and 0% of adolescents. Elevated depression scores (≥ 10 on PHQ‐9) were found in 9% of adults and 20% of adolescents. GI scales “Abdominal Symptoms” and “Stools” were significantly, positively associated with elevated symptoms of anxiety and depression. Most GI scales were associated with lower HRQoL.ConclusionThis is the first study investigating the link between GI symptoms assessed by the Dutch GI Symptom Tracker and anxiety/depression and HRQoL in Dutch pwCF. More GI symptoms were associated with higher anxiety and depression scores and worse HRQoL. Additional research is needed to better understand how mental and physical health are linked in GI symptoms in CF. 10.1002/ppul.71021 http://creativecommons.org/licenses/by-nc-nd/4.0/
title The Dutch Gastrointestinal Symptom Tracker for People With Cystic Fibrosis: Associations With Anxiety, Depression, and Health‐Related Quality of Life
topic Pediatric Pulmonology
url https://onlinelibrary.wiley.com/doi/10.1002/ppul.71021