The Role of Distress and Pain Catastrophizing on the Health‐related Quality of Life of Children With Inflammatory Bowel Disease

Carlo, Chiara De; Bramuzzo, Matteo; Canaletti, C.; Udina, Chiara; Cozzi, Giorgio; Pavanello, P.; Rampado, Stefania; Martelossi, Stefano; Giudici, Fabiola; Leo, Grazia Di; Barbi, Egidio

doi:10.1097/mpg.0000000000002447

Cited by 17 publications

(10 citation statements)

References 36 publications

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“…Pain is a complex phenomenon, with a patient's experience of discomfort shaped by an interaction between physical stimuli and psychological factors. Highly correlated with depression and anxiety, PC has been demonstrated to negatively impact QoL in a number of chronic diseases, including endometriosis, TMJD, chronic pelvic pain, inflammatory bowel disease, fibromyalgia, and sickle cell disease 15‐20 . Despite the frequency with which CRS patients report pain as a primary symptom of their disease, to our knowledge the role of PC has not been studied in relation to CRS.…”

Section: Introductionmentioning

confidence: 99%

Pain Catastrophizing and Quality of Life in Adults With Chronic Rhinosinusitis

et al. 2021

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Objectives/Hypothesis Psychological comorbidity is common in patients with chronic rhinosinusitis (CRS) and is correlated with decreased overall and disease‐specific quality of life (QoL). Prior research reported that anxiety and depression, as measured by the hospital anxiety and depression scale (HADS), are associated with worse CRS‐specific QoL, as assessed via the Rhinosinusitis Disability Index (RSDI). Furthermore, patients prone to anxiety/depression may display an exaggerated response to real or anticipated discomfort; the pain catastrophizing scale (PCS) is a validated instrument designed to measure this phenomenon. This study is intended to explore the role of pain catastrophizing in relation to anxiety, depression, and disease‐specific QoL in patients with facial pain attributed to CRS. Study Design Prospective cohort study. Methods Diagnosis of presumed CRS was based upon current American Academy of Otolaryngology – Head & Neck Surgery (AAO‐HNS) guidelines; all participants reported facial pain as a component of their CRS symptomatology. RSDI, HADS, and PCS questionnaires were administered upon presentation prior to intervention, and objective measurements of sinonasal inflammation were obtained via nasal endoscopy and computed tomography (CT). Results Seventy‐five patients were enrolled in the study. Significant positive correlations were found between PCS and HADS, total RSDI, and RSDI emotional sub‐scores (P < .05). The incidence of objective evidence of disease, as measured via nasal endoscopy and CT, was not significantly different in catastrophizing patients. Conclusions Pain catastrophizing correlates with anxiety/depression and worse disease‐specific QoL in patients meeting symptomatic criteria for CRS. Otolaryngologists should be aware that catastrophic thinking can intensify a patient's perception of sinonasal symptoms, and clinicians may consider management of psychological comorbidity to optimize rhinologic outcomes. Level of Evidence 4 Laryngoscope, 131:1939–1945, 2021

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Section: Introductionmentioning

confidence: 99%

Pain Catastrophizing and Quality of Life in Adults With Chronic Rhinosinusitis

et al. 2021

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“…Maladaptive coping strategies, including catastrophizing and avoidance, are known to be associated with poorer HRQOL in patients with IBD ( De Carlo et al, 2019 ), though the higher-order factors driving the use of particular coping strategies are less understood. In this study, we sought to investigate relations between global self-esteem, a higher-order construct representing one’s perceived competence and abilities, and disease-specific HRQOL.…”

Section: Discussionmentioning

confidence: 99%

“…For example, compared to healthy peers, youth with IBD have reported greater use of avoidance as a maladaptive behavioral coping strategy ( Van der Zaag-Loonen et al, 2004 ). Notably, pain catastrophizing, a maladaptive cognitive coping strategy, demonstrated the strongest impact on HRQOL among youth with IBD, even when compared to assessments of disease severity and psychological distress ( De Carlo et al, 2019 ). In contrast, among youth using adaptive cognitive coping strategies, including those with greater optimism and perceived control, greater social functioning was reported, while those reporting less perceived control reported poorer social and emotional functioning ( Van der Zaag-Loonen et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

