Sense of Coherence in People with and without Inflammatory Bowel Diseases – Is there a Difference?

Abstract

Background & Aims: Sense of coherence (SOC) is a theoretical concept reflecting a person‘s resources and orientation, which enable individuals to cope with stressors in a health-promoting manner. In several multifactorial chronic diseases, such as diabetes mellitus and systemic lupus erythematosus, SOC was correlated with disease development. It was also related with the emotional distress in patients with inflammatory boweldisease (IBD).The aim of this study was to investigate the possible correlation between low SOC scores and the presence of IBD.Methods: A total of 183 Crohn’s disease (CD) and 71 ulcerative colitis (UC) patients completed questionnaires including demographic data and the 13 items for the SOC questionnaire. The IBD patients were matched to 124 healthy people according to age, gender, education, employment status and marital status.Results: In the CD cohort, 96 patients were matched to the healthy cohort according to the propensity score value, and in the UC cohort 57 were matched. Patients with Crohns’ disease had a median SOC score of 63 (IQR 56-71), and healthy matching controls of 62.5 (IQR 55.25- 68.75) p=0.369. Patients with ulcerative patients had a median SOC score of 66 (IQR 56-73) and healthy controls 62 (IQR 55-69) p=0.354.Conclusions: In our study SOC was not related to the development of IBD. The question of whether SOC is associated with the development of chronic disease and particularly with IBD remains open.

Factors Related To Anxiety And Depression In Patients With Inflammatory Bowel Disease: Influence Of Emotions On Intestinal Diseases

“…From an emotional point of view, self-perception of being healthy may have a much more positive effect on quality of life than information about disease activity scores. If an individual has criteria for moderately active IBD but is perceived to be healthy, this may in theory favor his quality of life, whereas another who has disease in remission but recognizes himself as a sick person may have a worse quality of life (Naftali, et al, 2019). Diener, Lucas & Scollon (2006) state that happiness is recognized from the overlap of positive experiences over negative ones, and considered as the main component of a healthy life.…”

Diyabetik Hastalarda Bütünlük Duygusu ile Glisemik Kontrol İlişkisi

“…Antonovsky, Nazi kamplarında sağ kalanlarla yaptığı çalışmada, kamplarda kalan kişilerin kötü koşullara rağmen hayatta kalma nedenini "başa çıkmada yeterlilik" yeteneği ile açıklayıp salutogenez kavramını geliştirmiştir (3). Diyabet, kronik kalp hastalığı, kronik akciğer hastalığı, inflamatuar bağırsak hastalığı gibi farklı kronik hastalığa sahip olan hastalarla yapılan çalışmalarda bütünlük duygusu ne kadar kuvvetli ise kronik hastalık ortaya çıkışının da o kadar az olduğu ortaya çıkarılmıştır (4)(5)(6). Tip 2 diyabet, bireylerin yaşam kalitesini bozan ve mortalitesini artıran mikrovasküler ve makrovasküler komplikasyonlarla birliktelik gösterir.…”