Important relation between self-efficacy, sense of coherence, illness perceptions, depression and anxiety in patients with inflammatory bowel disease

Abstract

IntroductionAnxiety and depression are common disturbances in patients with inflammatory bowel diseases (IBD), and were found to impact the disease course. Illness perceptions (IPs), self-efficacy (SE) and sense of coherence (SOC) are important psychological functions, used by the individual to cope with his chronic disease.Aimsto investigate the association of IP, SE and SOC on anxiety and depression among patients with IBD.Patients and methodsPatients filled questionnaires including: demographic, socioeconomic and clinical features. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale. IP, SE and SOC were assessed using the Brief Illness perception Questionnaire, IBD-SE and SOC scales.ResultsThe study sample consisted of 299 patients with IBD, median age 34.15, 63% females, 70.9% had Crohn’s disease, filled the questionnaires. In the multivariate analysis, lower results in IP, SE and SOC were found to be associated with significantly increase anxiety (OR 8.35, p<0.001; OR 4.18, p=0.001; OR 4.67, p<0.001, respectively) and depression (OR 15.8, p=0.001; OR 10.99, p=0.029; OR 6.12, p=0.014ConclusionsAnxiety and depression are associated with IP, SE and SOC in patients with IBD. Clinicians should be aware of this impact, recognise their patients’ psychological abilities to cope with the disease and improve those abilities, when needed, in order to achieve a better coping with the disease and to prevent the development of anxiety and depression.

Self-Care and Sense of Coherence: A Salutogenic Model for Health and Care in Nursing Education

“…Coherently with the general findings of this study, the literature suggests that there is a significant and positive relationship between both concepts: the greater the SOC, the greater the ASAS [ 70 , 71 ]. Moreover, the sense of coherence was found to positively impact one’s motivation for self-care [ 31 , 72 , 73 ].…”

Prevalence of symptoms of anxiety and depression in patients with inflammatory bowel disease: a systematic review and meta-analysis

“…11,13,17,19,20,22,24,28, Almost all studies were conducted in a single country, with the exception of a multi-national survey including 33 countries. 79 Eleven studies recruited unselected patients with IBD, 45,48,55,57,62,77,83,90,97,102,103 of which one study reported prevalence of symptoms of anxiety or depression for patients with UC or CD separately, five studies recruited only patients with UC, 40,41,49,65,79 and four studies only patients with CD. 46,53,61,101 No study recruited only patients with IBD-U, and none of the included studies reported prevalence of symptoms of anxiety or depression for patients with IBD-U separately.…”

“…19,67 Of the 75 studies reporting the prevalence of symptoms of depression in patients with IBD, 44 administered the HADS. 11,13,17,24,28,[37][38][39]41,43,44,45,47,[50][51][52]55,57,59,61,[63][64][65]68,[70][71][72]76,78,80,81,83,84,86,90,92,93,95,96,98,[99][100][101]103 The pooled prevalence of symptoms of depression in these studies was 21.6% (95% CI 18.4% to 24.9%; I 2 =96%, p<0.001). Among the remaining articles that used different questionnaires, the lowest pooled prevalence was reported in three studies using the Zung self-rating depression scale (21.0%; 95% CI 6.9% to 40.1%), 19,…”

Prevalence of anxiety and depressive symptoms in ulcerative colitis patients in Jordan and its relationship to patient-reported disease activity

“…Data from the Middle East are very limited on this topic with only few studies reporting rates of depressive and anxiety symptoms in IBD patients. A study from Israel on IBD patients reported depression rate of 9.36% and anxiety rate of 23.4% 10 . Another study from Iran found that anxiety, depression and psychological stress were highly frequent in UC patients with rates of 29.2%, 40%, and 38.3%, respectively 11 .…”