Living With Inflammatory Bowel Disease: Protocol for a Longitudinal Study of Factors Associated With Symptom Exacerbations

Witges, Kelcie; Targownik, Laura E.; Haviva, Clove; Walker, John R.; Graff, Lesley A; Sexton, Kathryn A.; Lix, Lisa M.; Sargent, Michael; Vagianos, Kathy; Bernstein, Çharles N.

doi:10.2196/11317

Cited by 12 publications

(29 citation statements)

References 47 publications

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“…They examine medical treatments, alternatives, and other therapies in depth. This nding is similar to what Witges et al [44] found. The researchers employed the Health Anxiety Inventory, which evaluates di culties related to the magnitude of health problems and discovered that individuals with IBD had high scores when their symptoms were more severe.…”

Section: What the Freiburg Personality Inventory Indicates About Patients With Ibdsupporting

confidence: 92%

Diagnosis and Psychotherapeutic Needs by Freiburg Personality Inventory in Inflammatory Bowel Disease

Rada

Gheonea

Popa

et al. 2021

Preprint

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Background Despite recent discoveries in pharmacotherapy and psychotherapy, patients with inflammatory bowel disease (IBD) still face challenges with improvement, remission, and healing. The objectives of the study were to identify the characteristics of patients with IBD with the Freiburg Personality Inventory and the intensity of the colonic disease, comorbidities, and other factors that could be related to the personality of the subjects.Methods Data were collected in the period 2019–2020 from 46 patients from records at two hospitals. This study used nonparametric methods, such as the Wilcoxon-Mann–Whitney, Kolmogorov–Smirnov, Mann–Whitney U test, and BOOTSTRAP method. The control group was considered the national normative sample based on the average raw scores on the 12 personality assessment scales using the t test (one sample t test).Results Compared to the control group, the Inhibitedness, Health Concerns, and Emotionality scales had significantly higher raw scores. Additionally, the Social Orientation, Frankness, and Extraversion scales had significantly lower raw scores. Health status was a medical factor that influenced personality scales. On the Somatic Complaints scale, patients who had lesions or comorbidities had significantly higher raw scores. Patients who had comorbidities in addition to IBD had considerably higher raw scores on the Excitability scale.Conclusions Positive affective and cognitive adjustment interventions may aid people with IBD in managing life problems in a balanced manner while interpreting treatment outcomes with confidence. Psychotherapeutic change interventions regarding life perception are required to tackle the description of subjective suffering related to physical inconveniences (Somatic Complaints scale), a strong orientation toward performance (Strain scale), mood swings, anxiety, and pessimism (Emotionality scale). Another intervention is reconsidering values and (re)prioritization, such as family, intimate relationships, friends, health, growth, development, balanced work, all of which can promote a feeling of well-being and balance.

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Section: What the Freiburg Personality Inventory Indicates About Patients With Ibdsupporting

confidence: 92%

Diagnosis and Psychotherapeutic Needs by Freiburg Personality Inventory in Inflammatory Bowel Disease

Rada

Gheonea

Popa

et al. 2021

Preprint

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“…Informed consent was obtained from all participants after the nature of the procedure(s) had been explained. Participants in the Manitoba Living With IBD Study 22 had experienced IBD‐related symptoms during the 2‐year period before recruitment and were at least 18 years old 23 . Participants were enrolled between June 2015 and May 2017 and completed a web‐based survey every 2 weeks for 1 year.…”

Section: Methodsmentioning

confidence: 99%

“…Participants were enrolled between June 2015 and May 2017 and completed a web‐based survey every 2 weeks for 1 year. The survey included factors that may be associated with symptom exacerbation and inflammation in IBD, including diet 22 . Diet was measured by the 2007 Harvard Food Frequency Questionnaire (FFQ) 24,25 .…”

Section: Methodsmentioning

confidence: 99%

“…The survey included factors that may be associated with symptom exacerbation and inflammation in IBD, including diet. 22 Diet was measured by the 2007 Harvard Food Frequency Questionnaire (FFQ). 24,25 As individual diets may change over time, 26,27 particularly among people living with IBD, who may modify their diet in an attempt to manage symptoms, 10,28 the FFQ was administered at baseline and 1-year follow-up.…”

