Quality of life for patients with exacerbation in inflammatory bowel disease and how they cope with disease activity

Larsson, Knut; Lööf, Lars; Rönnblom, Anders; Nordin, Karin

doi:10.1016/j.jpsychores.2007.10.007

Cited by 87 publications

(82 citation statements)

References 41 publications

(55 reference statements)

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“…Given that symptom flare-ups are characteristic of IBD, it may be that during these episodes people turn to avoidant coping strategies to deal with their illness, which in turn influence health-related attributions and adjustment. This interpretation is line with research indicating that those with IBD use avoidant coping strategies to deal with the stressors associated with their illness (van der Zaag-Loonen et al, 2004) and that increased disease activity is associated with poor healthrelated quality of life (Larsson, Loof, Ronnblom, & Nordin, 2008).…”

Section: Discussionsupporting

confidence: 89%

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

Voth

Sirois

2009

Rehabilitation Psychology

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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.

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Section: Discussionsupporting

confidence: 89%

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

Voth

Sirois

2009

Rehabilitation Psychology

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“…These findings suggest that there are some differences in coping approach used, depending on whether the IBD is active or in remission. This finding is in contrast to a recent report, where IBD patients used similar approaches regardless of disease status 69 . Disease activity in that study was defined by a very brief, immediate time period (i.e, "Are you at this moment experiencing active disease"), which may not allow for any adjustment in coping.…”

Section: Discussioncontrasting

confidence: 56%

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

Graff

Walker

Clara

et al. 2009

American Journal of Gastroenterology

107

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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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“…This finding indicates that CD is a more complex disorder than UC. In addition, CD patients report poorer quality of life and more anxiety symptoms than UC patients [99,100] . Therefore, it is important that UC and CD patients are distributed evenly in the experimental group and the waiting list control group [101] .…”

Section: Psychotherapeutic Approachmentioning

confidence: 99%

“…Finally, the disease type is also used as a stratification factor. Previous research has found that CD patients undergo more surgical interventions and experience more disease exacerbations than ulcerative colitis patients [99] . This finding indicates that CD is a more complex disorder than UC.…”

Section: Psychotherapeutic Approachmentioning

confidence: 99%

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

Filipović¹,

Filipović²

2014

WJG

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Ulcerative colitis and Crohn's disease, commonly known as inflammatory bowel disease (IBD), draw attention from specialists of various disorders, including gastroenterology, psychiatry, and radiology. The involvement of a cortical influence in the brain-gut axis as well as the interaction of the hypothalamic-pituitary-adrenal axis and the peripheral nervous system provide an initial explanation of the psychological symptoms associated with IBD. The involvement of structures the limbic system, such as the anterior cingulate cortex, the prefrontal cortex, and the amygdala, paves the way for the discovery of the mechanisms underlying depression depression, anxiety, alexithymia, personality traits, and other psychological impairments following the onset of IBD. Psychiatric therapy in IBD patients is almost as important as the gastroenterological approach and consists of pharmacological treatment and psychotherapy. Neither of the available psychiatric treatment methods is considered the golden standard because both methods have side effects, and psychotropic medication can provoke the worsening of IBD symptoms. Thus, both approaches must be applied with awareness of the possibility of side effects. We suggest that psychiatrists and gastroenterologists work together to reach a consensus on IBD therapy to ensure success and to reduce side effects and relapse to the lowest possible rates.© 2014 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Inflammatory bowel disease; Psychiatry; Treatment; Personality traits; Depression; Anxiety Core tip: The involvement of a dysfunction of brain-gut interactions in the pathogenesis of inflammatory bowel disease (IBD) is represented by a dysfunction of the autonomic nervous system, an abnormal hypothalamicpituitary-adrenal axis and cholinergic anti-inflammatory pathway, a deleterious effect of stress and depression, an abnormal coupling of the prefrontal cortex-amygdaloid complex, and an abnormal relation between the microbiota and the brain as pro-inflammatory factors. New investigations have provided a critical link between forebrain changes and abdominal pain independent of active disease and drug treatment, providing a potential basis for an explanation of the psychological symptoms and brain influence in the pathogenesis of IBD.

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Quality of life for patients with exacerbation in inflammatory bowel disease and how they cope with disease activity

Cited by 87 publications

References 41 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.

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

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

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