P0722 COPING AND RESILIENCE IN PEDIATRIC CROHN’S DISEASE
Bibliographic record
Abstract
Introduction: As a chronic condition, Crohn's disease (CD) affects children's psychosocial functioning.However, some patients are more resilient, and may cope better with stress associated with the disease than do others.Our previous research at Sainte-Justine Hospital indicated that children with CD use different strategies depending on whether the disease is active or in remission.This prospective longitudinal study examined whether coping strategies influence psychological resilience defined as fewer psychiatric symptoms in this population. Methods:The study was conducted over a 4 month period.Patients (N=65) were 8-18 years old, with active CD (CDAI > 150), newly diagnosed (N) or in relapse (R).Within 24 hours of recruitment (T1), they completed measures of psychiatric symptoms (DOMINIC) and coping (KIDCOPE).The assessment was repeated one (T2) and four (T3) months later.Results: Results indicated that, during active CD, the most frequently used coping strategies were distraction, cognitive restructuring, problem solving, emotion regulation, seeking social support and resignation.During remission, distraction, cognitive restructuring, problem solving and seeking social support were used most.There were age differences in both resilience and coping strategies.Older patients showed less resilience (more psychiatric symptoms) during active disease than younger ones (r=.33, p=008).Older patients also used more strategies over all than did young patients (T2: r=.55 p<.001; T3: r=.42 p=.003).This was the case for both approach (T2: r=.46 p<.001; T3: r=.29 p=.04) and avoidant strategies (T2: r=.43 p<.001; T3: r=.48 p=.001).During active CD, R patients tended to use more avoidant strategies, such as self-criticism (chi 2 =4.04, p=.05) than N patients.During remission, R patients used more social withdrawal than N patients (chi 2 =4.7, p<.05). Conclusion:These preliminary results suggest that age, disease chronicity and disease activity influence strategies that children choose to cope with CD.They also indicate that although older children may have a greater repertoire of coping strategies, they are not necessarely more resilient to the psychological challenges they confront during the active phase of the disease.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".