Section: Data Sourcesmentioning

confidence: 99%

“…The IBDSI is a 34-item self-report measure assessing five symptom clusters: bowel symptoms, abdominal discomfort, fatigue, bowel complications, and systemic complications. 22,30 All items were scored with an equal weight from 0 to 4. 30 The total score of 0 to 136 was calculated by summing across the items.…”

Section: Active Ibdsimentioning

confidence: 99%

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The complex relationship between diet, symptoms, and intestinal inflammation in persons with inflammatory bowel disease: The Manitoba Living With IBD Study

Dolovich

Shafer

Vagianos

et al. 2021

J Parenter Enteral Nutr

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Background:We aimed to examine whether an association exists between diet quality, based on the Prospective Urban Rural Epidemiology (PURE) Healthy Diet Score (HDS), and active inflammatory bowel disease (IBD). Methods: Participants were drawn from the Manitoba Living With IBD Study cohort. The Harvard Food Frequency Questionnaire (FFQ) was used to calculate the HDS at two time points: baseline and 1-year follow-up. Using generalized estimating equations (GEE) logistic regression, we assessed the association between the HDS and (1) the IBD Symptom Inventory (IBDSI); (2) intestinal inflammation, measured by fecal calprotectin (FCAL); and (3) self-reported IBD flares.Results: There were 294 completed FFQs among 153 people. Of these, 100% had completed data about an IBD flare, 98% had FCAL measurements, and 96% had completed IBDSI scores. On a HDS scoring method of 0-8, the odds of FCAL >250 mcg/g were lower for participants with a HDS of 4 vs 0-3 (adjusted odds ratio [OR], 0.38; 95% CI, 0.19-0.77). When applying a second HDS scoring method (8-40), the odds of having an IBD flare were 3.6 times greater with a HDS between 21 and 24 compared with an HDS ≤20 (adjusted OR, 3.63; 95% CI, 1.03-12.78). Conclusions:We found that active inflammation was less likely among those with a moderate HDS , whereas symptomatic IBD flares were more likely. People may choose to consume a moderate amount of healthy foods such as fruits and vegetables, even knowing that those foods may cause a symptomatic flare.

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Self‐reported flares among people living with inflammatory bowel disease are associated with stress and worry but not associated with recent diet changes: The Manitoba Living with IBD Study

Vagianos

Shafer

Witges

et al. 2022

J Parenter Enteral Nutr

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Background In this matched case‐control longitudinal study among people living with inflammatory bowel disease (IBD), we investigated beliefs about what triggers a flare. Methods Adults with confirmed IBD and active disease within 2 years were enrolled in the Manitoba Living with IBD Study and followed biweekly with online surveys for 1 year. The 7‐point IBD Symptom Change Indicator was used for participant identification of a flare. Flare cases were matched to non‐flare controls by sex and disease type. Members of each matched pair completed supplementary information on diet changes and psychological functioning in the previous 2 weeks and provided stool samples to assess fecal calprotectin (FCAL). Results Of 128 enrolled participants, 95 matched flare/non‐flare pairs were created. Those reporting a flare were more likely to have elevated FCAL (51% vs 34% among non‐flares, P = 0.043). Although 61% of study participants believed at baseline that a food may trigger flares, and 25% of those in a flare believed that a food may have triggered their current flare, there was no difference in consumption of assessed foods between flares and non‐flares in the previous 2 weeks. Patients with flares were more likely to be having difficulties in emotional state than controls (40% vs 18%, P = 0.001) and more likely to be stressed or worried (64% vs 33%, P = 0.001). Conclusion Although a majority of individuals with IBD believe that specific foods trigger their disease flares, this was not supported by the current findings. Recent psychological functioning was associated with self‐reported IBD flare.

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Living With Inflammatory Bowel Disease: Protocol for a Longitudinal Study of Factors Associated With Symptom Exacerbations

Cited by 12 publications

References 47 publications

Diagnosis and Psychotherapeutic Needs by Freiburg Personality Inventory in Inflammatory Bowel Disease

Diagnosis and Psychotherapeutic Needs by Freiburg Personality Inventory in Inflammatory Bowel Disease

The complex relationship between diet, symptoms, and intestinal inflammation in persons with inflammatory bowel disease: The Manitoba Living With IBD Study

Self‐reported flares among people living with inflammatory bowel disease are associated with stress and worry but not associated with recent diet changes: The Manitoba Living with IBD Study

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