Interpersonal communication apprehension, topic avoidance, and the experience of irritable bowel syndrome

Bevan, Jennifer L.

doi:10.1111/j.1475-6811.2009.01216.x

Cited by 18 publications

(10 citation statements)

References 49 publications

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“…73 Motivated by their need for self-protection, as a chronically ill patient, and self-definition, as a regular teenager, teenage patients apply a variety of techniques to manage with whom they communicate (privacy-settings; friends-list; audience segregation74 75) and how they communicate (choice of media; public and private communication on Facebook). This becomes apparent in public status updates.…”

Section: Discussionmentioning

confidence: 99%

“Not all my friends need to know”: a qualitative study of teenage patients, privacy, and social media

Velden

Emam

2013

Journal of the American Medical Informatics Association

124

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BackgroundThe literature describes teenagers as active users of social media, who seem to care about privacy, but who also reveal a considerable amount of personal information. There have been no studies of how they manage personal health information on social media.ObjectiveTo understand how chronically ill teenage patients manage their privacy on social media sites.DesignA qualitative study based on a content analysis of semistructured interviews with 20 hospital patients (12–18 years).ResultsMost teenage patients do not disclose their personal health information on social media, even though the study found a pervasive use of Facebook. Facebook is a place to be a “regular”, rather than a sick teenager. It is a place where teenage patients stay up-to-date about their social life—it is not seen as a place to discuss their diagnosis and treatment. The majority of teenage patients don't use social media to come into contact with others with similar conditions and they don't use the internet to find health information about their diagnosis.ConclusionsSocial media play an important role in the social life of teenage patients. They enable young patients to be “regular” teenagers. Teenage patients' online privacy behavior is an expression of their need for self-definition and self-protection.

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Section: Discussionmentioning

confidence: 99%

“Not all my friends need to know”: a qualitative study of teenage patients, privacy, and social media

Velden

Emam

2013

Journal of the American Medical Informatics Association

124

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“…This scale was nominated because it reflects issues of topic avoidance that are salient across a variety of relational contexts (Afifi & Afifi, 2009;Bevan, 2009;Caughlin & Afifi, 2004), and it has been successfully employed within the family context, including stepfamilies (Bevan et al, 2006;.…”

Section: Instrumentationmentioning

confidence: 99%

Parent-in-Law Privacy Management: An Examination of the Links Among Relational Uncertainty, Topic Avoidance, In-Group Status, and In-Law Satisfaction

Mikucki‐Enyart

2011

Journal of Family Communication

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The present study used dual reasoning from communication privacy management theory and relational uncertainty to investigate how parents-in-law protected privacy boundaries within the parentand child-in-law dyad. More specifically, the links among relational uncertainty, topic avoidance, family in-group status, and satisfaction were explored. Study 1 (N = 59) provided descriptive data on categories of parent-in-law relational uncertainty. These categories generated a measure of parent-in-law relational uncertainty employed in Study 2 (N = 104). Findings from Study 2 revealed intriguing interactions among family in-group status, relational uncertainty, and topic avoidance. In addition, relational uncertainty was negatively associated with family in-group status and parent-in-law satisfaction.

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“…Compared to healthy controls, patients with IBS report elevated rates of early life adversity, including general trauma as well as physical, emotional, and sexual abuse 8, 9 , and post-traumatic stress disorder has been shown to be a risk factor for IBS symptoms 10 . Interpersonal problems 11–13 and emotional unawareness and avoidance 14 also are elevated among patients with IBS, although exact prevalence data are lacking, due, in part, to variations in definitions of these problems. In contrast to most current cognitive-behavioral symptom management therapies, psychological treatments that involve identifying, experiencing, and expressing trauma- and conflict-related emotions have been found to be effective for various interpersonal, psychiatric, and somatic disorders 15, 16 .…”

mentioning

confidence: 99%

Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial

Thakur

Holmes

Lockhart

et al. 2017

Neurogastroenterology Motil

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Background and Aims Current clinical guidelines identify several psychological treatments for irritable bowel syndrome (IBS). IBS patients, however, have elevated trauma, life stress, relationship conflicts, and emotional avoidance, which few therapies directly target. We tested the effects of emotional awareness and expression training (EAET) compared to an evidence-based comparison condition—relaxation training—and a waitlist control condition. Methods Adults with IBS (N = 106; 80% female, Mean age = 36 years) were randomized to EAET, relaxation training, or waitlist control. Both EAET and relaxation training were administered in three, weekly, 50-minute, individual sessions. All patients completed the IBS Symptom Severity Scale (primary outcome), IBS Quality of Life, and Brief Symptom Inventory (anxiety, depressive, and hostility symptoms) at pretreatment and at 2 weeks post-treatment and 10 weeks follow-up (primary endpoint). Results Compared to waitlist controls, EAET, but not relaxation training, significantly reduced IBS symptom severity at 10-week follow-up. Both EAET and relaxation training improved quality of life at follow-up. Finally, EAET did not reduce psychological symptoms, whereas relaxation training reduced depressive symptoms at follow-up (and anxiety symptoms at post-treatment). Conclusions Brief emotional awareness and expression training that targeted trauma and emotional conflicts reduced somatic symptoms and improved quality of life in patients with IBS. This emotion-focused approach may be considered an additional treatment option for IBS, although research should compare EAET to a full cognitive-behavioral protocol and determine which patients are best suited for each approach. Registered at clinicaltrials.gov (NCT01886027)

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Interpersonal communication apprehension, topic avoidance, and the experience of irritable bowel syndrome

Cited by 18 publications

References 49 publications

“Not all my friends need to know”: a qualitative study of teenage patients, privacy, and social media

“Not all my friends need to know”: a qualitative study of teenage patients, privacy, and social media

Parent-in-Law Privacy Management: An Examination of the Links Among Relational Uncertainty, Topic Avoidance, In-Group Status, and In-Law Satisfaction

Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial

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