Anxiety in close relationships is higher and self-esteem lower in patients with irritable bowel syndrome compared to patients with inflammatory bowel disease

Bengtsson, Mariette; Sjöberg, Klas; Candamio, Martina; Lerman, Annie; Ohlsson, Bodil

doi:10.1016/j.ejim.2012.11.011

Cited by 27 publications

(21 citation statements)

References 77 publications

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“…Clinical factors (disease activity, gastrointestinal surgery, having an ileostomy) did not independently influence selfesteem in our study. This is in line with a previous study of IBD patients [30]. The impact of disease symptoms and physical consequences of IBD have been shown in earlier studies to affect psychological and social well-being [48].…”

Section: Discussionsupporting

confidence: 92%

Self-esteem in patients with inflammatory bowel disease

et al. 2020

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Purpose The purpose of this study was to explore self-esteem and associations between self-esteem and sociodemographic, clinical, and psychological factors in patients with inflammatory bowel disease (IBD), a disease of chronic relapsing inflammation of the gastrointestinal tract. IBD symptoms, including pain, fatigue, and diarrhea, as well as potential lifelong medical treatment and surgery, may be demanding, cause significant challenges, and influence self-esteem. Methods In this cross-sectional multicenter study, participants were recruited from nine hospitals in the southeastern and western regions of Norway from March 2013 to April 2014. Data were collected using self-report questionnaires. Selfesteem was assessed by the Rosenberg Self-Esteem Scale, fatigue was assessed by the Fatigue Questionnaire, self-efficacy was assessed by the General Self-Efficacy Scale, and disease activity was assessed by the Simple Clinical Colitis Activity Index for ulcerative colitis (UC) and Harvey Bradshaw Index for Crohn's disease (CD). Multiple linear regression analysis was applied to examine associations between self-esteem and sociodemographic, clinical, and psychological factors. Results In total, 411 of 452 (91%) patients had evaluable data and were included in this study. The mean scores on selfesteem, self-efficacy, total fatigue, anxiety, and depression were similar between UC patients and CD patients. Male gender, being employed, and higher self-efficacy were independently associated with higher self-esteem, whereas anxiety and depression were independently associated with lower self-esteem. Neither disease activity nor fatigue were associated with self-esteem in the final multiple regression analyses. Conclusion Patient-centered interventions that improve self-esteem and reduce anxiety and depression seem to be important to optimize IBD management.

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Section: Discussionsupporting

confidence: 92%

Self-esteem in patients with inflammatory bowel disease

et al. 2020

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“…Significantly higher basal score of T-A may indicate that tension and/or anxiety would have accumulated close to the ceiling level in GI subjects, which could subsequently result in relatively less response to the stimuli. Bengtsson et al, previously described higher anxiety in patients with IBS compared to patients with inflammatory bowel diseases [47], which is consistent with this finding.…”

Section: Discussionsupporting

confidence: 86%

Delayed parasympathetic recovery from a psychological stimulus in female college students with gastrointestinal symptoms

Sakuragi

2015

J Psychiatry Brain Funct

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It is well known that mental stress often induces gastrointestinal (GI) symptoms, such as abdominal pain, nausea and diarrhea. Irritable bowel syndrome (IBS) is one of the most common diseases, characterized by abdominal pain associated with altered bowel habit, such as diarrhea, constipation or both. Abnormality in brain-gut axis, autonomic dysregulation, visceral hypersensitivity, or altered emotional processing is considered to be the important contributing factor in the pathogenesis of IBS. However, precise pathophysiology of IBS is still complex and not completely understood. To clarify the role of reactivity to stress in the pathogenesis of IBS, characteristics of autonomic responses to physical (cold pressor test) and psychological (Stroop color-word conflict test) stimuli were examined, along with the mood change associated with the stimuli, in female college students with gastrointestinal symptoms (who met Rome III criteria for IBS, without checkup for gastrointestinal organic diseases). Mood states were estimated by a profile of mood states, and autonomic nervous function was evaluated by a spectral analysis of heart rate variability (HRV), baroreflex sensitivity, and systolic and diastolic blood pressure. Repeated measures analysis of variance (ANOVA) revealed significant interaction of group (females with GI symptoms and healthy controls)×time course after the psychological stimulus in HF amplitude of HRV, that is, delayed and attenuated recovery after the Stroop color-word conflict test in females with GI symptoms. Repeated measures ANOVA also revealed significant main effect of group in baroreflex sensitivity, that is, the baroreflex sensitivity is generally lower in females with GI symptoms, though the time courses in both groups were similar. Prestimulus basal level of tension-anxiety were significantly higher in females with GI symptoms compared to controls. These results suggest that attenuated and delayed recovery from psychological stimuli may indicate altered emotional processing which could contribute to various gastrointestinal and psychological symptoms.

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“…Few studies have investigated SOC in IBD patients [19, 43–46] and only two studies used the SOC-13 scale [43, 44]. We found the mean SOC total score for our IBD patients (66.25) to be comparable with estimates of Swedish IBD patients (69.00) [43] and higher than that in Japanese IBD patients (53.84) [44]. In addition, our results were comparable with estimated mean SOC total score at about 70.00 in the general population [15, 47].…”

Section: Discussionmentioning

confidence: 99%

Sense of Coherence in Patients with Inflammatory Bowel Disease

Opheim

Fagermoen

Jelsness-Jørgensen

et al. 2014

Gastroenterology Research and Practice

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Background and Aim. Sense of coherence (SOC) is a health-promoting concept reflecting a person's view of life and response to stressful situations and may be of importance in coping with chronic illness. The aim of this study was to explore associations between SOC and sociodemographic, disease-related, and personal characteristics in a sample of patients with inflammatory bowel disease (IBD). Methods. Measures included sociodemographic and disease-related data, the Sense of Coherence Scale, General Self-Efficacy Scale (GSE), and Fatigue Severity Scale (FSS-5). Results. In total, 428 IBD patients had evaluable questionnaires (response rate 93%). The overall mean SOC total score was 66.25 (SD 11.47) and with no statistically significant difference between patients with ulcerative colitis (UC) and patients with Crohn's disease (CD). In the multivariate analyses, higher GSE scores were significantly associated with higher SOC scores and higher FSS-5 scores were significantly associated with lower SOC scores in both UC and CD. Conclusion. GSE and FSS-5 contributed more to the variance in SOC than sociodemographic and disease-related variables. Longitudinal studies are warranted to investigate the value of SOC as a predictor of disability, medication adherence, coping behavior, and health-related quality of life.

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Anxiety in close relationships is higher and self-esteem lower in patients with irritable bowel syndrome compared to patients with inflammatory bowel disease

Cited by 27 publications

References 77 publications

Self-esteem in patients with inflammatory bowel disease

Self-esteem in patients with inflammatory bowel disease

Delayed parasympathetic recovery from a psychological stimulus in female college students with gastrointestinal symptoms

Sense of Coherence in Patients with Inflammatory Bowel Disease

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