Passive Coping Associations With Self-Esteem and Health-Related Quality of Life in Youth With Inflammatory Bowel Disease

et al. 2021

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Pediatric patients with inflammatory bowel disease (IBD) may experience chronic stress related to disease symptoms and treatment, with negative consequences to their health-related quality of life (HRQOL). Lower HRQOL among pediatric patients with IBD has been associated with worse disease-related symptoms and psychological functioning, while higher HRQOL has been associated with more adaptive coping with disease symptoms and treatment. In addition, patients’ self-esteem may impact the selection and use of coping strategies through global cognitions about their abilities and perceived competence. The current study seeks to extend existing research on HRQOL in youth with IBD by examining cross-sectional associations among self-esteem and passive coping strategies. Youth ages 9–18 with IBD (n = 147) rated their HRQOL using a disease-specific measure, typical strategies used to cope with pain or GI symptoms, and their general self-esteem. Mediation analyses were performed using regression-based techniques and bootstrapping. Results indicated that greater self-esteem was positively associated with HRQOL but negatively associated with passive coping. Controlling for disease activity, age, and gender, significant indirect effects were found in the relation between self-esteem and HRQOL through passive coping. Multiple mediation analyses using the three passive coping subscales found that self-esteem was indirectly associated with HRQOL through its effects specifically on catastrophizing as a passive coping strategy. Results suggest that pediatric patients’ general self-esteem can impact their HRQOL through passive coping and specifically, maladaptive cognitions (e.g., catastrophizing). Interventions aimed at addressing both self-esteem and catastrophizing as a passive coping strategy may offer promise for improving HRQOL in youth with IBD.

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“…Abdominal pain is often associated with disease flares. Furthermore, pain is a category of disability and is consistently associated with emotional distress, anxiety, depression, and cognitive illness that impairs patients with IBD across all ages (5,29,30) .…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life in Adolescents and Young Adults With Inflammatory Bowel Disease Is Associated With Reduction in School and Work Productivity Rather Than Physical Impairment: A Multidisciplinary Study

Oba

Sobrado

Damião

et al. 2021

Arq. Gastroenterol.

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BACKGROUND: Inflammatory bowel diseases (IBD), comprising Crohn’s disease and ulcerative colitis, are chronic inflammatory diseases of the gastrointestinal tract that often have their onset among adolescents and young adults (AYA). IBD are characterized by episodes of active disease interspersed with periods of remission, and its activity is inversely correlated with health-related quality of life (HRQL). OBJECTIVE: This study aimed to determine whether AYA in remission or with low IBD activity would exhibit HRQL similar to that of age-matched healthy individuals, and whether demographic and disease factors could affect HRQL using a ‘patient-reported outcome’ instrument. METHODS: This study enrolled only AYA with IBD, with low activity. This research included five multidisciplinary clinics of two academic hospitals: Paediatric Gastroenterology, Gastroenterology, Coloproctology, Paediatric Rheumatology and Adolescent divisions, São Paulo, Brazil. A total of 59 AYA with IBD (age, 13-25 years) and 60 healthy AYA (age, 13-25 years) completed the Pediatric Quality of Life Inventory 4.0 and 36-Item Short-Form Health Survey questionnaires and the visual analogue scale (VAS) for pain. Demographic data, extra-intestinal manifestations, treatment, and outcomes regarding CD and UC were evaluated. RESULTS: AYA with IBD and healthy controls were similar with respect to median ages (18.63 [13.14-25.80] years vs 20.5 [13.68-25.84] years, P=0.598), proportion of female sex (42% vs 38%, P=0.654), and percentage of upper middle/middle Brazilian socioeconomic classes (94% vs 97%, P=0.596). The school/work score was significantly lower in AYA with IBD than in healthy controls (70 [10-100] vs 75 [5-100], P=0.037). The ‘general health-perception’ score was significantly lower in AYA with IBD than in healthy controls (50 [10-80] vs 0 [25-90], P=0.0002). The median VAS, FACES pain rating scale, and total VAS scores were similar between the two groups (2 [0-10] vs 3 [0-9], P=0.214). No association between HRQL and clinical and demographic parameters was identified among IBD patients. CONCLUSION: AYA with low IBD activity reported poor HRQL in school/work and general health perception domains, which highlights a disability criterion in this vulnerable population.

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The Role of Distress and Pain Catastrophizing on the Health‐related Quality of Life of Children With Inflammatory Bowel Disease

Cited by 17 publications

References 36 publications

Pain Catastrophizing and Quality of Life in Adults With Chronic Rhinosinusitis

Pain Catastrophizing and Quality of Life in Adults With Chronic Rhinosinusitis

Passive Coping Associations With Self-Esteem and Health-Related Quality of Life in Youth With Inflammatory Bowel Disease

Health-Related Quality of Life in Adolescents and Young Adults With Inflammatory Bowel Disease Is Associated With Reduction in School and Work Productivity Rather Than Physical Impairment: A Multidisciplinary Study

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