Preliminary evidence supporting a framework of psychological adjustment to inflammatory bowel disease†
Open accessAbstract
BACKGROUND: Adjustment to chronic disease is a multidimensional construct described as successful adaptation to disease-specific demands, preservation of psychological well-being, functional status, and quality of life. Inflammatory bowel disease (IBD) can be particularly challenging due to the unpredictable, relapsing and remitting course of the disease. METHODS: All participants were patients being treated in an outpatient gastroenterology clinic at a university medical center. Participants completed a survey of questionnaires assessing illness perceptions, stress, emotional functioning, disease acceptance, coping, disease impact, and disease-specific and health-related quality of life. Adjustment was measured as a composite of perceived disability, psychological functioning, and disease-specific and health-related quality of life. RESULTS: Participants were 38 adults with a diagnosis of either Crohn's disease (45%) or ulcerative colitis (55%). We observed that our defined adjustment variables were strongly correlated with disease characteristics (r = 0.33-0.80, all P < 0.05), an emotional representation of illness (r = 0.44-0.58, P < 0.01), disease acceptance (r = 0.34-0.74, P < 0.05), coping (r = 0.33-0.60, P < 0.05), and frequency of gastroenterologist visits (r = 0.39-0.70, P < 0.05). Better adjustment was associated with greater bowel and systemic health, increased activities engagement and symptom tolerance, less pain, less perceived stress, and fewer gastroenterologist visits. All adjustment variables were highly correlated (r = 0.40-0.84, P < 0.05) and demonstrated a cohesive composite. CONCLUSIONS: The framework presented and results of this study underscore the importance of considering complementary pathways of disease management including cognitive, emotional, and behavioral factors beyond the traditional medical and psychological (depression and anxiety) components.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Access to psychological support remains sparse or poorly directed for those with IBD, with treatment focus predominantly on biomedical intervention.
“Despite this, access to psychological support remains sparse or poorly directed for those with IBD, with the focus of treatment remaining predominantly on biomedical intervention (Kiebles et al., 2010).”
From Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation (2024) · cites this paper as Kiebles et al., 2010
The introductory passage following the Abstract Conclusions says standard IBD care focuses on controlling inflammation and maintaining remission through medication, supporting the claim about biomedical treatment. The Discussion advocates psychological and behavioral interventions, but our copy does not establish that access to psychological support is sparse or poorly directed. Page numbers were not provided. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
You want to measure coping but your protocol’ too long: Consider the brief cope
Carver, C. S. (1997) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0401_6 · Cited by 7,361 · see citing works
MCHORNEY, C. A., JOHNE, W., & ANASTASIAE, R. (1993) · Medical Care · doi:10.1097/00005650-199303000-00006 · Cited by 6,681 · see citing works
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650 · see citing works
Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.
Folkman, S., Lazarus, R. S., Dunkel‐Schetter, C., DeLongis, A., & Gruen, R. J. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.50.5.992 · Cited by 4,893 · see citing works
Folkman, S., & Lazarus, R. S. (1985) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.48.1.150 · Cited by 4,845 · see citing works
Folkman, S., & Lazarus, R. S. (1985) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.48.1.150 · Cited by 4,845 · see citing works
Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.
Folkman, S., Lazarus, R. S., Dunkel‐Schetter, C., et al. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.5.992 · Cited by 3,552 · see citing works
The revised illness perception questionnaire (IPQ-R)
Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002) · Psychology & Health · doi:10.1080/08870440290001494 · Cited by 2,949 · see citing works
A New Measure of Health Status for Clinical Trials in Inflammatory Bowel Disease
Guyatt, G., Mitchell, A., Irvine, E. J., Singer, J., Williams, N., Goodacre, R. L., & Tompkins, C. (1989) · Gastroenterology · doi:10.1016/s0016-5085(89)80080-0 · Cited by 1,289 · see citing works
Development of the perceived stress questionnaire: A new tool for psychosomatic research
Levenstein, S., Prantera, C., Varvo, V., Scribano, M. L., Berto, E., Luzi, C., & Andreoli, A. (1993) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(93)90120-5 · Cited by 985 · see citing works
Health Psychology: Psychological Adjustment to Chronic Disease
Stanton, A. L., Revenson, T. A., & Tennen, H. A. (2006) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085615 · Cited by 688 · see citing works
Coping or acceptance? What to do about chronic pain
McCracken, L. M., & Eccleston, C. (2003) · Pain · doi:10.1016/s0304-3959(03)00202-1 · Cited by 591 · see citing works
Medication nonadherence and the outcomes of patients with quiescent ulcerative colitis
Kane, S. V., Huo, D., Aikens, J. E., & Hanauer, S. B. (2003) · The American Journal of Medicine · doi:10.1016/s0002-9343(02)01383-9 · Cited by 568 · see citing works
Guthrie, E., Jackson, J., Shaffer, J., Thompson, D., Tomenson, B., & Creed, F. (2002) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2002.05842.x · Cited by 306 · see citing works
Adjustment to multiple sclerosis: Application of a stress and coping model.
