Psychological Functioning of Patients With Inflammatory Bowel Disease

2019 ◽  
Vol 25 (9) ◽  
pp. e112-e112
Author(s):  
Daniela Leone ◽  
Daniela Gilardi ◽  
Bianca E Corrò ◽  
Julia Menichetti ◽  
Elena Vegni ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Psychological Functioning ◽  
Inflammatory Bowel

Inflammatory bowel disease symptoms and cognitive fusion's impact on psychological health: An 18-month prospective study

2017 ◽  
Vol 41 (S1) ◽  
pp. S355-S355 ◽  
Author(s):  
I.A. Trindade ◽  
C. Ferreira ◽  
J. Pinto-Gouveia
Keyword(s):  
Inflammatory Bowel Disease ◽  
Emotion Regulation ◽  
Psychological Health ◽  
Bowel Disease ◽  
Psychological Functioning ◽  
Abdominal Distension ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cognitive Fusion ◽  
Inflammatory Bowel

Although inflammatory bowel disease (IBD) is known to be associated with lower psychological health, research regarding which specific symptoms may lead to psychological dysfunction in IBD patients is inexistent. Further, the role played by emotion regulation, including the maladaptive process of cognitive fusion, in IBD patients’ psychological functioning is also scarcely explored in this population. The present study aimed at filling these research gaps. Two hundred and sixteen patients diagnosed with IBD filled self-report instruments on an online platform in three times. These waves of assessment occurred at baseline, and 9 and 18 months later. Results revealed that of the 10 measured IBD symptoms, only fatigue, bloody stools and abdominal distension at baseline were negatively associated patients’ level of psychological health at Wave 3. Nevertheless, a hierarchical regression analysis demonstrated that none of these symptoms were significant predictors of psychological health measured 18 months later. When cognitive fusion at baseline was added to the model, it became the only significant predictor of psychological health at Wave 3, with an effect of −0.34 (P < 0.001). These findings suggest that it is not the experience of physical symptomatology that directly leads to lower psychological health in IBD patients, but rather the way patients deal with adverse internal experiences, i.e., the type of emotion regulation involved. This study reveals cognitive fusion as a harmful process for the determination of IBD patients’ psychological functioning. Future studies should thus explore the meditational effect of cognitive fusion in the association between IBD symptomatology and decreased psychological health.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Relationship of Inflammatory Bowel Disease Type and Activity to Psychological Functioning and Quality of Life

2006 ◽  
Vol 4 (12) ◽  
pp. 1491-1501.e1 ◽  
Author(s):  
Lesley A. Graff ◽  
John R. Walker ◽  
Lisa Lix ◽  
Ian Clara ◽  
Patricia Rawsthorne ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Psychological Functioning ◽  
Disease Type ◽  
Inflammatory Bowel ◽  
Relationship Of ◽  
The Relationship

scholarly journals A172 THE ASSOCIATION OF EFFICACY, OPTIMISM, UNCERTAINTY AND HEALTH ANXIETY IN INFLAMMATORY BOWEL DISEASE ACTIVITY OVER TIME

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 183-184
Author(s):  
J Stone ◽  
L Shafer ◽  
L A Graff ◽  
K Witges ◽  
L Lix ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Disease Activity ◽  
Bowel Disease ◽  
Psychological Functioning ◽  
Self Efficacy ◽  
Health Anxiety ◽  
Self Report ◽  
Psychological Attributes ◽  
Inflammatory Bowel ◽  
Active Disease

Abstract Aims We aimed to assess if the presence of positive or negative psychological attributes are associated with disease activity in a prospective inflammatory bowel disease (IBD) cohort using validated psychological assessment tools and various measures of disease activity. Methods The study included 146 adults with confirmed and recently active IBD enrolled in a prospective longitudinal cohort study. Demographics, disease information, validated measures of psychological functioning related to self-efficacy, optimism, health anxiety and intolerance of uncertainty were collected at baseline, week 26 and week 52. Disease activity indicators included fecal calprotection (FCAL), the Inflammatory Bowel Disease Symptom Inventory (IBDSI), and self-reported flares and were collected at study baseline, week 26 and week 52. Logistic regression was used to identify the relationship between psychological functioning and disease activity. Results Participants’ mean age was 42.9 years (SD 12.6; range 18–70), with 70.5% women. Almost two thirds (65.1%) had a diagnosis of Crohn’s disease (CD), 34.2% had ulcerative colitis (UC), and 0.7% (n=1) was IBD unclassified. 22% had income &lt;$50,000 and 63% were in a current relationship. Patient-reported active disease (i.e., IBDSI; flare self-report) was significantly less likely with higher self-efficacy [OR= 0.87, 95% CI 0.82–0.93 (IBDSI); OR= 0.86, 95% CI 0.81–0.91 (self-report)] and significantly more likely with higher health anxiety (OR=1.09, 95% CI 1.04–1.15) with the association remaining for self-reported flares after adjusting for demographic variables. The psychological attributes were not associated with active disease based on FCAL levels. Conclusions Higher health anxiety increases the likelihood of experiencing an IBD flare, while higher general self-efficacy may be protective of a disease flare. Funding Agencies None

scholarly journals Living With Inflammatory Bowel Disease: Protocol for a Longitudinal Study of Factors Associated With Symptom Exacerbations (Preprint)

2018 ◽  
Author(s):  
Kelcie Witges ◽  
Laura E Targownik ◽  
Clove Haviva ◽  
John R Walker ◽  
Lesley A Graff ◽  
...  
Keyword(s):  
Risk Factors ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Psychological Functioning ◽  
Intestinal Inflammation ◽  
Disease Course ◽  
Web Based ◽  
Factors Associated ◽  
Symptom Exacerbation ◽  
Inflammatory Bowel

BACKGROUND There has been limited longitudinal research that has comprehensively evaluated possible factors in the exacerbation of inflammatory bowel disease (IBD) symptoms with or without associated inflammation. Evolving Web-based technologies facilitate frequent monitoring of patients’ experiences and allow a fine-grained assessment of disease course. OBJECTIVE We aimed to prospectively identify factors associated with symptom exacerbation and inflammation in IBD including psychological functioning, diet, health behaviors, and medication adherence. METHODS Between June 2015 and May 2017, we enrolled adults with IBD, recruited from multiple sources, who had been symptomatically active at least once within the prior 2 years. They completed a Web-based survey every 2 weeks for 1 year and submitted a stool sample at baseline, 26 weeks, and 52 weeks. Any participant reporting a symptom exacerbation was matched to a control within the cohort, based on disease type, sex, age, and time of enrollment; both were sent a supplemental survey and stool collection kit. Biweekly surveys included validated measures of the disease course, psychological functioning, health comorbidities, and medication use. Intestinal inflammation was identified through fecal calprotectin (positive level >250 μg/g stool). RESULTS There were 155 participants enrolled with confirmed IBD, 66.5% (103/155) with Crohn disease and 33.5% (52/155) with ulcerative colitis, of whom 98.7% (153/155) completed the study. Over the 1-year period, 47.7% (74/155) participants experienced a symptom exacerbation. The results of analyses on risk factors for symptom exacerbations are pending. CONCLUSIONS We recruited and retained a longitudinal IBD cohort that will allow the determination of risk factors for symptom exacerbation with and without inflammation. This will increase understanding of symptom exacerbations among persons with IBD. INTERNATIONAL REGISTERED REPOR RR1-10.2196/11317

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