M1231 Functional Assessment of Chronic Illness Therapy-Fatigue (Facit-F) Scale is Valid in Patients With Inflammatory Bowel Disease

2010 ◽  
Vol 138 (5) ◽  
pp. S-359-S-360
Author(s):  
Andrew Tinsley ◽  
Eric A. Macklin ◽  
Joshua R. Korzenik ◽  
Jennifer Inra ◽  
Bruce E. Sands
Keyword(s):  
Inflammatory Bowel Disease ◽  
Chronic Illness ◽  
Functional Assessment ◽  
Bowel Disease ◽  
Chronic Illness Therapy ◽  
Inflammatory Bowel

scholarly journals Longitudinal Trajectory of Fatigue in Patients With Inflammatory Bowel Disease: A Prospective Study

2020 ◽  
Author(s):  
Nienke Z Borren ◽  
Millie D Long ◽  
Robert S Sandler ◽  
Ashwin N Ananthakrishnan
Keyword(s):  
Ulcerative Colitis ◽  
Inflammatory Bowel Disease ◽  
Chronic Illness ◽  
Prospective Study ◽  
Functional Assessment ◽  
Bowel Disease ◽  
Symptom Resolution ◽  
Chronic Illness Therapy ◽  
Inflammatory Bowel ◽  
A Prospective Study

Abstract Background Fatigue is a disabling symptom in patients with inflammatory bowel disease (IBD). Its prevalence, mechanism, and impact remain poorly understood. We determined changes in fatigue status over time and identified predictors of incident or resolving fatigue. Methods This was a prospective study nested within the IBD Partners cohort. Participants prospectively completed the Multidimensional Fatigue Inventory and the Functional Assessment of Chronic Illness Therapy-Fatigue at baseline, 6 months, and 12 months. A Functional Assessment of Chronic Illness Therapy-Fatigue score ≤43 defined significant fatigue. Multivariable regression models using baseline covariates were used to identify risk factors for incident fatigue at 6 months and to predict the resolution of fatigue. Results A total of 2429 patients (1605 with Crohn disease, 824 with ulcerative colitis) completed a baseline assessment, and 1057 completed a second assessment at 6 months. Persistent fatigue (at baseline and at 6 months) was the most common pattern, affecting two-thirds (65.8%) of patients. One-sixth (15.7%) of patients had fatigue at 1 timepoint, whereas fewer than one-fifth (18.5%) of patients never reported fatigue. Among patients not fatigued at baseline, 26% developed fatigue at 6 months. The strongest predictor of incident fatigue was sleep disturbance at baseline (odds ratio, 2.91; 95% confidence interval, 1.48–5.72). In contrast, only 12.3% of those with fatigue at baseline had symptom resolution by month 6. Resolution was more likely in patients with a diagnosis of ulcerative colitis, quiescent disease, and an absence of significant psychological comorbidity. Conclusions Fatigue is common in patients with IBD. However, only a few fatigued patients experience symptom resolution at 6 or 12 months, suggesting the need for novel interventions to ameliorate its impact.

scholarly journals A Prospective Pilot Randomized Study: Electroacupuncture vs. Sham Procedure for the Treatment of Fatigue in Patients With Quiescent Inflammatory Bowel Disease

2019 ◽  
Author(s):  
Diana Horta ◽  
Alba Lira ◽  
Meritxell Sanchez-Lloansi ◽  
Albert Villoria ◽  
Marcelo Teggiachi ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Chronic Illness ◽  
Confidence Intervals ◽  
Functional Assessment ◽  
Bowel Disease ◽  
Clinical Remission ◽  
Randomized Study ◽  
Common Symptom ◽  
Chronic Illness Therapy ◽  
Inflammatory Bowel

