Psychological distress, social support, and disease activity in patients with inflammatory bowel disease (original) (raw)
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Inflammatory bowel diseases, 2018
Psychological distress increases morbidity in ulcerative colitis (UC) and Crohn's disease (CD). We examined whether social support is associated with distress and disease activity. There were 110 UC and 147 CD patients who completed sociodemography, economic status, disease activity (UC: Patient Simple Clinical Colitis Activity Index (P-SCCAI), CD: Patient Harvey-Bradshaw Index . (P-HBI), Multidimensional Scale of Perceived Social Support (MSPSS), Brief Symptom Inventory with Global Severity Index (GSI) of psychological distress, and 2 health-related quality-of-life scales (SF-36 Physical Health and Mental Health, and Short Inflammatory Bowel Disease Questionnaire (SIBDQ). Analysis included multiple linear regressions and structural equation modeling. Disease activity was mild: UC: P-SCCAI 2.9 ± 3.5, CD: P-HBI 4.7 ± 4.7. Physical Health was better in UC 46.6 ± 11.4 versus CD 43.7 ± 10.9 (P < .02). GSI was lower in UC 0.6 ± 0.7 than CD 0.8 ± 0.7 (P = .002). MSPSS total score w...
2017
INTERNALIZING SYMPTOMS, MEDICATION ADHERENCE, AND PERCEIVED SOCIAL SUPPORT IN INDIVIDUALS WITH INFLAMMATORY BOWEL DISEASE This study examined the role of perceived social support (PSS) for individuals with inflammatory bowel disease (IBD). Patients were recruited for this study from online forums consisting of Facebook support groups, Twitter followers, and email. This study investigated sociodemographic and disease-related predictors of disease severity for individuals with IBD, as well as whether or not perceived social support moderates the relationship between disease severity, internalizing symptoms, quality of life, and medication adherence. A sample size of 155 individuals self-reporting with inflammatory bowel disease (ulcerative colitis or Crohn's disease) completed questionnaires related to disease severity, disease type, disease duration, quality of life, depression, anxiety, stress, perceived social support, and medication adherence. The study findings suggest that anxiety and stress are potential predictors of scores on disease severity for this population. Results also suggests that perceived social support is likely to have (or had in this sample) a significant, moderating relationship between disease severity and anxiety, disease severity and stress, and disease severity and the full depression, anxiety and stress scale (DASS). Anxiety was also found to moderate the relationship between disease severity and adjusted quality of life (QoL) scale. PSS did not moderate the relationship between disease severity and the abbreviated medication adherence rating scale (MARS) generated by principle component analysis. It is important to note that future research should include a more randomized, representative sample, allowing for more conclusive findings. Understanding the v TABLE OF CONTENTS
Quality-of-Life Measurement in Patients with Inflammatory Bowel Disease Receiving Social Support
Inflammatory Bowel Diseases, 2007
Background: Crohn's disease and ulcerative colitis, referred to as inflammatory bowel diseases, affect mainly young adults and have an elevated morbidity and a negative effect on quality of life. This study aimed to compare the health-related quality of life between 2 randomized groups of patients with inflammatory bowel disease: (1) the supported group (SG), patients receiving social support for an 18-month period, and the control group (CG), patients receiving no social support Methods: Health-related quality of life was assessed at 4 moments with the Portuguese versions of the Medical Outcomes Study Short Form 36 and the Inflammatory Bowel Disease Questionnaire (IBDQ), both validated in Brazil.
Inflammatory bowel diseases, 2018
Background Inflammatory bowel disease (IBD) imposes a heavy psychosocial burden, with many patients reporting anxiety, depression, and distress. In diseases such as diabetes, disease-specific distress is associated with concordance with treatments and disease control. IBD distress, distinct from anxiety and depression, is evident in people with IBD. We aimed to develop a questionnaire for assessing IBD-specific distress, validate this against a gold standard distress measure for diabetes, and demonstrate the difference between anxiety, depression, and distress. Methods The 94-item IBD Distress Scale (IBD-DS) was developed through secondary analysis of 3 qualitative data sets from previous IBD studies. Items were then refined through cognitive interviews in 2 stages (n = 15, n = 3). Three supplementary unscored questions were added to enable patients to identify their overall level of distress, their perceived level of disease activity, and their 3 most distressing issues. Subsequent...