Pakenham, K. I. (1999) · Health Psychology · doi:10.1037//0278-6133.18.4.383 · Cited by 265 · see citing works
The quality of life in patients with Crohn's disease
Cohen, R. D. (2002) · Alimentary Pharmacology & Therapeutics · doi:10.1046/j.1365-2036.2002.01323.x · Cited by 253 · see citing works
Adjustment to multiple sclerosis: Application of a stress and coping model.
Pakenham, K. I. (1999) · Health Psychology · doi:10.1037/0278-6133.18.4.383 · Cited by 208 · see citing works
Impact of perceived stigma on inflammatory bowel disease patient outcomes
Taft, T., Keefer, L., Leonhard, C., & Nealon-Woods, M. (2009) · Inflammatory Bowel Diseases · doi:10.1002/ibd.20864 · Cited by 193 · see citing works
Self-citationCoping and Psychological Adjustment among People with Multiple Sclerosis
McCabe, M. P., McKern, S., & McDonald, E. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00132-6 · Cited by 188 · see citing works
Jones, M. P., Wessinger, S. B., & Crowell, M. D. (2006) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2005.12.012 · Cited by 180 · see citing works
Irvine, E. J. (1999) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199904001-00003 · Cited by 172 · see citing works
Social-psychological adjustment to multiple sclerosis
Brooks, N. A., & Matson, R. R. (1982) · Social Science & Medicine · doi:10.1016/0277-9536(82)90262-3 · Cited by 166 · see citing works
Nordin, K., Påhlman, L., Larsson, K., Sundberg-Hjelm, M., & Lööf, L. (2002) · Scandinavian Journal of Gastroenterology · doi:10.1080/003655202317316097 · Cited by 159 · see citing works
Larsson, K., Lööf, L., Rönnblom, A., & Nordin, K. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.10.007 · Cited by 115 · cited 1× · see citing works
“For people with IBD, quality of life is compromised, and has been shown to be correlated with factors such as psychological distress, social support,(4,6) and coping.(3,6,10) Most experts will agree that when patients receive a new diagnosis of IBD, a natural psychological adaptation response occurs in a relatively sh…”
BackgroundExamining the impact of illness representations on psychological adjustment to chronic illnesses.
Schiaffino, K. M., Shawaryn, M. A., & Blum, D. (1998) · Health Psychology · doi:10.1037//0278-6133.17.3.262 · Cited by 111 · see citing works
Petrak, F., Hardt, J., Clement, T., Börner, N., Egle, U. T., & Hoffmann, S. O. (2001) · Scandinavian Journal of Gastroenterology · doi:10.1080/003655201300051171 · Cited by 101 · see citing works
Adjustment to inflammatory bowel disease: The relative influence of illness perceptions and coping
Dorrian, A., Dempster, M., & Adair, P. (2008) · Inflammatory Bowel Diseases · doi:10.1002/ibd.20583 · Cited by 100 · see citing works
Examining the impact of illness representations on psychological adjustment to chronic illnesses.
