Paper Information

Journal:   GOVARESH JOURNAL   FALL 2015 , Volume 20 , Number SUPPLEMENT; Page(s) 37 To 37.
 
Paper: 

COPING WITH STRESS IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE AND ITS RELATIONSHIP WITH DISEASE ACTIVITY, PSYCHOLOGICAL DISORDERS, AND QUALITY OF LIFE

 
 
Author(s):  DANESH MANIZHEH*, EMAMI MOHAMMAD HASAN
 
* MEDICAL STUDENTS’ RESEARCH CENTER, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Abstract: 

Introduction: Inflammatory bowel diseases (IBD) are chronic diseases with significant impact on patients’ well-being. This study determined stress coping strategies in IBD patients and how these strategies interact with disease activity, psychological health, and quality of life.
Methods: This cross-sectional study was conducted on IBD patients referred to a gastroenterology clinic in Isfahan city (Iran). Demographic and disease characteristics, disease activity, severity of anxiety and depression, coping strategies, and quality of life were assessed by standard questionnaires. Coping strategies in IBD patients were compared to a healthy control group.
Results: Results: Eighty patients were studied; mean age=52.9 years, 57.5% female, mean disease duration=6.5 years. Compared to the controls, IBD patients had higher scores in the maladaptive copingstyles (evasive and palliative, P<0.05). Association between coping strategies and disease activity was not significant. Severity of anxiety and depression was directly correlated with the maladaptive strategies (fatalistic and emotional, r=0.283 to 0.468) and inversely correlated with the adaptive strategies (confrontive, optimistic, and self-reliant, r =-0.320 to -0.534). Also, poor quality of life was directly associated with the maladaptive strategies (fatalistic and emotional, r=0.278 to 0.327) and inversely related with the adaptive strategies (confrontive and optimistic, r=-0.262 to -0.355).
Conclusion: Compared with unaffected population, IBD patients use more maladaptive and less adaptive stress coping strategies which is associated with their psychological health and quality of life. Larger and prospective studies on the dynamic and interactive network of bio psychosocial factors in IBD patients are required.

 
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