55 However, a more recent population-based cohort study found no statistically significant increase in ADHD diagnoses in pediatric IBD and suggested a decreasing trend (HR 0.77, 95% CI 0.56–1.06).
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Mental Health Disorders in Pediatric Inflammatory Bowel Disease: Epidemiology, Mechanisms, and Interventions.
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Although sleep risk was not analyzed separately for those younger than 18 years, and the pediatric sample was relatively small (n = 40), an increasing trend in sleep disorder risk was still observed in children with IBD. 39 Overall, the incidence of sleep disorders in pediatric IBD (3.9%) was significantly higher than that in controls (2.6%), making sleep disorders the third most common mental health condition in this population after depression and anxiety.
Although the risk of parasuicide (suicide-like behavior) did not reach statistical significance, event rates were consistently higher than in controls, suggesting a potentially elevated suicide-related risk in this population.