Schiaffino, K. M., Shawaryn, M. A., & Blum, D. (1998) · Health Psychology · doi:10.1037/0278-6133.17.3.262 · Cited by 100 · see citing works
The Role of Coping in Adjustment to Multiple Sclerosis-Related Adaptive Demands
Pakenham, K. I., Stewart, C. A., & Rogers, A. (1997) · Psychology, Health & Medicine · doi:10.1080/13548509708400578 · Cited by 81 · see citing works
The Role of Quality of Care in Health-related Quality of Life in Patients with IBD
van der Eijk, I., Vlachonikolis, I. G., Munkholm, P. S., Nijman, J., Bernklev, T., Politi, P., Odes, S. H., Tsianos, E. V., Stockbrügger, R. W., & Rüssel, M. G. (2004) · Inflammatory Bowel Diseases · doi:10.1097/00054725-200407000-00010 · Cited by 71 · see citing works
Making Sense of Illness or Disability
Pakenham, K. I. (2007) · Journal of Health Psychology · doi:10.1177/1359105307084315 · Cited by 59 · see citing works
Chalk, H. M. (2007) · Psychology Health & Medicine · doi:10.1080/13548500701244965 · Cited by 53 · see citing works
Quality of Life in Inflammatory Bowel Disease: Biases and Other Factors Affecting Scores
Irvine, E. J. (1995) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365529509107776 · Cited by 50 · see citing works
College adjustment in University of Michigan students with Crohnʼs and colitis
Adler, J., Raju, S. M., Beveridge, A., Wang, S., Zhu, J., & Zimmermann, E. M. (2008) · Inflammatory Bowel Diseases · doi:10.1002/ibd.20484 · Cited by 50 · see citing works
A. D. Guassora, C. K. (2000) · Scandinavian Journal of Gastroenterology · doi:10.1080/003655200451199 · Cited by 31 · see citing works
Beckman, N. J., Turer, E., Scherdell, T. M., Dux, M. C., & Lofland, K. R. (2008) · Journal of Pain · doi:10.1016/j.jpain.2008.01.257 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [22]Geisser DS A comparison of acceptance-focused and control-focused psychological treatments in a chronic pain treatment center Unpublished doctoral dissertation Reno, NV University of Nevada 1992
Cited by
Sorted by citations
Brain–Gut Interactions in Inflammatory Bowel Disease
Bonaz, B. L., & Bernstein, C. N. (2013) · Gastroenterology · doi:10.1053/j.gastro.2012.10.003 · Cited by 667 · see citing works
The common sense model of self-regulation: Meta-analysis and test of a process model.
Hagger, M. S., Koch, S., Chatzisarantis, N. L. D., & Orbell, S. (2017) · Psychological Bulletin · doi:10.1037/bul0000118 · Cited by 593 · see citing works
Matcham, F., Scott, I. C., Rayner, L., Hotopf, M. H., Kingsley, G. H., Norton, S., Scott, D. L., & Steer, S. E. (2014) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2014.05.001 · Cited by 527 · see citing works
Illness perceptions and coping in physical health conditions: A meta-analysis
Dempster, M., Howell, D., & McCorry, N. K. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.10.006 · Cited by 275 · see citing works
Psychological issues in inflammatory bowel disease: an overview
Sajadinejad, M. S., Asgari, K., Molavi, H., Kalantari, M., & Adibi, P. (2012) · Gastroenterology Research and Practice · doi:10.1155/2012/106502 · Cited by 242 · see citing works
The Spectrum of Achalasia: Lessons From Studies of Pathophysiology and High-Resolution Manometry
Kahrilas, P. J., & Boeckxstaens, G. E. (2013) · Gastroenterology · doi:10.1053/j.gastro.2013.08.038 · Cited by 234 · see citing works
Bernstein, C. N., Zhang, L., Lix, L. M., Graff, L. A., Walker, J. R., Fisk, J. D., Patten, S. B., Hitchon, C. A., Bolton, J. M., Sareen, J., et al. (2018) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izy068 · Cited by 120 · see citing works
Armuzzi, A., & Liguori, G. (2021) · Digestive and Liver Disease · doi:10.1016/j.dld.2021.03.002 · Cited by 119 · see citing works
Lewis, K., Marrie, R. A., Bernstein, C. N., Graff, L. A., Patten, S. B., Sareen, J., Fisk, J. D., Bolton, J. M., CIHR Team in Defining the Burden and Managing the Effects of Immune-Mediated Inflammatory Disease, Marrie, R. A., et al. (2019) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izz045 · Cited by 115 · see citing works
