Impaired Health-Related Quality of Life in Inflammatory Bowel Diseases Psychosocial Impact and Coping Styles in a National German Sample

Petrak, Frank; Hardt, Jochen; Clément, Thomas; Börner, N; Egle, U. T.; Hoffmann, Sven

doi:10.1080/003655201300051171

Cited by 89 publications

(50 citation statements)

References 24 publications

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“…In a study on chronic pain, it was the only variable that predicted health care utilization rates after adjusting for prior usage levels 71 A potential limitation of the study is the reliance on self-report of disease activity. However, previous large-scale studies of IBD patients in the community have successfully used self-report disease activity measures 24 . The nature of the measure used here, with symptom frequency anchors across time, has been validated in both community and clinic samples 44 .…”

Section: Discussionmentioning

confidence: 99%

“…Research involving community-based IBD samples has produced mixed conclusions regarding the negative impact of the disease on psychological functioning [22][23][24] . A study that used health records to identify 400 cases, concluded that those with IBD had only minor impairment overall in quality of life domains including general physical symptoms, social functioning, and emotional wellbeing 22 .…”

Section: Introductionmentioning

confidence: 99%

“…However, disease activity was not accounted for, and a comparative sample without IBD was not available. Two other studies drawing from community samples, one using a population-based cohort and one using volunteers from a self-help IBD organization, reported clinically significant reductions in quality of life across several domains relative to normative values in the general population 23,24 . None of these studies had a community comparison group without IBD to control for differences that might be attributable to life stage or other factors unrelated to IBD.…”

Section: Introductionmentioning

confidence: 99%

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Stress Coping, Distress, and Health Perceptions in Inflammatory Bowel Disease and Community Controls

Graff

Walker

Clara

et al. 2009

American Journal of Gastroenterology

108

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Psychological health and IBD 2Background: This study compares a community IBD sample with a matched non-IBD community sample on psychological functioning and health perceptions. Methods:Participants in the population-based Manitoba IBD Cohort Study (n=388) were directly compared with sex, age, and region-matched controls from a national random-sample health survey on aspects of psychological health, coping, and perceived general health. Results:The IBD sample overall had lower psychological wellbeing and mastery, and higher distress than the non-IBD controls (p < 0.02). Those with IBD used avoidant coping significantly more often, and active coping modestly more often than the non-IBD sample; both had similar levels of 'self-soothing' behaviors. Crohn's disease and ulcerative colitis participants had similarly poor levels of functioning along these dimensions compared to the non-IBD sample, as did those with active disease (p < 0.01). However, those with inactive disease were similar to the non-IBD sample, and had modestly higher mastery levels. While nearly half of the non-IBD group reported chronic health conditions, those with IBD were threefold more likely to report poorer health (OR 3.07, 95% CI 2.10-4.47). Psychological factors explained a greater amount of variance in perceived health for the IBD than the non-IBD sample. Conclusions:Those with IBD have significantly poorer psychological health than those without IBD and view their general health status more negatively, although adaptive stress coping strategies were similar. However, when disease is quiescent there is little detriment to functioning. Active disease should be a flag to consider psychological needs in the care of the IBD patient.Psychological health and IBD 3

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Stress Coping, Distress, and Health Perceptions in Inflammatory Bowel Disease and Community Controls

Graff

Walker

Clara

et al. 2009

American Journal of Gastroenterology

108

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“…33 It is an economical procedure for assessing five coping dimensions: active, problem-oriented coping, depressive reaction, religiousness and search for meaning, distraction and enhancement of self-esteem, and downplaying and wishful thinking. Because of psychometric reference values, i.e., low internal consistency of individual scales, [34][35][36] only the scales Active Coping and Depressive Coping were drawn on in the evaluation. We were able to replicate the structure of these two scales with very high reliability in different patient groups.…”

Section: Questions Relating Directly To Transplantationmentioning

confidence: 99%

The relevance of anxiety, depression, and coping in patients after liver transplantation

Nickel

Wünsch

Egle

et al. 2002

Liver Transplantation

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The aim of this study is to investigate the effects of anxiety, depression, and coping on quality of life in patients after liver transplantation. Patients were asked to fill out a postal survey. Two hundred thirty-six of 375 patients (63%) who entered the study returned the questionnaires, and 186 of these patients could be included in the assessment. Anxiety and depression were surveyed using the Hospital Anxiety and Depression Scale; health-related quality of life, using the 36-Item Short-Form Health Survey; and coping strategies, using the Freiburg Questionnaire on Coping With Illness. In terms of physical and mental dimensions of health-related quality of life, psychosocial factors are far more relevant in liver transplant recipients than purely somatic factors, such as the number of posttransplantation complications or length of hospital stay. Through multiple regression analysis, we were able to account for 51% of the variance in the physical dimension of health-related quality of life and 58% of the variance in the mental dimension. Physical factors of depression, age, and employment and mental factors of anxiety and depression were significant for predicting healthrelated quality of life after liver transplantation. Depressive coping, anxiety, and depression, as well as aspects of the social environment, contribute considerably to determine well-being and health-related quality of life of patients after liver transplantation. O ver the past 15 years, liver transplantation has proven to be the treatment of choice in patients with terminal liver disease. The 1-year survival rate is approximately 80%; after 8 years, 61% of patients are still alive. 1 From the physician's point of view, it is necessary to optimize therapy with immunosuppressants and minimize complications with medical treatment. Diabetes mellitus, malignancies, weight gain, and, particularly, non-Hodgkin's lymphomas have been observed, in addition to increased rates of hypertension. Furthermore, the likelihood of fractures increases after transplantation. 2,3 These associated diseases, along with the transplantation procedure itself and changes in the patient's surroundings, exert considerable influence on a patient's quality of life.Previous investigations into quality of life in transplant recipients focused primarily on the relation between medical treatment and transplantation, i.e., type of immunosuppression, duration and severity of illness, and course of the transplantation (revisions, retransplantation, rejection responses), in addition to effects of these factors on patients' quality of life. 4,5 Posttransplantation health-related quality of life is impaired by disease severity and previous transplantations. 6 A controlled study found no difference in quality of life or psychiatric outcomes between patients who underwent liver transplantation because of alcoholic liver disease and those who underwent liver transplantation because of other chronic liver diseases. 7 Previous results indicated that lung, heart, and liver transplant re...

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“…Studies investigating factors influencing quality of life in benign gastrointestinal (GI) disease have not looked at the impact of nutritional deficiency [14][15][16][17] . Hitherto, there are no data on quality of life in relation to nutritional status in patients with benign gastrointestinal disease.…”

Section: Introductionmentioning

confidence: 99%

Malnutrition affects quality of life in gastroenterology patients

Norman¹,

Kirchner²,

Lochs³

et al. 2006

WJG

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Impaired Health-Related Quality of Life in Inflammatory Bowel Diseases Psychosocial Impact and Coping Styles in a National German Sample

Cited by 89 publications

References 24 publications

Stress Coping, Distress, and Health Perceptions in Inflammatory Bowel Disease and Community Controls

Stress Coping, Distress, and Health Perceptions in Inflammatory Bowel Disease and Community Controls

The relevance of anxiety, depression, and coping in patients after liver transplantation

Malnutrition affects quality of life in gastroenterology patients

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