Religious coping and its influence on psychological distress, medication adherence, and quality of life in inflammatory bowel disease
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 37(3): 219-227, July-Sept. 2015. tab
Article
ي En
| LILACS
| ID: lil-759426
المكتبة المسؤولة:
BR1.1
ABSTRACT
Objective:
Inflammatory bowel disease (IBD) is associated with elevated levels of anxiety and depression and a reduction in health-related quality of life (HRQoL). Nonadherence to treatment is also frequent in IBD and compromises outcomes. Religious coping plays a role in the adaptation to several chronic diseases. However, the influence of religious coping on IBD-related psychological distress, HRQoL, and treatment adherence remains unknown.Method:
This cross-sectional study recruited 147 consecutive patients with either Crohn’s disease or ulcerative colitis. Sociodemographic data, disease-related variables, psychological distress (Hospital Anxiety and Depression Scale), religious coping (Brief RCOPE Scale), HRQoL (WHOQOL-Bref), and adherence (8-item Morisky Medication Adherence Scale) were assessed. Hierarchical multiple regression models were used to evaluate the effects of religious coping on IBD-related psychological distress, treatment adherence, and HRQoL.Results:
Positive RCOPE was negatively associated with anxiety (b = 0.256; p = 0.007) as well as with overall, physical, and mental health HRQoL. Religious struggle was significantly associated with depression (b = 0.307; p < 0.001) and self-reported adherence (b = 0.258; p = 0.009). Finally, anxiety symptoms fully mediated the effect of positive religious coping on overall HRQoL.Conclusion:
Religious coping is significantly associated with psychological distress, HRQoL, and adherence in IBD.Key words
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Quality of Life
/
Religion and Psychology
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Stress, Psychological
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Adaptation, Psychological
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Colitis, Ulcerative
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Crohn Disease
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Medication Adherence
نوع الدراسة:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
المحددات:
Adult
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Female
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Humans
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Male
البلد/الأقليم حسب الموضوع:
America do sul
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Brasil
اللغة:
En
مجلة:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
موضوع المجلة:
PSIQUIATRIA
السنة:
2015
نوع:
Article