Zhao, L., Xiong, Q., Stary, C. M., Mahgoub, O. K., Ye, Y., Gu, L., Xiong, X., & Zhu, S. (2018) · Journal of Neuroinflammation · doi:10.1186/s12974-018-1382-3 · Cited by 113 · see citing works
Knowles, S. R., Wilson, J. L., Connell, W. R., & Kamm, M. A. (2011) · Inflammatory Bowel Diseases · doi:10.1002/ibd.21650 · Cited by 113 · see citing works
The Impact of Inflammatory Bowel Disease in Canada 2018: Quality of Life
Jones, J., Nguyen, G. C., Benchimol, E. I., Bernstein, C. N., Bitton, A., Kaplan, G. G., Murthy, S. K., Lee, K., Cooke-Lauder, J., & Otley, A. R. (2018) · Journal of the Canadian Association of Gastroenterology · doi:10.1093/jcag/gwy048 · Cited by 112 · see citing works
Knowles, S. R., Gass, C., & Macrae, F. (2013) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2013.01.018 · Cited by 106 · see citing works
Psychotherapy for inflammatory bowel disease: a review and update
McCombie, A. M., Mulder, R. T., & Gearry, R. B. (2013) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2013.02.004 · Cited by 105 · see citing works
Gerbarg, P. L., Jacob, V. E., Stevens, L., Bosworth, B. P., Chabouni, F., DeFilippis, E. M., Warren, R., Trivellas, M., Patel, P. V., Webb, C. D., et al. (2015) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000568 · Cited by 103 · see citing works
Knowles, S. R., Monshat, K., & Castle, D. J. (2013) · Inflammatory Bowel Diseases · doi:10.1097/mib.0b013e318296ae5a · Cited by 102 · see citing works
The Brain-Gut Axis and Stress in Inflammatory Bowel Disease
Bernstein, C. N. (2017) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2017.08.006 · Cited by 99 · see citing works
Unmet Medical Needs in Ulcerative Colitis: An Expert Group Consensus
Danese, S., Allez, M., Bodegraven, A. A. V., Dotan, I., Gisbert, J. P., Hart, A. L., Lakatos, P. L., Magro, F., Peyrin‐Biroulet, L., Schreiber, S., et al. (2019) · Digestive Diseases · doi:10.1159/000496739 · Cited by 99 · see citing works
How IBD patients cope with IBD: A systematic review
McCombie, A., Mulder, R., & Gearry, R. B. (2012) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2012.05.021 · Cited by 89 · see citing works
(2017) · Europe PMC (PubMed Central) · Cited by 86 · see citing works
Self-citationKeefer, L., Bedell, A., Norton, C. S., & Hart, A. L. (2022) · Gastroenterology · doi:10.1053/j.gastro.2021.08.060 · Cited by 88 · see citing works
Self-citationSymptoms of anxiety/depression is associated with more aggressive inflammatory bowel disease
Gao, X., Tang, Y., Lei, N., Luo, Y., Chen, P., Liang, C., Duan, S., & Zhang, Y. (2021) · Scientific Reports · doi:10.1038/s41598-021-81213-8 · Cited by 84 · see citing works
Sehgal, P., Ungaro, R. C., Foltz, C., Iacoviello, B., Dubinsky, M. C., & Keefer, L. (2021) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izaa196 · Cited by 82 · see citing works
Self-citationNaliboff, B. D., Kim, S. E., Bolus, R. R., Bernstein, C. N., Mayer, E. A., & Chang, L. (2011) · The American Journal of Gastroenterology · doi:10.1038/ajg.2011.377 · Cited by 82 · see citing works
Alexithymia and Inflammatory Bowel Disease: A Systematic Review
Martino, G., Caputo, A., Schwarz, P., Bellone, F., Fries, W., Quattropani, M. C. A., & Vicario, C. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.01763 · Cited by 81 · see citing works
Zhang, M., Hong, L., Zhang, T., Lin, Y., Zheng, S., Zhou, X., Fan, R., Wang, Z., Zhang, C.-L., & Zhong, J. (2016) · Patient Preference and Adherence · doi:10.2147/ppa.s118413 · Cited by 76 · see citing works
Dibley, L. B., Norton, C. S., & Whitehead, E. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13492 · Cited by 75 · see citing works
Knowles, S. R., Cook, S. I., & Tribbick, D. (2013) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2013.02.022 · Cited by 74 · see citing works
van der Have, M., Brakenhoff, L. K. P. M., van Erp, S. J. H., Kaptein, A. A., Leenders, M. B., Scharloo, M., Veenendaal, R. A., van der Heijde, D. M. F. M., Jong, A. E. V. D. M., Hommes, D. W., et al. (2014) · Journal of Crohn s and Colitis · doi:10.1093/ecco-jcc/jju025 · Cited by 74 · see citing works
