Article Text

Download PDFPDF

Original research
Important relation between self-efficacy, sense of coherence, illness perceptions, depression and anxiety in patients with inflammatory bowel disease
  1. Adi Eindor- Abarbanel1,
  2. Timna Naftali2,
  3. Nahum Ruhimovich2,
  4. Ariella Bar-Gil Shitrit3,
  5. Fabiana Sklerovsky-Benjaminov2,
  6. Fred Konikoff2,
  7. Shay Matalon1,
  8. Haim Shirin1,
  9. Yael Milgrom3,
  10. Tomer Ziv-Baran4,
  11. Efrat Broide1
  1. 1The Kamila Gonczarowski Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center affiliated to Sackler School of Medicine Tel Aviv University, Zriffin, Israel
  2. 2Department of Gastroenterology and Hepatology, Meir Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Kfar Saba, Israel
  3. 3Digestive diseases institute, Shaare Zedek Medical Center, Jerusalem, Jerusalem, Israel
  4. 4Department of Epidemiology and Preventive Medicine, School of Public, Tel Aviv, Israel
  1. Correspondence to Dr Adi Eindor- Abarbanel, Asaf Harofe Hospital, Zerifin 70300, Israel; adiabarbanel{at}


Introduction Anxiety and depression are common disturbances in patients with inflammatory bowel diseases (IBD), and were found to impact the disease course. Illness perceptions (IPs), self-efficacy (SE) and sense of coherence (SOC) are important psychological functions, used by the individual to cope with his chronic disease.

Aims to investigate the association of IP, SE and SOC on anxiety and depression among patients with IBD.

Patients and methods Patients filled questionnaires including: demographic, socioeconomic and clinical features. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale. IP, SE and SOC were assessed using the Brief Illness perception Questionnaire, IBD-SE and SOC scales.

Results The study sample consisted of 299 patients with IBD, median age 34.15, 63% females, 70.9% had Crohn’s disease, filled the questionnaires. In the multivariate analysis, lower results in IP, SE and SOC were found to be associated with significantly increase anxiety (OR 8.35, p<0.001; OR 4.18, p=0.001; OR 4.67, p<0.001, respectively) and depression (OR 15.8, p=0.001; OR 10.99, p=0.029; OR 6.12, p=0.014

Conclusions Anxiety and depression are associated with IP, SE and SOC in patients with IBD. Clinicians should be aware of this impact, recognise their patients’ psychological abilities to cope with the disease and improve those abilities, when needed, in order to achieve a better coping with the disease and to prevent the development of anxiety and depression.

  • inflammatory bowel disease
  • psychological stress
  • psychology
  • psychosomatic medicine
  • quality of life
View Full Text

Statistics from


  • AE-A and TN are joint first authors.

  • Contributors AEA, TN, NR, EB performed the research and analysed the data. AEA, TN, NR, EB, ABS, YM, HS, SM, FK, FSB collected the data. TN, NR, EB, designed the study. AEA, NR, TN, EB wrote the paper. AEA, HS, SM, FSB, FK, YM, AS contributed to the design of the study. TZB statistical analysis, wrote parts of the manuscript. All authors approved the final version of the article, including the authorship list.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The study was approved by the committee (Helsinki) of Assaf Harofeh Medical Center, Israel and confirmed on 28 June 2015. The study protocol conforms to the ethical guidelines of the 1975 Declaration of Helsinki as reflected in a prior approval by the institution's human research committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available upon reasonable request. Data are available upon request.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.