Stress coping, distress, and health perceptions in inflammatory bowel disease and community controls

Simple item page
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.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.identifier.citationAm J Gastroenterol. 2009 Dec;104(12):2959-69en_US
dc.identifier.doi10.1038/ajg.2009.529
dc.identifier.urihttp://hdl.handle.net/1993/30431
dc.language.isoengen_US
dc.publisherAmerican Journal Gastroenterologyen_US
dc.relation.ispartofseries104(12);2959-69
dc.rightsopen accessen_US
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
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Graff et al Stress coping AJG final May 2009.pdf
Size:
251.72 KB
Format:
Adobe Portable Document Format
Description:
Main Article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.27 KB
Format:
Item-specific license agreed to upon submission
Description:
Download
Collections
University of Manitoba Scholarship
Rady Faculty of Health Sciences Scholarly Works