Psychological Distress, Social Support, and Disease Activity in Patients With Inflammatory Bowel Disease

Abstract

These findings suggest that strategies aimed at improving social support can have a favorable impact on psychological distress and, ultimately, can improve health outcomes in patients with IBD.

Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease

“…This finding supports other IBD studies, in that being single was associated with greater odds of being depressed, and the general sense of not being supported was related to poorer health-related QoL (Fuller-Thomson & Sullman, 2006;Graff et al, 2009;Moradkhani et al, 2013). Previous research has also shown social support to protect against the effects of pain, depression and stress in patients with IBD (Fuller-Thomson & Sullman, 2006;Sewitch et al, 2001). Previous studies suggest that age is an important determinant of IBD-QoL, with patients who are diagnosed before the age of 30 years old reporting poorer IBD-QoL than for those patients diagnosed after the age of 30, and those who are greater than 70 years of age to have a better QoL with fewer concerns (Canavan et al, 2006).…”

“…As such, caution should be exercised when applying the results of this study to patients with IBD of other ethnicities and socioeconomic variations. However, the composition of our sample is representative of other IBD samples within the literature in regards to demographic composition (Drossman et al, 2000;Lix et al, 2008;Nurmi et al, 2013;Sewitch et al, 2001). Another limitation is the use of self-report questionnaires.…”

“…Social support is generally understood to have a positive influence on outcomes such as QoL across a variety of chronic illnesses, with greater levels of perceived social support being associated with less pain, disability, improved disease self-management and decreased psychological distress (Gallant, 2003;Jensen, Moore, Bockow, Ehde, & Engel, 2011;Sewitch et al, 2001).…”

Mental Disorder and Psychologic Distress in Patients With Ulcerative Colitis After Ileal Pouch-Anal Anastomosis

“…A US American study with IBD patients (without IPAA) demonstrated a greater predictive value of the number and impact of stressful events than of disease activity for psychologic distress. 27 Some limitations of our study must be considered. The number of IPAA patients included in the study (n = 37) is rather low.…”

A systematic review of the psychological correlates of adjustment outcomes in adults with inflammatory bowel disease

“…Four studies examined the role of perceived stress on adjustment outcomes, all cross sectional in design (Kiebles et al, 2010, Goodhand et al, 2012, Sewitch et al, 2001,Tabibian et al, 2015 ( were additional independent correlates of depression in CD (Goodhand et al, 2012, Tabibian et al, 2015. Examination of study quality (table 1) demonstrated that the small number of studies in this category were of low-moderate quality with scores between 3-4.…”