Life stressors, coping strategies, and social supports in patients with irritable bowel syndrome

Roohafza, Hamidreza; Keshteli, Ammar Hassanzadeh; Daghaghzadeh, Hamed; Afshar, Hamid; Erfani, Zahra; Adibi, Peyman

doi:10.4103/2277-9175.190935

Cited by 13 publications

(10 citation statements)

References 36 publications

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“…We observed that the frequency of anxiety had a similar trend to that of IBS with respect to the level of education. Therefore, we concluded that highly educated participants in our study had more anxiety, which is an established risk factor for IBS [ 17 , 29 ]. Accordingly, an important step for alleviating the educational inequality in IBS would seem to be to pay special attention to the identification and elimination of the sources of stress in people with a high level of education.…”

Section: Discussionmentioning

confidence: 94%

“…Costanian et al [ 28 ] observed this finding as well. According to Roohafza et al [ 29 ], educational concerns are an important group of life stressors, which along with job-related stressors could significantly predict IBS occurrence. There do not seem to be a sufficient number of suitable occupations for highly educated people in places like Kish Island.…”

Section: Discussionmentioning

confidence: 99%

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Irritable bowel syndrome is concentrated in people with higher educations in Iran: an inequality analysis

et al. 2017

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OBJECTIVESLike any other health-related disorder, irritable bowel syndrome (IBS) has a differential distribution with respect to socioeconomic factors. This study aimed to estimate and decompose educational inequalities in the prevalence of IBS.METHODSSampling was performed using a multi-stage random cluster sampling approach. The data of 1,850 residents of Kish Island aged 15 years or older were included, and the determinants of IBS were identified using a generalized estimating equation regression model. The concentration index of educational inequality in cases of IBS was estimated and decomposed as the specific inequality index.RESULTSThe prevalence of IBS in this study was 21.57% (95% confidence interval [CI], 19.69 to 23.44%). The concentration index of IBS was 0.20 (95% CI, 0.14 to 0.26). A multivariable regression model revealed that age, sex, level of education, marital status, anxiety, and poor general health were significant determinants of IBS. In the decomposition analysis, level of education (89.91%), age (−11.99%), and marital status (9.11%) were the three main contributors to IBS inequality. Anxiety and poor general health were the next two contributors to IBS inequality, and were responsible for more than 12% of the total observed inequality.CONCLUSIONSThe main contributors of IBS inequality were education level, age, and marital status. Given the high percentage of anxious individuals among highly educated, young, single, and divorced people, we can conclude that all contributors to IBS inequality may be partially influenced by psychological factors. Therefore, programs that promote the development of mental health to alleviate the abovementioned inequality in this population are highly warranted.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Irritable bowel syndrome is concentrated in people with higher educations in Iran: an inequality analysis

et al. 2017

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“…Only two studies showed that IBS patients used more problemfocused coping (PFC) strategies than HC [15,23]. Patients with IBS have less social support, less-adapted coping strategies, and perceived life stressors as more intense and frequent [19]. A study performed by van der Veek et al [31] analyzed the relation between visceral hypersensitivity and psychological factors in IBS.…”

Section: Ibs Patients Versus Healthy Controlsmentioning

confidence: 99%

“…Emotion-focused coping strategies such as distraction and suppression behaviors were significantly associated with somatic symptoms, and depressed affect [12,19,20,22,30,31]. This type of coping behaviors was associated with increased self-blame and poor psychological outcome.…”