Behavioural medicine and gastrointestinal disorders: the promise of positive psychology
Keefer, L. (2018) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-018-0001-1 · Cited by 69 · see citing works
Self-citationChronic Pain in Inflammatory Bowel Disease
Morrison, G., van Langenberg, D. R., Gibson, S. J., & Gibson, P. R. (2013) · Inflammatory Bowel Diseases · doi:10.1097/mib.0b013e318280e729 · Cited by 67 · see citing works
Jordan, C., Sin, J., Fear, N. T., & Chalder, T. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.06.001 · Cited by 66 · see citing works
Larsson, K., Lööf, L., & Nordin, K. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13581 · Cited by 59 · see citing works
van der Have, M., Fidder, H. H., Leenders, M. B., Kaptein, A. A., van der Valk, M. E., Bodegraven, A. A. V., Dijkstra, G. D. H., de Jong, D. J., Pierik, M. J., Ponsioen, C. Y., et al. (2015) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000278 · Cited by 58 · see citing works
Freitas, T. H., Hyphantis, T. N., Andreoulakis, E., Quevedo, J., Miranda, H. L. L., Alves, G. S., de Souza, M. H. L. P., Braga, L. L. B. C., Pargäment, K. I., Soczynska, J. K., et al. (2015) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2014-1507 · Cited by 58 · see citing works
Vegni, E. A. M., Gilardi, D., Bonovas, S., Corrò, B. E., Menichetti, J., Leone, D., Mariangela, A., Furfaro, F., Danese, S., & Fiorino, G. (2018) · Journal of Crohn s and Colitis · doi:10.1093/ecco-jcc/jjy183 · Cited by 57 · see citing works
Keefer, L., Doerfler, B., & Artz, C. (2011) · Inflammatory Bowel Diseases · doi:10.1002/ibd.21679 · Cited by 56 · see citing works
Self-citationQuality of Life in Patients With Inflammatory Bowel Disease: Importance of Psychological Symptoms
Mitropoulou, M.-A., Fradelos, Ε. C., Lee, K. Y., Malli, F., Tsaras, K., Christodoulou, G. N., & Papathanasiou, I. V. (2022) · Cureus · doi:10.7759/cureus.28502 · Cited by 54 · see citing works
Leone, D., Gilardi, D., Corrò, B. E., Menichetti, J., Vegni, E. A. M., Correale, C., Mariangela, A., Furfaro, F., Bonovas, S., Peyrin‐Biroulet, L., et al. (2019) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izy400 · Cited by 53 · see citing works
Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?
van Erp, S. J. H., Brakenhoff, L. K. P. M., Vollmann, M., van der Heijde, D. M. F. M., Veenendaal, R. A., Fidder, H. H., Hommes, D. W., Kaptein, A. A., Jong, A. E. V. D. M., & Scharloo, M. (2016) · International Journal of Behavioral Medicine · doi:10.1007/s12529-016-9599-y · Cited by 52 · see citing works
Behavioral interventions may prolong remission in patients with inflammatory bowel disease
Keefer, L., Kiebles, J. L., Martinovich, Z., Cohen, E., Denburg, A. N. V., & Barrett, T. A. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.12.005 · Cited by 51 · see citing works
Self-citationPurc‐Stephenson, R. J. (2014) · Rehabilitation Psychology · doi:10.1037/a0035353 · Cited by 51 · see citing works
Psychological factors and stress in inflammatory bowel disease
Triantafillidis, J. K., Merikas, E., & Gikas, A. (2013) · Expert Review of Gastroenterology & Hepatology · doi:10.1586/egh.13.4 · Cited by 50 · see citing works
Brooks, A. J., Norman, P., Peach, E. J., Ryder, A., Scott, A. J., Narula, P., Corfe, B. M., Lobo, A., & Rowse, G. (2019) · Journal of Crohn s and Colitis · doi:10.1093/ecco-jcc/jjz028 · Cited by 49 · see citing works
Validation of the Italian translation of the Inflammatory Bowel Disease Questionnaire
Ciccocioppo, R., Klersy, C., Russo, M. L., Valli, M., Boccaccio, V., Imbesi, V., Ardizzone, S., Porro, G. B., & Corazza, G. R. (2011) · Digestive and Liver Disease · doi:10.1016/j.dld.2010.12.014 · Cited by 47 · see citing works
McCombie, A., Mulder, R., & Gearry, R. B. (2015) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000476 · Cited by 46 · see citing works
Sexual Quality of Life in Inflammatory Bowel Disease: A Multicenter, National-Level Study
Roseira, J., Magro, F., Fernandes, S. R., Simões, C., Portela, F., Vieira, A. I., Patita, M., Leal, C., Lago, P. M., Caldeira, P. M., et al. (2019) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izz185 · Cited by 43 · see citing works
Philippou, A., Sehgal, P., Ungaro, R. C., Wang, K., Bagiella, E., Dubinsky, M. C., & Keefer, L. (2022) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izab200 · Cited by 43 · see citing works
Self-citationThe Potential Role of a Self-Management Intervention for Ulcerative Colitis
Keefer, L., Kiebles, J. L., Kwiatek, M. A., Palsson, O. S., Taft, T., Martinovich, Z., & Barrett, T. A. (2011) · Biological Research For Nursing · doi:10.1177/1099800410397629 · Cited by 43 · see citing works
Self-citationWalter, J. G., Kahn, S. A., Noe, J. D., Schurman, J. V., Miller, S. A., & Greenley, R. N. (2016) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000657 · Cited by 43 · see citing works
Bessissow, T., Chao, C., Lemieux, C., Restellini, S., Afif, W., Bitton, A., Lakatos, P. L., & Wild, G. (2019) · Saudi Journal of Gastroenterology · doi:10.4103/sjg.sjg_566_18 · Cited by 43 · see citing works
Substantial impact of illness perceptions on quality of life in patients with Crohn's disease
van der Have, M., Minderhoud, I. M., Kaptein, A. A., Leenders, M. B., Siersema, P. D., Fidder, H. H., & Oldenburg, B. (2012) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2012.11.002 · Cited by 38 · see citing works
Tarar, Z. I., Zafar, M. U., Farooq, U., Ghous, G., Aslam, A., Inayat, F., & Ghouri, Y. A. (2022) · International Journal of Colorectal Disease · doi:10.1007/s00384-021-04056-9 · Cited by 37 · see citing works
Sirois, F. M., & Hirsch, J. K. (2017) · British Journal of Health Psychology · doi:10.1111/bjhp.12262 · Cited by 36 · see citing works
Reigada, L. C., Benkov, K. J., Bruzzese, J., Hoogendoorn, C., Szigethy, E., Briggie, A., Walder, D. J., & Warner, C. M. (2013) · Journal for Specialists in Pediatric Nursing · doi:10.1111/jspn.12019 · Cited by 34 · see citing works
Schoultz, M., Macaden, L., & Hubbard, G. (2016) · Pilot and Feasibility Studies · doi:10.1186/s40814-015-0041-z · Cited by 34 · see citing works
Yoon, J. Y., Shin, J. E., Park, S. H., Park, D. I., & Cha, J. M. (2017) · Gut and Liver · doi:10.5009/gnl16422 · Cited by 31 · see citing works
High Frequency of Undiagnosed Psychiatric Disorders in Inflammatory Bowel Diseases
Marafini, I., Longo, L., Lavasani, D. M., Rossi, R., Salvatori, S., Pianigiani, F., Calabrese, E., Siracusano, A., Lorenzo, G. D., & Monteleone, G. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9051387 · Cited by 31 · see citing works
Li, C., Hou, Z., Liu, Y., Ji, Y.-N., & Xie, L. (2018) · International Journal of Nursing Practice · doi:10.1111/ijn.12699 · Cited by 31 · see citing works
Sweeney, L., Moss-Morris, R., Czuber-Dochan, W., Belotti, L., Kabeli, Z., & Norton, C. (2019) · British Journal of Pain · doi:10.1177/2049463719844539 · Cited by 29 · see citing works
Psychological mediators of psychological distress and quality of life in inflammatory bowel disease
Kantidakis, J. D., Moulding, R., & Knowles, S. R. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110596 · Cited by 26 · see citing works
The Interaction between Stress and Inflammatory Bowel Disease in Pediatric and Adult Patients
Belei, O., Basaca, D.-G., Olariu, L., Pantea, M., Bozgan, D., Nanu, A.-M., Sîrbu, I., Mărginean, O., & Enătescu, I. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13051361 · Cited by 29 · see citing works
Luo, H., Sun, Y., Li, Y., Lv, H., Sheng, L., Wang, L., & Qian, J. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.07.013 · Cited by 25 · see citing works
Möller, S. P., Apputhurai, P., Tye–Din, J. A., & Knowles, S. R. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110652 · Cited by 26 · see citing works
How do psychological variables influence coping strategies in inflammatory bowel disease?
