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dc.contributor.authorGraff, Lesley A.
dc.contributor.authorWalker, John R.
dc.contributor.authorClara, Ian
dc.contributor.authorMiller, Norine
dc.contributor.authorRogala, Linda
dc.contributor.authorRawsthorne, Patricia
dc.contributor.authorBernstein, Charles N.
dc.date.accessioned2015-05-11T20:10:02Z
dc.date.available2015-05-11T20:10:02Z
dc.date.issued2009-12
dc.identifier.citationAm J Gastroenterol. 2009 Dec;104(12):2959-69en_US
dc.identifier.urihttp://hdl.handle.net/1993/30431
dc.description.abstractOBJECTIVES: This study compares a community inflammatory bowel disease (IBD) sample of individuals with a matched non-IBD community sample of individuals on psychological functioning and health perceptions. METHODS: Participants in the population-based Manitoba IBD Cohort Study (n=388) were directly compared with sex-, age-, and region-matched controls from a national random-sample health survey on the aspects of psychological health, coping, and perceived general health. RESULTS: Overall, the IBD sample had lower psychological well-being and mastery, as well as higher distress than did the non-IBD controls (P<or=0.02). Those with IBD used avoidant coping significantly more often, and active coping modestly more often than did the non-IBD sample; both had similar levels of "self-soothing" behaviors. Patients with Crohn's disease and ulcerative colitis had similarly poor levels of functioning along these dimensions compared with the non-IBD sample, as did those with active disease (P<0.01). However, those with inactive disease were similar to the non-IBD sample, and had modestly higher mastery levels. Whereas nearly half of the non-IBD group reported chronic health conditions, those with IBD were threefold more likely to report poorer health (odds ratio 3.07, 95% confidence interval: 2.10-4.47). Psychological factors explained a greater amount of variance in perceived health for the IBD than for the non-IBD sample. CONCLUSIONS: Those with IBD have significantly poorer psychological health than do those without IBD and view their general health status more negatively, although adaptive stress-coping strategies were similar. However, when disease is quiescent there is little detriment to functioning. Active disease should be a flag to consider psychological needs in the care of an IBD patient.en_US
dc.language.isoengen_US
dc.publisherAmerican Journal Gastroenterologyen_US
dc.relation.ispartofseries104(12);2959-69
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectInflammatory Bowel Diseaseen_US
dc.subjectdistressen_US
dc.subjectperceptionsen_US
dc.subjectBernsteinen_US
dc.titleStress coping, distress, and health perceptions in inflammatory bowel disease and community controlsen_US
dc.typeArticleen_US
dc.typeDataseten_US
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1038/ajg.2009.529


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