The ties that bind: perceived social support, stress, and IBS in severely affected patients
Neurogastroenterology & Motility, 2010
Background This study assessed the association between social support and the severity of irritable bowel syndrome (IBS) symptoms in a sample of severely affected IBS patients recruited to an NIH-funded clinical trial. In addition, we examined if the effects of social support on IBS pain are mediated through the effects on stress. Methods Subjects were 105 Rome II diagnosed IBS patients (F = 85%) who completed seven questionnaires which were collected as part of a pretreatment baseline assessment. Key Results Partial correlations were conducted to clarify the relationships between social support and clinically relevant variables with baseline levels of psychopathology, holding constant number of comorbid medical diseases, age, gender, marital status, ethnicity, and education. Analyses indicated that social support was inversely related to IBS symptom severity. Social support was positively related with less severe pain. A similar pattern of data was found for perceived stress but not quality of life impairment. Regression analyses examined if the effects of social support on pain are mediated by stress. The effects of social support on bodily pain were mediated by stress such that the greater the social support the less stress and the less pain. This effect did not hold for symptom severity, quality of life, or psychological distress. Conclusions & Inferences This study links the perceived adequacy of social support to the global severity of symptoms of IBS and its cardinal symptom (pain). It also suggests that the mechanism by which social support alleviates pain is through a reduction in stress levels.
Inflammatory Bowel Diseases
Background and aims The role of new psychological factors such as psychopathological patterns and defense mechanisms in the care of inflammatory bowel disease (IBD) has been poorly investigated. We aimed to assess the psychological characteristics and defense mechanisms of IBD patients. Methods This was a single-center, observational, cross-sectional study. Consecutive adult IBD patients were enrolled and stratified according to disease activity. Sociodemographic and clinical data were collected, and validated questionnaires (Symptom Checklist-90-R [SCL-90-R]) for psychological distress, Defense Mechanism Inventory (DMI) for psychological defense mechanisms, and Inflammatory Bowel Disease Questionnaire (IBDQ) for quality of life (QoL) were administered. Results Two hundred one patients were enrolled: 101 in remission and 100 with active disease. The mean score for IBDQ was below the cutoff level (156.8 ± 37.8), with a significantly greater impairment of QoL in subjects with flares (...
Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
Patients with greater inflammatory bowel disease activity readily identify poorer psychosocial outcomes; however, the role of gender, disease type, and individual illness perceptions facets are less well known. This study aimed to characterize the role of illness perceptions, gender, and disease type on anxiety, depression, and quality of life. Eighty-one patients diagnosed with inflammatory bowel disease (39 men, mean age 35 years) attending a tertiary hospital outpatient clinic were studied. Questionnaires used included the Manitoba Index, the Brief Illness Perceptions Questionnaire, Hospital Anxiety and Depression Scale, and the World Health Organization Brief Quality of Life Scale. Female patients with active disease tended to report increased anxiety, depression, and reduced quality of life. Regarding illness perceptions, patients with Crohn disease reported significantly more concerns about its chronicity, while female patients reported being significantly more concerned about...
Psycho-oncology, 2008
Patients with inflammatory bowel disease (IBD) are one of only three groups at high risk for colorectal cancer (CRC), a leading cause of cancer-related mortality. Yet, no research has examined psychological effects of their high-risk status. The present study offered an initial investigation of three potential predictors of patient distress: disease duration, family history of cancer, and perceived social support. Longer disease duration and stronger family history of cancer are associated with elevated CRC risk in this already high-risk population. Perceived support was conceptualized as a resource that could decrease vulnerability to distress or buffer adverse psychological effects of disease duration and family history. Men and women (n = 223) with IBD participating in a colon disease family registry completed measures for this cross-sectional study. Family history of CRC and non-colorectal cancers among first-degree relatives (FDRs) and more distant relatives (DRs) was examined separately. Hierarchical multiple regression analyses revealed that having greater perceived support predicted lower generalized distress (p<0.001). Having an FDR history of CRC predicted higher CRC-specific distress (p = 0.02). Having a DR history of CRC also predicted higher CRC-specific distress, but only among patients diagnosed more recently (p = 0.03). Clinical implications of these findings are discussed along with future research directions. Copyright © 2007 John Wiley & Sons, Ltd.
Psychosocial Factors Affecting the Course of Inflammatory Bowel Disease
Abstract— Objective: A five year prospective study of 43 patients with Inflammatory Bowel Disease (IBD), 33 with Ulcerative Colitis and 10 with Crohn's Disease, was conducted with the purpose to investigate the role of psychosocial factors on the course and outcome of the disease. Methods: Sociodemographic data were collected and the participants were given four psychometric instruments: the Hostility and Direction of Hostility Questionnaire (HDHQ), the Spieberger's trait anxiety (STAI-t), the Spieberger's state anxiety (STAI-s) and the Center of Epidemiological Studies-Depression Scale (CES-D). After the lapse of five years the patients were allocated to three groups according to the degree of severity of their illness (improvement, stability, deterioration). Results: Patients with IBD, whose condition was evaluated as deteriorated at the end of the follow-up, had initially given much higher scores on the HDHQ subscale of Paranoid Hostility than those with improvement. Patients whose course of illness showed a deterioration, had given significantly higher scores on CES-D scale, on the initial examination. Married patients who showed improvement had a significantly longer duration of marriage than the rest. Older age at the beginning of the disease was significantly related to the improvement of symptomatology than younger age. Conclusions: Paranoid Hostility and Depressive Symptoms are predictors of more severe course of illness. Married patients with longer duration of marriage had better prognosis. Older patients had better prognosis than younger ones.