Iglesias–Rey, M., Acosta, M. B., Caamaño‐Isorna, F., Vázquez, I., González, A. L., Lindkvist, B., & Domínguez‐Muñoz, J. E. (2012) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2012.09.017 · Cited by 25 · see citing works
Personality and fatigue perception in a sample of IBD outpatients in remission: A preliminary study
Banovic, I., Gilibert, D., Jébrane, A., & Cosnes, J. (2011) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2011.11.006 · Cited by 23 · see citing works
Artom, M., Czuber‐Dochan, W., Sturt, J. A., & Norton, C. S. (2017) · Trials · doi:10.1186/s13063-017-1926-3 · Cited by 23 · see citing works
Sherwin, L. B., Leary, E. V., & Henderson, W. A. (2016) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20160803-01 · Cited by 22 · see citing works
Rapport, F., Clement, C., Seagrove, A. C., Alrubaiy, L., Hutchings, H. A., & Williams, J. G. (2019) · BMC Gastroenterology · doi:10.1186/s12876-019-1085-y · Cited by 22 · see citing works
Borg, A., Gómez, A., Cederlund, A., Cobar, F., Qiu, V., Lindblom, J., Emamikia, S., Enman, Y., Pettersson, S., & Parodis, I. (2020) · Lara D. Veeken · doi:10.1093/rheumatology/keaa909 · Cited by 21 · see citing works
Roseira, J., de Sousa, H. T., Marreiros, A., Contente, L., & Magro, F. (2021) · Health and Quality of Life Outcomes · doi:10.1186/s12955-021-01698-9 · Cited by 20 · see citing works
AGA Clinical Practice Update on Pain Management in Inflammatory Bowel Disease: Commentary
Keefer, L., Hashash, J. G., Szigethy, E., & Mayer, E. A. (2024) · Gastroenterology · doi:10.1053/j.gastro.2024.03.034 · Cited by 20 · see citing works
Self-citationApplication of the common sense model in inflammatory bowel disease: A systematic review
Hayes, B., Moller, S., Wilding, H., Burgell, R., Apputhurai, P., & Knowles, S. R. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110283 · Cited by 19 · see citing works
Online Mindfulness Intervention for Inflammatory Bowel Disease: Adherence and Efficacy
Forbes, L., & Johnson, S. K. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.709899 · Cited by 18 · see citing works
Graff, L. A., Fowler, S. A., Jones, J., Benchimol, E. I., Bitton, A., Huang, J. G., Kuenzig, M. E., Kaplan, G. G., Lee, K., Mukhtar, M. S., et al. (2021) · Journal of the Canadian Association of Gastroenterology · doi:10.1093/jcag/gwab031 · Cited by 17 · see citing works
Haapamäki, J., Heikkinen, E., Sipponen, T. M., Roine, R. P., & Arkkila, P. E. T. (2018) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365521.2018.1500639 · Cited by 18 · see citing works
From gut to brain: understanding the role of microbiota in inflammatory bowel disease
Wang, S.-Y., Zhou, S.-W., Han, Z.-Y., Yu, B., Xu, Y., Lin, Y.-M., Chen, Y., Jin, Z., Li, Y.-L., Cao, Q., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1384270 · Cited by 17 · see citing works
Ng, J. Y., Chauhan, U., Armstrong, D., Marshall, J. K., Tse, F., Moayyedi, P., Reinisch, W., & Halder, S. L. S. (2018) · Gastroenterology Nursing · doi:10.1097/sga.0000000000000338 · Cited by 17 · see citing works
The Common Sense Model of Self-Regulation: Meta-Analysis and Test of a Process ModelPreprint
Hagger, M. S., Koch, S., Chatzisarantis, N. L. D., & Orbell, S. (2017) · doi:10.31234/osf.io/wx54h · Cited by 20 · see citing works
Evaluation of an integrated yoga program in patients with inflammatory bowel disease: A pilot study
Kaur, S., D’Silva, A., Rajagopalan, V., Kumar, A., Jijon, H. B., Panaccione, R., Fung, T. S., Taylor, L., & Raman, M. (2021) · EXPLORE · doi:10.1016/j.explore.2021.04.006 · Cited by 15 · see citing works
Jordan, C., Hayee, B., & Chalder, T. (2019) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2326 · Cited by 14 · see citing works
