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Psychological disorders and coping strategies in patients with inflammatory bowel disease. Their impact on health-related quality of life.
Jara Fernández, Lorena; Ferrer, Juan Ángel; Pérez Calle, José Lázaro; Martínez Álvarez, Laura; López Serrano, Pilar.
Afiliação
  • Jara Fernández L; Gastroenterology, Hospital Universitario Fundación Alcorcón, SPAIN.
  • Ferrer JÁ; Gastroenterology, Hospital Universitario Fundación Alcorcón, SPAIN.
  • Pérez Calle JL; Gastroenterology, Hospital Universitario Fundación Alcorcón.
  • Martínez Álvarez L; Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos I, SPAIN.
  • López Serrano P; Gastroenterology, Hospital Universitario Fundación Alcorcón, España.
Rev Esp Enferm Dig ; 116(4): 193-200, 2024 Apr.
Article em En | MEDLINE | ID: mdl-37982549
BACKGROUND AND OBJECTIVES: inflammatory bowel disease (IBD) has a major impact on psychological well-being. This condition is associated with a high level of anxiety and mood disorders, but stress prevalence and how an individual copes with IBD have not been sufficiently explored. The objective of this study was to assess the impact of the disease on psychological disorders and to identify coping strategies used by patients with IBD, as well as to analyze the relationship between these variables and sociodemographic and clinical variables. METHODS: a cross-sectional prospective study was performed including 126 consecutive patients. Those with psychiatric conditions prior to the onset of the IBD were excluded. Independent variables were measured using a sociodemographic and clinical questionnaire. The patients completed the Hospital Anxiety and Depression Scale (HADS), the Perceived Stress Scale (PSS) and the BRIEF COPE questionnaire. Quality of life was measured using the nine-item IBD Quality of Life (IBDQ-9). RESULTS: the final cohort comprised 100 patients (37 with ulcerative colitis and 63 with Crohn's disease). The prevalence rates of the variables of stress, anxiety and depression were high (44 %, 24 % and 14 %, respectively). Stress and depression were higher in females (p < 0.05), without differences regarding other sociodemographic and clinical variables. Moreover, higher levels of anxiety and depression were found to be associated with stress and dysfunctional coping strategies (p < 0.01). CONCLUSIONS: patients with IBD, particularly women, have high rates of psychological disorders. Those with anxiety and depression presented more stress and used more dysfunctional strategies. These conditions must be considered for a multidisciplinary management.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Testes Psicológicos / Doenças Inflamatórias Intestinais / Colite Ulcerativa / Autorrelato Limite: Female / Humans Idioma: En Revista: Rev Esp Enferm Dig Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Testes Psicológicos / Doenças Inflamatórias Intestinais / Colite Ulcerativa / Autorrelato Limite: Female / Humans Idioma: En Revista: Rev Esp Enferm Dig Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha