Associations of sense of coherence with psychological distress and quality of life in inflammatory bowel disease

Freitas, Thiago Holanda; Andreoulakis, Elias; Alves, Gilberto Sousa; Miranda, Hesley Lucena Landim; Braga, Lúcia Libanez Bessa Campelo; Hyphantis, Thomas; Carvalho, André F.

doi:10.3748/wjg.v21.i21.6713

Cited by 24 publications

(28 citation statements)

References 80 publications

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“…[1][2][3] Depression in IBD is important because it is associated with more gastrointestinal symptoms independent of disease severity, 4 worse health-related quality of life, [5][6][7][8] increased healthcare utilisation, [9][10][11] and possibly relapses in disease activity. [12][13][14][15][16] Depression is associated with a number of sociodemographic, clinical and psychological factors, 1,13,[17][18][19][20][21] though many of these risk factors are inter-related, and the main causes of depression among people with IBD remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with depression in people with inflammatory bowel disease: The relationship between active disease and biases in neurocognitive processing

Wilkinson

Trick

Knight

et al. 2019

Neurogastroenterology Motil

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Background Depression is common among people with inflammatory bowel disease (IBD), though the causes remain unclear. We conducted a cross‐sectional study to investigate the role of emotional processing biases in contributing to depression among people with IBD. Materials and Methods One hundred and twenty outpatients with IBD were recruited and: (a) completed questionnaires to record: age, sex, social support, socioeconomic status, anxiety and depression (n = 104), (b) underwent assessments of biases in emotional recognition (n = 112), emotional memory and reinforcement learning (c) had recorded from clinical records: type of IBD, duration of IBD, IBD activity and (d) provided blood for high‐sensitivity C‐reactive protein levels (n = 99). Key Results Sixty‐eight participants had Crohn's disease and 49 had ulcerative colitis. Of these, 35 had active disease and 26 had depression. Those with depression were more likely to be female, lack social support, have active disease, be taking corticosteroids but not TNF‐alpha inhibitors and exhibit less positive emotional recognition bias. On multivariable regression analysis, depression was associated independently with lack of social support (unstandardized regression coefficient (B) = −1.40, P = 0.02) and increased disease activity (B = 1.29, P = 0.03). Causal steps analysis was consistent with less positive emotional recognition bias partially mediating the effects of disease activity on depression. Conclusions and inferences This is the first study to demonstrate links between disease activity and less positive biases in emotional recognition that could explain higher rates of depression among people with active IBD. Future prospective studies are required to confirm the effects of emotional processing biases in depression and allow stronger causal inferences to be drawn.

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Section: Introductionmentioning

confidence: 99%

Factors associated with depression in people with inflammatory bowel disease: The relationship between active disease and biases in neurocognitive processing

Wilkinson

Trick

Knight

et al. 2019

Neurogastroenterology Motil

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“…The results demonstrate that the sense of coherence is a significant predictor for the general indicator of IBD patient quality of life. The strong relationship between the sense of coherence and its components and the patient quality of life has been confirmed by many other studies, such as Freitas et al [11], in which the general indicator of the sense of coherence also proved to be a predictor of all aspects of quality of life, including somatic symptoms of the disease.…”

Section: Discussionmentioning

confidence: 52%

“…In recent years, this concept has gained great popularity and become the subject of numerous studies aiming to determine its relationship to the patients' quality of life [11,12,13]. The sense of social support is best described as the degree to which a person believes that social support networks can provide help when experiencing stress or difficult circumstances [14].…”

Section: Introductionmentioning

confidence: 99%

The sense of coherence, social support and quality of life among patients with inflammatory bowel disease

Bieńkowski

Rudnik

Bidzan

2019

Pomeranian Journal of Life Sciences

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Introduction: Inflammatory bowel disease (IBD) is a group of chronic digestive system conditions which significantly influence the everyday life of patients. Exhausting intestinal discomfort might cause a strong feeling of distress and lowers the quality of life. This study was based on the question: how are the sense of coherence, social support, socio-demographic variables and the duration of disease related to the quality of life of individuals suffering from IBD?Materials and methods: Thirty-nine individuals suffering from IBD were examined: 21 with ulcerative colitis, 17 with Crohn’s disease and 1 with microscopic colitis. The participants completed a socio-demographic survey, and Life Orientation Questionnaire (SOC-29) and Berlin Social Support Scales (BSSS) questionnaires. The quality of life was examined by the Functional Assessment of Cancer Therapy-Gastric (FACT-Ga) questionnaire.Results: The overall rate of the sense of coherence with its components and the available instrumental and emotional support was found to be significantly connected to the patients’ quality of life. The level of education differentiated the examined patients in terms of the quality of life.Conclusions: Psychological resources can play a significant role in the assessment of the impact of chronic disease on patients’ everyday life. It is important to focus on their importance in raising the quality of life of the patients.

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“…Arch Clin Gastroenterol 6(2): 060-063. DOI: https://dx.doi.org/10.17352/2455-2283.000081 (2015), symptoms of anxiety and depression may cause the onset of the disease, and their aggravation during the active stage can lead to depression, infl uencing treatment adherence [9]. Thus, depression and anxiety can considerably infl uence, along with other etiological factors, the emergence of UC, possibly through psychoimmunoneurological mechanisms [8].…”

Section: Citationmentioning

confidence: 99%

Quality of life and symptoms of anxiety and depression in patients affected by ulcerative colitis

Acs¹,

Ei²,

Benvegnú³

2020

Arch Clin Gastroenterol

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Introduction: Ulcerative Colitis (UC) is an Infl ammatory Bowel Disease (IBD) that can be divided into two periods: active and remission. Individuals affected by this pathology can manifest symptoms of anxiety and depression, as well as low quality of life, due to the symptomatology of this disease when active. Objective: Demonstrate the relationship between anxiety and depression with UC and its infl uence on quality of life. Material and methods: The present study involved 97 individuals affected with UC, who were assessed through the application of the HADS and IBDQ on the social network Facebook, as well as their individual feeds. The survey began after approval by the Research Ethics Committee of the Federal University of Fronteira Sul, upon obtaining informed consent from the patients. Results: The majority of the assisted participants was female, white, married, and residents of southwest Brazil. A prevalence of symptoms of anxiety and depression was observed in individuals with low quality of life and status of disease activity. Discussion: The results show that individuals who exhibited an active disease status presented a lower quality of life, anxiety, and depression.

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Associations of sense of coherence with psychological distress and quality of life in inflammatory bowel disease

Abstract: Our data indicated that SOC is an important construct, as it influences psychological distress and has significant albeit indirect effects on several HRQoL domains in IBD.

Cited by 24 publications

References 80 publications

Factors associated with depression in people with inflammatory bowel disease: The relationship between active disease and biases in neurocognitive processing

Factors associated with depression in people with inflammatory bowel disease: The relationship between active disease and biases in neurocognitive processing

The sense of coherence, social support and quality of life among patients with inflammatory bowel disease

Quality of life and symptoms of anxiety and depression in patients affected by ulcerative colitis

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