Section: Ibs Patients Versus Healthy Controlsmentioning

confidence: 99%

Coping Strategies and Irritable Bowel Syndrome: A Systematic Review

David

Stănculete

Bolba

et al. 2021

JGLD

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Background and Aims: Irritable bowel syndrome (IBS) is associated with a high prevalence of psychiatric comorbidities. While psychosocial determinants were intently studied, coping strategies with stress used by IBS patients were never comprehensively reviewed. Therefore, this systematic review aimed to summarize the coping strategies used by IBS patients and to identify which tools are frequently used to measure coping strategies. Methods: According to PRISMA guidelines, we searched for articles indexed in PubMed, EBSCOhost, EMBASE and Cochrane Library. The search terms included: (coping OR coping strategies OR coping mechanism) AND (irritable bowel syndrome OR IBS). The initial search identified 756 articles. After applying all filters (human filters, excluding conference abstracts and conference papers), 96 studies remained. Finally, a total of 21 articles were included in this systematic review. Results: Twenty-one articles using fifteen coping instruments and six measures of quality of life were found. One was interventional, one longitudinal, and the rest were cross-sectional studies. One study was qualitative, while the rest used quantitative measures. Emotion-focused coping was associated with worse psychological outcomes, while the effect of problem-focused coping was not regularly associated with better psychological outcomes. Catastrophizing was negatively associated with health-related quality of life. Psychological distress (anxiety, depression) was significantly related to the impairment of health-related quality of life. Conclusion: Patients with IBS cope in different ways when confronted with health and daily-life stressors. The maladaptive strategy of coping is associated with poor health-related quality of life and psychiatric comorbidities but methodological problems limit conclusions regarding the strength and nature of this association. Future research needs to focus on which strategies are most effective at reducing psychological distress in IBS patients.

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“…32,33 Patients with IBS reported having less social support than those with no symptoms. 34,35 In the current study, those with stable and improved IBS symptoms showed a trend towards better social well-being. Interestingly, Zhang and Ma 36 found that during COVID-19, participants reported increased social support from family and friends.…”

Section: Discussionmentioning

confidence: 46%

Impact of the coronavirus disease 2019 pandemic on irritable bowel syndrome

Quek

Loo

Demutska

et al. 2021

J of Gastro and Hepatol

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Background and Aim Gastrointestinal manifestations of the coronavirus disease 2019 (COVID‐19) pandemic may mimic irritable bowel syndrome (IBS), and social distancing measures may affect IBS patients negatively. We aimed to study the impact of COVID‐19 on respondents with self‐reported IBS. Methods We conducted an anonymized survey from May to June 2020 in 33 countries. Knowledge, attitudes, and practices on personal hygiene and social distancing as well as psychological impact of COVID‐19 were assessed. Statistical analysis was performed to determine differences in well‐being and compliance to social distancing measures between respondents with and without self‐reported IBS. Factors associated with improvement or worsening of IBS symptoms were evaluated. Results Out of 2704 respondents, 2024 (74.9%) did not have IBS, 305 (11.3%) had self‐reported IBS, and 374 (13.8%) did not know what IBS was. Self‐reported IBS respondents reported significantly worse emotional, social, and psychological well‐being compared with non‐IBS respondents and were less compliant to social distancing measures (28.2% vs 35.3%, P = 0.029); 61.6% reported no change, 26.6% reported improvement, and 11.8% reported worsening IBS symptoms. Higher proportion of respondents with no change in IBS symptoms were willing to practice social distancing indefinitely versus those who deteriorated (74.9% vs 51.4%, P = 0.016). In multivariate analysis, willingness to continue social distancing for another 2–3 weeks ( vs longer period) was significantly associated with higher odds of worsening IBS. Conclusion Our study showed that self‐reported IBS respondents had worse well‐being and compliance to social distancing measures than non‐IBS respondents. Future research will focus on occupational stress and dietary changes during COVID‐19 that may influence IBS.

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Life stressors, coping strategies, and social supports in patients with irritable bowel syndrome

Cited by 13 publications

References 36 publications

Irritable bowel syndrome is concentrated in people with higher educations in Iran: an inequality analysis

Irritable bowel syndrome is concentrated in people with higher educations in Iran: an inequality analysis

Coping Strategies and Irritable Bowel Syndrome: A Systematic Review

Impact of the coronavirus disease 2019 pandemic on irritable bowel syndrome

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