Abstract Background Fatigue is a common symptom in patients with inflammatory bowel disease (IBD), and it often persists despite clinical remission. Acupuncture has been shown to be effective for treating fatigue in patients with many chronic diseases. The main objective of the study was to assess the efficacy of electroacupuncture (EAc), compared with sham EAc (ShEAc) or being on a waitlist (WL), for treating fatigue in patients with quiescent IBD in a single-blind randomized trial. Methods Fifty-two patients with IBD in clinical remission and fatigue were randomly assigned to 1 of 3 groups: EAc, ShEAc, or WL. Patients in the EAc and ShEAc groups received 9 sessions over 8 weeks. Fatigue was evaluated with the IBD-validated Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-FS). Results Baseline characteristics were similar in the 3 groups. Both EAc and ShEAc presented improved Functional Assessment of Chronic Illness Therapy-Fatigue Scale scores compared with baseline: the respective improvements were 9.53 (95% confidence intervals, 6.75–12.3, P < 0.001) and 5.46 points (95% confidence intervals, 2.7–9.7, P = 0.015), respectively. No significant changes were observed in the WL group. In the comparison of treatment groups, EAc was nonsignificantly better than ShEAc (EAc, 33.27 and ShEAc, 28.13, P = 0.168); both EAc and ShEAc improved fatigue scores significantly compared to WL (24.5; P = 0.01 and 0.04, respectively). Conclusions Both EAc and ShEAc reduced fatigue scores in IBD patients when compared to WL. No differences were observed between EAc and ShEAc, although the study was not powered to rule out a difference. Acupuncture may offer improvements to patients with few other treatment alternatives. Clinical Trials Org Id: NCT02733276.

Inflammatory bowel disease-related fatigue is correlated with depression and gender

2018 ◽  
Vol 26 (5) ◽  
pp. 508-513 ◽  
Author(s):  
Philip Keightley ◽  
Rebecca E Reay ◽  
Paul Pavli ◽  
Jeffrey CL Looi
Keyword(s):  
Inflammatory Bowel Disease ◽  
Attachment Style ◽  
Functional Assessment ◽  
Bowel Disease ◽  
Depression Scale ◽  
Female Gender ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Chronic Illness Therapy ◽  
Inflammatory Bowel

Objectives: Fatigue is a common and disabling problem in inflammatory bowel disease. We sought to explore the possible determinants of inflammatory bowel disease-associated fatigue including demographic, psychological and disease variables. Methods: Surveys were distributed to 100 patients undergoing infliximab infusion for inflammatory bowel disease in an infusion lounge, assessing attachment style (Experiences in Close Relationships Revised scale), fatigue (Functional Assessment of Chronic Illness Therapy Fatigue – Fatigue Subscore), and depression and anxiety (Hospital Anxiety and Depression Scale). Disease severity was assessed via file review through an independent gastroenterologist rating (Harvey–Bradshaw Index). Results: There were 67 responses. Depression, as measured by the Hospital Anxiety and Depression Scale, was found to be highly correlated with fatigue (Functional Assessment of Chronic Illness Therapy Fatigue – Fatigue Subscore). Anxiety, insecure attachment, disease severity and female gender were moderately correlated with fatigue. In a hierarchical regression model, depression and female gender emerged as significant predictors of variance in fatigue scores. Conclusions: Depression was the strongest predictor of variance in fatigue scores. Gender as a cause of fatigue in inflammatory bowel disease requires further exploration. Attachment style, however, may still help clinicians to conceptualise help-seeking behaviour and clinician-patient relationships in medically unexplained symptoms.

scholarly journals Shame and emotion regulation in inflammatory bowel disease: Effects on psychosocial functioning

2017 ◽  
Vol 25 (4) ◽  
pp. 511-521 ◽  
Author(s):  
Inês A Trindade ◽  
Cláudia Ferreira ◽  
José Pinto-Gouveia
Keyword(s):  
Inflammatory Bowel Disease ◽  
Chronic Illness ◽  
Psychological Health ◽  
Bowel Disease ◽  
Indirect Effects ◽  
Psychosocial Functioning ◽  
Online Survey ◽  
Self Report ◽  
Inflammatory Bowel ◽  
The Impact

Although patients with inflammatory bowel disease seem to be prone to high levels of shame, the mechanisms behind the impact of chronic illness–related shame on patients’ functioning have not been explored yet. This study aims to address these gaps using a sample of 161 patients with inflammatory bowel disease who completed self-report measures on an online survey. The results from path analyses showed that chronic illness–related shame presented direct and indirect effects on psychological health ( R2 = .66) and social relationships ( R2 = .46). The indirect effects were mediated by experiential avoidance and uncommitted living. Possible explanations to these findings and clinical implications are discussed.

scholarly journals Patient Perception of Chronic Illness Care in a Large Inflammatory Bowel Disease Cohort

2013 ◽  
Vol 19 (7) ◽  
pp. 1428-1433 ◽  
Author(s):  
Rachel L. Randell ◽  
Millie D. Long ◽  
Christopher F. Martin ◽  
Robert S. Sandler ◽  
Wenli Chen ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Chronic Illness ◽  
Bowel Disease ◽  
Patient Perception ◽  
Chronic Illness Care ◽  
Inflammatory Bowel
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