The effects of body image impairment on the quality of life of non-operated Portuguese female IBD patients

Trindade, Inês A.; Ferreira, Cláudia; Pinto‐Gouveia, José

doi:10.1007/s11136-016-1378-3

Cited by 27 publications

(36 citation statements)

References 32 publications

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“…Database searches identified 587 records and 5712 14 22–76 studies were included, with some studies eligible for multiple questions (see figure 1 for selection process and reasons for exclusion). All 57 papers reported using BI tools, 3114 22–26 30 31 33–39 42 47 50 51 53 54 58 60–65 67 69 71 72 reported prevalence or mean/median BI scores, 1614 23 24 30 34–36 47 54 58 60 61 63 65 67 71 studies presented factors associated with BID and 814 22–24 34 61 65 71 studies reported correlations between QoL and BI.…”

Section: Resultsmentioning

confidence: 99%

Body image dissatisfaction in patients with inflammatory bowel disease: a systematic review

Beese

Harris

Dretzke

et al. 2019

BMJ Open Gastroenterol

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Background and aimsLittle is known about the relationship between inflammatory bowel disease (IBD) and body image. The aim of this systematic review was to summarise the evidence on body image dissatisfaction in patients with IBD across four areas: (1) body image tools, (2) prevalence, (3) factors associated with body image dissatisfaction in IBD and (4) association between IBD and quality of life.MethodsTwo reviewers screened, selected, quality assessed and extracted data from studies in duplicate. EMBASE, MEDLINE, PsycINFO and Cochrane CENTRAL were searched to April 2018. Study design–specific critical appraisal tools were used to assess risk of bias. Narrative analysis was undertaken due to heterogeneity.ResultsFifty-seven studies using a body image tool were included; 31 for prevalence and 16 and 8 for associated factors and association with quality of life, respectively. Studies reported mainly mean or median scores. Evidence suggested female gender, age, fatigue, disease activity and steroid use were associated with increased body image dissatisfaction, which was also associated with decreased quality of life.ConclusionThis is the first systematic review on body image in patients with IBD. The evidence suggests that body image dissatisfaction can negatively impact patients, and certain factors are associated with increased body image dissatisfaction. Greater body image dissatisfaction was also associated with poorer quality of life. However, the methodological and reporting quality of studies was in some cases poor with considerable heterogeneity. Future IBD research should incorporate measurement of body image dissatisfaction using validated tools.

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Section: Resultsmentioning

confidence: 99%

Body image dissatisfaction in patients with inflammatory bowel disease: a systematic review

Beese

Harris

Dretzke

et al. 2019

BMJ Open Gastroenterol

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“…Both frequency and intensity of fatigue are more prominent in the female population. IBD further has a negative impact on body image, more so in females than in males [63,64]. Reduced sexual activity is more frequently reported in female than male IBD patients (66.3 vs. 40.5%, p < 0.001) [64].…”

Section: Psychological Factorsmentioning

confidence: 99%

Gender Differences in Inflammatory Bowel Disease

et al. 2020

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“…IBD often leads to feelings of shame, embarrassment and isolation, concerns regarding the risk of relapsing or developing cancer, difficulty in maintaining daily routines due to severe symptomatology that may arise abruptly, and struggles with body dissatisfaction and sexuality [4][5][6][7][8]. It has been reported that, even during periods of remission, IBD patients' QoL is significantly poorer in comparison with healthy controls, and that comorbid psychopathology is frequent [1,9,10].…”

Section: Inflammatory Bowel Disease and Psychological Distressmentioning

confidence: 99%

“…Cognitive fusion thus refers to "the relationship a person has with this or her own cognitive events, on a continuum from fused (dominated by, entangled, believed, taken literally) to defused (experienced as mental events and not necessarily to be acted upon)" [28]. IBD patients, when "fused" with their cognitions, may get entangled with illness-related thoughts (e.g., "these symptoms are never going away"; "my illness is too embarrassing for me to talk 7 about it with others"; "nobody will understand how this illness affects my life") [29] and consequently choose to behave as if they were literally true [30].…”

Section: Emotion Regulationmentioning

confidence: 99%

An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood

Trindade

Ferreira

Moura‐Ramos

et al. 2017

Int J Colorectal Dis

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Depressive symptomatology in IBD patients is known to predict disease activity, which in turn can increase depressive symptoms in a perpetuating a cycle between depression and IBD symptomatology. The mechanisms that contribute to the relationship between disease activity and depressive symptoms are not clearly investigated yet. Since emotion regulation has been considered particularly relevant to define the impact of adverse experiences on different outcomes, the current study aimed to examine the longitudinal influence of two maladaptive emotion regulation processes, cognitive fusion and brooding, on the association between disease activity and depressed mood. This study was conducted over an 18-month period, using a sample of 116 IBD patients that completed self-report validated measures in three different waves.Correlation analyses and cross-lagged panel models were performed.The main result from this study discovered that the experience of IBD symptomatology at baseline, although positively linked to the manifestation of depressed mood 18 months later (r = 0.25; p < 0.01), does not directly predict depressive symptoms.This relationship is rather indirect, as it is explained by the engagement in cognitive fusion (p = 0.028) and brooding (p = 0.017). These maladaptive emotion regulation processes, that were revealed to be consistent over time, link IBD symptoms with subsequent depressed mood.These findings indicate that clinicians should be aware of the emotion regulation processes patients tend to use to handle difficult experiences. The inclusion of 4 psychological assessments and interventions in the healthcare of IBD patients should be seriously considered. Further implications are discussed.

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The effects of body image impairment on the quality of life of non-operated Portuguese female IBD patients

Cited by 27 publications

References 32 publications

Body image dissatisfaction in patients with inflammatory bowel disease: a systematic review

Body image dissatisfaction in patients with inflammatory bowel disease: a systematic review

Gender Differences in Inflammatory Bowel Disease

An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood

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