Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome
Background: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders with significant impact on quality of life (QOL). Considering the role of stress in the clinical course of IBS, we investigated associations between stress coping skills and symptoms and QOL in...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
| Series: | International Journal of Preventive Medicine |
| Subjects: | |
| Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=72;epage=72;aulast=Torkzadeh |
| _version_ | 1818191405661552640 |
|---|---|
| author | Farnaz Torkzadeh Manizheh Danesh Leila Mirbagher Hamed Daghaghzadeh Mohammad Hassan Emami |
| author_facet | Farnaz Torkzadeh Manizheh Danesh Leila Mirbagher Hamed Daghaghzadeh Mohammad Hassan Emami |
| author_sort | Farnaz Torkzadeh |
| collection | DOAJ |
| description | Background: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders with significant impact on quality of life (QOL). Considering the role of stress in the clinical course of IBS, we investigated associations between stress coping skills and symptoms and QOL in IBS patient. Methods: A cross-sectional study was conducted on 95 IBS patients referring to tertiary care centers. Coping skills (Jalowiec coping scale), IBS symptom severity scale, disease-specific QOL (IBS-QOL), and symptoms of depression and anxiety (Hospital Anxiety and Depression Scale [HADS]) were evaluated by questionnaires. Bivariate and multivariate analyses were performed to investigate association among these parameters. Results: Disease severity was positively correlated with emotive (r = 0.30) and fatalistic (r = 0.41) and negatively correlated with optimistic (r = −0.25) and confrontive (r = −0.24) coping strategies. Psychological dysfunction (total HADS score, B [95% (confidence interval) CI] = 2.61 [0.001–5.21]) and fatalistic coping (B [95% CI] = 35.27 [0.42–70.13]) were significant predictors of IBS severity. Conclusions: However, IBS patients involved in this study utilized adaptive coping strategies more frequently. Our study showed that use of maladaptive coping strategies had positive correlation with symptom severity and degree of anxiety and depression among patients, while implementation of optimistic strategies were found to be negatively correlated to severity of symptoms and also utilization of adaptive coping styles was associated with lesser degree of anxiety and depression. |
| first_indexed | 2024-12-12T00:14:05Z |
| format | Article |
| id | doaj.art-e141740d20854915ae6d0e706c11ccdb |
| institution | Directory Open Access Journal |
| issn | 2008-7802 2008-8213 |
| language | English |
| last_indexed | 2024-12-12T00:14:05Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj.art-e141740d20854915ae6d0e706c11ccdb2022-12-22T00:44:54ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132019-01-01101727210.4103/ijpvm.IJPVM_464_17Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndromeFarnaz TorkzadehManizheh DaneshLeila MirbagherHamed DaghaghzadehMohammad Hassan EmamiBackground: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders with significant impact on quality of life (QOL). Considering the role of stress in the clinical course of IBS, we investigated associations between stress coping skills and symptoms and QOL in IBS patient. Methods: A cross-sectional study was conducted on 95 IBS patients referring to tertiary care centers. Coping skills (Jalowiec coping scale), IBS symptom severity scale, disease-specific QOL (IBS-QOL), and symptoms of depression and anxiety (Hospital Anxiety and Depression Scale [HADS]) were evaluated by questionnaires. Bivariate and multivariate analyses were performed to investigate association among these parameters. Results: Disease severity was positively correlated with emotive (r = 0.30) and fatalistic (r = 0.41) and negatively correlated with optimistic (r = −0.25) and confrontive (r = −0.24) coping strategies. Psychological dysfunction (total HADS score, B [95% (confidence interval) CI] = 2.61 [0.001–5.21]) and fatalistic coping (B [95% CI] = 35.27 [0.42–70.13]) were significant predictors of IBS severity. Conclusions: However, IBS patients involved in this study utilized adaptive coping strategies more frequently. Our study showed that use of maladaptive coping strategies had positive correlation with symptom severity and degree of anxiety and depression among patients, while implementation of optimistic strategies were found to be negatively correlated to severity of symptoms and also utilization of adaptive coping styles was associated with lesser degree of anxiety and depression.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=72;epage=72;aulast=Torkzadehanxietycoping skillsdepressionirritable bowel syndromepsychological stressquality of life |
| spellingShingle | Farnaz Torkzadeh Manizheh Danesh Leila Mirbagher Hamed Daghaghzadeh Mohammad Hassan Emami Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome International Journal of Preventive Medicine anxiety coping skills depression irritable bowel syndrome psychological stress quality of life |
| title | Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome |
| title_full | Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome |
| title_fullStr | Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome |
| title_full_unstemmed | Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome |
| title_short | Relations between coping skills, symptom severity, psychological symptoms, and quality of life in patients with irritable bowel syndrome |
| title_sort | relations between coping skills symptom severity psychological symptoms and quality of life in patients with irritable bowel syndrome |
| topic | anxiety coping skills depression irritable bowel syndrome psychological stress quality of life |
| url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=72;epage=72;aulast=Torkzadeh |
| work_keys_str_mv | AT farnaztorkzadeh relationsbetweencopingskillssymptomseveritypsychologicalsymptomsandqualityoflifeinpatientswithirritablebowelsyndrome AT manizhehdanesh relationsbetweencopingskillssymptomseveritypsychologicalsymptomsandqualityoflifeinpatientswithirritablebowelsyndrome AT leilamirbagher relationsbetweencopingskillssymptomseveritypsychologicalsymptomsandqualityoflifeinpatientswithirritablebowelsyndrome AT hameddaghaghzadeh relationsbetweencopingskillssymptomseveritypsychologicalsymptomsandqualityoflifeinpatientswithirritablebowelsyndrome AT mohammadhassanemami relationsbetweencopingskillssymptomseveritypsychologicalsymptomsandqualityoflifeinpatientswithirritablebowelsyndrome |