RT Journal Article
SR Electronic
T1 Important relation between self-efficacy, sense of coherence, illness perceptions, depression and anxiety in patients with inflammatory bowel disease
JF Frontline Gastroenterology
JO Frontline Gastroenterol
FD BMJ Publishing Group Ltd
SP flgastro-2020-101412
DO 10.1136/flgastro-2020-101412
A1 Adi Eindor- Abarbanel
A1 Timna Naftali
A1 Nahum Ruhimovich
A1 Ariella Bar-Gil Shitrit
A1 Fabiana Sklerovsky-Benjaminov
A1 Fred Konikoff
A1 Shay Matalon
A1 Haim Shirin
A1 Yael Milgrom
A1 Tomer Ziv-Baran
A1 Efrat Broide
YR 2020
UL http://fg.bmj.com/content/early/2020/08/24/flgastro-2020-101412.abstract
AB 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=0.014Conclusions 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.