Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?
Purpose: Patients with inflammatory bowel disease (IBD) often experience severe impairment in different life domains. Psychological factors, such as illness perceptions and coping, may play a role in the adjustment to IBD as indicated by mental and physical health, activity, and work impairment. The...
| Publicado en: | International Journal of Behavioral Medicine Vol. 24; no. 2; pp. 205 - 215 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121699600&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121699600 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Apr2017 vid: 24 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 121699600 121699600 143936719 121699600 10.1007/s12529-016-9599-y 121699600 ppf: 205 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator? aug: au: Erp, S. Brakenhoff, L. Vollmann, M. Heijde, D. Veenendaal, R. Fidder, H. Hommes, D. Kaptein, A. Meulen-de Jong, Andrea Scharloo, M. affil: Department of Gastroenterology and Hepatology , Leiden University Medical Center , Leiden the Netherlands sug: subj: Adaptation, Psychological Inflammatory Bowel Diseases Psychosocial Factors Attitude to Illness Outcomes (Health Care) Coping Perception Crohn Disease Psychosocial Factors Cross Sectional Studies Depression Emotions Human Male Quality of Life Questionnaires Sensation Severity of Illness Indices Stress, Psychological Models, Theoretical Female Adult Middle Age Netherlands Short Form-36 Health Survey (SF-36) Scales Data Analysis Software Pearson's Correlation Coefficient Mental Status Confidence Intervals P-Value Work Descriptive Statistics Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: Patients with inflammatory bowel disease (IBD) often experience severe impairment in different life domains. Psychological factors, such as illness perceptions and coping, may play a role in the adjustment to IBD as indicated by mental and physical health, activity, and work impairment. The present study aimed at examining the assumption of the Common Sense Model (CSM) that coping mediates the relationship between illness perceptions and adjustment in patients with IBD. Method: In a cross-sectional design, 211 IBD patients (73 % Crohn's disease, 40 % male, mean age 42.9 ± 12.9 years) attending an outpatient clinic completed questionnaires assessing illness perceptions (IPQ-R), coping (CORS), mental and physical health (SF-36), as well as activity and work impairment (WPAI). Multiple mediation analyses were applied that allow estimating the total and direct effects of all illness perception dimensions and the indirect effects through all coping strategies on the illness outcomes simultaneously. Results: The analyses yielded significant direct effects of perceptions regarding the cyclical course, the chronic course, the severity of the consequences, the comprehensibility, and the emotional impact of IBD on study outcomes. Additionally, significant indirect effects were found for the perceptions regarding the severity of the consequences, the possibility of personal control, and the comprehensibility of IBD on mental and physical health as well as activity impairment through the use of one specific coping strategy, i.e., reduction of activity. Conclusion: The results provide evidence for the assumptions of the CSM and suggest the importance of addressing illness perceptions and activity stimulation in quality health care for IBD patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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