Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?

Erp, S. J. H. van; Brakenhoff, L.; Vollmann, Manja; Heijde, Desirée van der; Veenendaal, R. A.; Fidder, Herma H.; Hommes, Daniël W.; Kaptein, Adrian A.; Jong, Andrea E. van der Meulen–de; Scharloo, Margreet

doi:10.1007/s12529-016-9599-y

Cited by 36 publications

(29 citation statements)

References 40 publications

(73 reference statements)

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“…The assumption that pain influences coping behavior is not unexpected and has been previously put forward [ 22 , 23 ]. In accordance with the theory of the CSM, we observed that coping strategies of patients with FD affected their QoL, which is in keeping with observations in patients with other chronic disorders [ 8 ].…”

Section: Discussionsupporting

confidence: 90%

Passive Coping Strategies Are Associated With More Impairment In Quality Of Life In Patients With Fibrous Dysplasia

et al. 2018

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Impairments in quality of life (QoL) have been reported in patients with fibrous dysplasia (FD). Here, we examine coping strategies in FD and assess whether these coping strategies are associated with QoL and disease severity. Ninety-two patients (66% females) filled out the Utrecht Coping List (UCL), Short Form-36, and the Brief Pain Inventory (BPI). Coping strategies of patients with FD were compared with reference data from a random sample of Dutch women and patients with chronic pain. Compared to healthy adults, patients expressed more emotions (p < 0.01). Compared to patients with chronic pain, patients with FD used more active coping strategies (p < 0.001), and sought more distraction (p = 0.01) and more social support (p < 0.001). Using more passive coping strategies was associated with more impairment in social function, physical role, mental health, vitality (all p < 0.001), and general health (p < 0.01). Using more avoidant coping strategies was associated with worse mental health and less vitality (both p < 0.01). More expression of emotions was associated with worse mental health (p < 0.01). Type and clinical severity of FD were not associated with coping behavior. Patients with FD have different coping strategies compared to random Dutch reference populations with or without pain. In FD, using more passive coping strategies was associated with more impairment in several aspects of QoL. There was no relationship between coping behavior and clinical characteristics, pointing to biomedical variables not determining the way patients cope with their illness. Recognition of less effective coping strategies can be helpful in the understanding and adaptation of these coping strategies, improving personalized clinical care, with the ultimate goal to improve QoL in patients with FD.

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Section: Discussionsupporting

confidence: 90%

Passive Coping Strategies Are Associated With More Impairment In Quality Of Life In Patients With Fibrous Dysplasia

et al. 2018

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“…Despite American and European guidelines,32–34 only 12% of adult IBD services,35 compared with 67% of paediatric centres,36 provide access to a specialist psychologist. Failing to employ a preventative, rather than reactive, approach to psychological well-being in adult IBD populations37 is likely to impact negatively on health risk behaviours and self-management behaviours, with subsequent costs including from work impairment 38. Young people transitioning to adult care are also an at-risk group and may require further psychological assessment and screening of psychological morbidity with the known increased prevalence of depression through puberty 16.…”

Section: Discussionmentioning

confidence: 99%

Predicting the development of psychological morbidity in inflammatory bowel disease: a systematic review

Hoogkamer

Brooks

Rowse

et al. 2020

Frontline Gastroenterol

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BackgroundPsychological morbidity in inflammatory bowel disease is common with significant impact on quality of life and health outcomes, but factors which predict the development of psychological morbidity are unclear.AimTo undertake a systematic literature review of the predictors of psychological morbidity in patients with inflammatory bowel disease.MethodsElectronic searches for English-language articles were performed with keywords relating to psychological morbidity according to the Diagnostic and Statistical Manual of Mental Disorders IV and subsequent criteria, and inflammatory bowel disease; in MEDLINE, PsychInfo, Web of Science and EMBASE for studies published from January 1997 to 25 January 2019.ResultsOf 660 studies identified, seven met the inclusion criteria. All measured depression, with three also measuring anxiety. Follow-up duration was variable (median of 18 months range 6–96 months). Risk factors identified for development of psychological morbidity included physical factors: aggressive disease (HR 5.77, 95% CI 1.89 to 17.7) and greater comorbidity burden (OR 4.31, 95% CI 2.83 to 6.57) and psychological risk factors: degree of gratitude (r=−0.43, p<0.01) and parenting stress (R-change=0.03, F(1,58)=35.6, p<0.05). Age-specific risk was identified with young people (13–17 years) at increased risk.ConclusionsIdentifiable risks for the development of psychological morbidity in inflammatory bowel disease include physical and psychological factors. Further research is required from large prospective studies to enable early interventions in those at risk and reduce the impact of psychological morbidity.

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“…Despite improvements in the available treatment options, IBD continues to have a negative impact on the quality of life of patients [35]. Many studies have focused on the impact of IBD on quality of life [36, 37], the need for information [38], strategies to adapt [39] and shared decision making [40]. Despite the funding and resources invested in the diagnosis and monitoring of IBD, few studies have focused on these activities.…”

Section: Introductionmentioning

confidence: 99%

Inflammatory bowel disease patient perceptions of diagnostic and monitoring tests and procedures

et al. 2019

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Background Inflammatory Bowel Disease (IBD) with its high incidence and prevalence rates in Canada generates a heavy burden of tests and procedures. The purpose of this study is to gain a better understanding of the transfer of information from physician to patient, as well as the patient understanding and perceptions about the tests and procedures that are ordered to them in the context of IBD diagnosis and monitoring. Methods An online questionnaire was completed by 210 IBD patients in Canada. Information on the five most-often used tests or procedures in IBD diagnosis/monitoring was collected. These include: general blood test, colonoscopy, colon biopsy, medical imaging and stool testing. Results The general blood test is both the most ordered and most refused tool. It is also the one with which patients are the least comfortable, the one that generates the least concern and the one about which physicians provide the least information. The stool test is the test/procedure with which patients are the most comfortable. Procedures raise more concerns among patients and physicians provide more information about why they are needed, their impact and the risks they present. Very little information is provided to patients about the risks of having false positives or negative tests. Conclusions This study provides an initial understanding of patient perceptions, the transfer of information from a physician to a patient and a patient’s understanding of the tests and procedures that will be required to treat IBD throughout what is a lifelong disease. The present study takes a first step in better understanding the acceptance of the test or procedure by IBD patients, which is essential for them to adhere to the monitoring process. Electronic supplementary material The online version of this article (10.1186/s12876-019-0946-8) contains supplementary material, which is available to authorized users.

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Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?

Cited by 36 publications

References 40 publications

Passive Coping Strategies Are Associated With More Impairment In Quality Of Life In Patients With Fibrous Dysplasia

Passive Coping Strategies Are Associated With More Impairment In Quality Of Life In Patients With Fibrous Dysplasia

Predicting the development of psychological morbidity in inflammatory bowel disease: a systematic review

Inflammatory bowel disease patient perceptions of diagnostic and monitoring tests and procedures

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