The Relationship Between Disease Severity and Body Perception, Mood Disorder and Quality of Life in Fibromyalgia Syndrome

Berk, Ejder; Koçyiğit, Burhan Fatih; Berk, Şule Şirin

doi:10.5336/medsci.2019-72278

Cited by 1 publication

(1 citation statement)

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“…Research also shows a strong link between body image concerns and PD in individuals coping with a variety of chronic illnesses, such as fibromyalgia (Berk et al, 2020 ; Geller et al, 2022 ), endometriosis (Geller et al, 2021 ; Sullivan-Myers et al, 2023 ), IBD (McDermott et al, 2015 ; Roberts et al, 2022 ; Wabich et al, 2020 ), breast cancer (Campbell-Enns & Woodgate, 2015 ; Trindade et al, 2018 ), type 1 diabetes (Salah et al, 2022 ), psoriasis (Gündüz et al, 2020 ), and systemic lupus erythematosus (Rodrigues et al, 2021 ). Building on these findings and informed by research that connects body image in IBS with health-related quality of life (Jones et al, 2006 ; Kopczyńska et al, 2018 ), we propose that the increased risk of PD in patients with IBS could be partially attributed to a decline in their quality of life due to heightened body dissatisfaction.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress in individuals with irritable bowel syndrome: the roles of body image and self-criticism

Geller,

Levy,

Avitsur

2024

Health Psychology and Behavioral Medicine

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Objective: Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disorder associated with reduced quality of life and psychological distress (PD) including anxiety and depression. The mechanisms linking IBS to PD are unclear. Previous studies showed that body image and self-criticism may be contributory factors. Thus, the objective of this study was to test the potential mediating roles of these factors in the relationship between IBS and PD. Method: 507 adults participated, including 142 with IBS (Mean age = 31.9, SD = 11.7), and 365 healthy peers (Mean age = 26.2, SD = 6.4), ranging in age from 18 to 75. The majority of participants were women (78%). Self-report measures assessed IBS status, body appreciation, body dissatisfaction, self-criticism, sociodemographic status, depression, and anxiety. Path analysis tested the hypothesized mediation model. Results: IBS participants reported greater PD, lower body appreciation, higher body dissatisfaction, and higher self-criticism than controls. Body appreciation and self-criticism sequentially mediated the link between IBS status and both depression and anxiety. IBS was associated with reduced body appreciation, which in turn was linked to heightened self-criticism, thereby leading to elevated psychological distress. Conclusion: Results suggest IBS negatively impacts body image appreciation, fostering self-critical judgments that exacerbate psychological symptoms. This study is the first to demonstrate a significant association between body appreciation and IBS, specifically highlighting this relationship. Findings clarify the psychosocial pathways at play in the comorbidity of mental health issues in IBS. Physicians and other health professionals are advised to detect women with IBS who are distressed, and to offer them appropriate intervention to prevent downstream consequences.

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