Long‐term prognosis in Crohn's disease: factors that affect quality of life

Canavan, C.; Abrams, Keith R.; Hawthorne, Barney; Drossman, Douglas A.; Mayberry, J. F.

doi:10.1111/j.1365-2036.2006.02753.x

Cited by 75 publications

(50 citation statements)

References 16 publications

(37 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous research suggests that increased disease severity is associated with poor adjustment in people with IBD (Canavan, Abrams, Hawethorne, Drossmans, & Mayberry, 2006;Sainsbury & Heatley, 2005), therefore, we proposed that disease severity will directly influence psychological adjustment.…”

Section: Introductionmentioning

confidence: 99%

The role of self-blame and responsibility in adjustment to inflammatory bowel disease.

Voth

Sirois

2009

Rehabilitation Psychology

View full text Add to dashboard Cite

Objective: Roesch and Weiner's (2001) theoretical model of adjustment to chronic illness was adapted to examine the role of attributions, avoidant coping strategies, and disease severity in the psychological adjustment of people with inflammatory bowel disease (IBD). Research Method/Design: People with IBD (N = 259) completed an online survey including measures of health-related self-blame and responsibility attributions, disease severity, avoidant coping strategies, and psychological adjustment indices (coping efficacy, acceptance, and helplessness).Results: Structural equation modeling revealed that avoidant coping mediated the relationship between attributions and psychological adjustment. Attributions of self-blame were directly related to increased avoidant coping, which were in turn associated with poor adjustment. Beliefs about responsibility were associated with decreased use of avoidant coping strategies and subsequently improved psychological adjustment. Higher scores on disease severity were linked to the use of avoidant coping strategies and poor psychological adjustment. Conclusions:Distinguishing between self-blame and responsibility attributions has important implications for understanding the psychological adjustment of individuals with IBD, and may be useful for creating intervention strategies aimed at enhancing the psychological functioning of people with IBD.

show abstract

Section: Introductionmentioning

confidence: 99%

The role of self-blame and responsibility in adjustment to inflammatory bowel disease.

Voth

Sirois

2009

Rehabilitation Psychology

View full text Add to dashboard Cite

show abstract

“…IBD often leads to feelings of shame, embarrassment and isolation, concerns regarding the risk of relapsing or developing cancer, difficulty in maintaining daily routines due to severe symptomatology that may arise abruptly, and struggles with body dissatisfaction and sexuality [4][5][6][7][8]. It has been reported that, even during periods of remission, IBD patients' QoL is significantly poorer in comparison with healthy controls, and that comorbid psychopathology is frequent [1,9,10].…”

Section: Inflammatory Bowel Disease and Psychological Distressmentioning

confidence: 99%

An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood

Trindade

Ferreira

Moura‐Ramos

et al. 2017

Int J Colorectal Dis

View full text Add to dashboard Cite

Depressive symptomatology in IBD patients is known to predict disease activity, which in turn can increase depressive symptoms in a perpetuating a cycle between depression and IBD symptomatology. The mechanisms that contribute to the relationship between disease activity and depressive symptoms are not clearly investigated yet. Since emotion regulation has been considered particularly relevant to define the impact of adverse experiences on different outcomes, the current study aimed to examine the longitudinal influence of two maladaptive emotion regulation processes, cognitive fusion and brooding, on the association between disease activity and depressed mood. This study was conducted over an 18-month period, using a sample of 116 IBD patients that completed self-report validated measures in three different waves.Correlation analyses and cross-lagged panel models were performed.The main result from this study discovered that the experience of IBD symptomatology at baseline, although positively linked to the manifestation of depressed mood 18 months later (r = 0.25; p < 0.01), does not directly predict depressive symptoms.This relationship is rather indirect, as it is explained by the engagement in cognitive fusion (p = 0.028) and brooding (p = 0.017). These maladaptive emotion regulation processes, that were revealed to be consistent over time, link IBD symptoms with subsequent depressed mood.These findings indicate that clinicians should be aware of the emotion regulation processes patients tend to use to handle difficult experiences. The inclusion of 4 psychological assessments and interventions in the healthcare of IBD patients should be seriously considered. Further implications are discussed.

show abstract

“…Predisposing factors for small bowel cancer are Crohn disease, with a relative risk (RR) of 33.0 (95% CI, 15-60.9) (Canavan et al, 2006). A recent meta-analysis demonstrated that the RR for individuals consuming the highest versus lowest category of alcohol intake was 1.51 (95% CI, 0.83-2.75).…”

Section: Introductionmentioning

confidence: 99%

Clinical, Radiologic, and Endoscopic Manifestations of Small Bowel Malignancies: a First Report from Thailand

Tangkittikasem

Boonyaarunnate²,

Aswakul³

et al. 2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Asian Pac J Cancer Prev, 16 (18), 8613-8618 IntroductionSmall bowel cancer is a rare malignancy that accounts for only 2% of all gastrointestinal cancers (Paski, 2009;Pan et al, 2011). The incidence of malignant small intestine tumors, which ranges from 0.5-1.5/100,000 in men and 0.2-1.0/100,000 in women (Parkin et al., 1992), seems to be higher in North America and Europe than Asia (Haselkorn et al., 2005). Most cases of small bowel cancer are diagnosed late in the course of the disease because of its vague clinical presentations (e.g. abdominal pain and abdominal discomfort), and patients who present with obvious clinical manifestations such as gastrointestinal bleeding, intestinal obstruction, or ascites are almost always diagnosed with advanced stage cancer. The most common malignancy lesions are adenocarcinoma, neuroendocrine tumor (NET), sarcomas, and small bowel lymphoma. However, the incidence of small bowel cancer is increasing, particularly for carcinoid tumor (Islam, 2014). The small bowel is not a common location of metastatic cancers, although there are many case reports Based on radiology and endoscopy, this study revealed upper gastrointestinal bleeding, an intra-abdominal mass, and a sub-epithelial mass as common symptoms of GIST. Obstruction and ulcerating/circumferential masses were findicative of adenocarcinoma, as revealed by radiology and endoscopy, respectively. Finally, no specific symptoms were related to lymphoma.

show abstract

Long‐term prognosis in Crohn's disease: factors that affect quality of life

Cited by 75 publications

References 16 publications

The role of self-blame and responsibility in adjustment to inflammatory bowel disease.

The role of self-blame and responsibility in adjustment to inflammatory bowel disease.

An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood

Clinical, Radiologic, and Endoscopic Manifestations of Small Bowel Malignancies: a First Report from Thailand

Contact Info

Product

Resources

About