Problem gambling during Covid-19
Frisone, F., Alibrandi, A., & Settineri, S. (2020) · Mediterranean Journal of Clinical Psychology · doi:10.6092/2282-1619/mjcp-2457 · Cited by 15 · see citing works
Evertsz, F. B., Sprangers, M. A. G., de Vries, L. M., Sanderman, R., Stokkers, P. C. F., Verdam, M. G. E., Burger, H., & Bockting, C. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465819000444 · Cited by 15 · see citing works
The clinical value of psycho‐gastroenterological interventions for functional esophageal symptoms
Hurtte, E., Rogers, B. D., Richards, C., & Gyawali, C. P. (2022) · Neurogastroenterology & Motility · doi:10.1111/nmo.14315 · Cited by 12 · see citing works
Mercuri, C., Giordano, V., Bosco, V., Serra, N., Spagnuolo, R., Nocerino, R., Rea, T., Colaci, C., Guillari, A., Doldo, P., et al. (2024) · Healthcare · doi:10.3390/healthcare12242538 · Cited by 12 · see citing works
Self-Management Techniques in IBD
Keefer, L., & Kane, S. V. (2015) · Springer eBooks · doi:10.1007/978-3-319-22285-1_5 · Cited by 12 · see citing works
Self-citationZhang, M., Zhang, T., Hong, L., Zhang, C., Zhou, J., Fan, R., Wang, L., Wang, Z., Xu, B., & Zhong, J. (2018) · Patient Preference and Adherence · doi:10.2147/ppa.s156883 · Cited by 11 · see citing works
The IBD-Cope: A New Instrument for Measuring Coping in Inflammatory Bowel Disease Patients
McCombie, A., Swaminathan, A., Mulder, R., Frampton, C., Kortlever, T. L., & Gearry, R. B. (2016) · Journal of Crohn s and Colitis · doi:10.1093/ecco-jcc/jjw028 · Cited by 11 · see citing works
Hayes, B., Apputhurai, P., Mikocka‐Walus, A. A., Acosta, M. B., Bernstein, C. N., Burgell, R., Burisch, J. M., Evertsz, F. B., Ferreira, N. B., Graff, L. A., et al. (2021) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-021-09823-y · Cited by 10 · see citing works
McCombie, A., Gearry, R. B., Lopez, R. N., Lönnfors, S., & Day, A. S. (2017) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000001526 · Cited by 10 · see citing works
Keefer, L., Taft, T., & Kiebles, J. L. (2012) · Wiley eBooks · doi:10.1002/9781118133880.hop209016 · Cited by 10 · see citing works
Self-citationSocial alienation in patients with inflammatory bowel diseases: A latent profile analysis
Wang, Q., Gu, J., Lin, Z., Li, S., Zhou, M., Yang, J., Cheng, H., Chen, J., & Lei, Y. (2025) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2025.06.007 · Cited by 9 · see citing works
Partners of patients with inflammatory bowel disease: how important is their support?
Lahat, A., Neuman, S., Eliakim, R., & Ben‐Horin, S. (2014) · Clinical and Experimental Gastroenterology · doi:10.2147/ceg.s62173 · Cited by 8 · see citing works
What can we do to tackle anxiety and depression in patients with inflammatory bowel disease?
Keefer, L. (2021) · The Lancet Gastroenterology & Hepatology · doi:10.1016/s2468-1253(21)00066-2 · Cited by 8 · see citing works
Self-citationPur, R. A., & Ghorbani, M. (2015) · GOVARESH · Cited by 6 · see citing works
Hayes, B., Burgell, R., Apputhurai, P., Garg, M., & Knowles, S. R. (2022) · The Turkish Journal of Gastroenterology · doi:10.5152/tjg.2021.201158 · Cited by 8 · see citing works
A Phenomenological Investigation of Trauma in 18 Adults Living With Inflammatory Bowel Disease
Glynn, H., & Knowles, S. R. (2022) · Clinical Nursing Research · doi:10.1177/10547738221075649 · Cited by 5 · see citing works
Barello, S., Leone, D., Danese, S., & Vegni, E. A. M. (2013) · Psychology Health & Medicine · doi:10.1080/13548506.2013.855317 · Cited by 5 · see citing works
Examining Psychosocial Mechanisms of Pain-Related Disability in Inflammatory Bowel Disease
Fretz, K. M., Tripp, D. A., Katz, L., Ropeleski, M. J., & Beyak, M. J. (2019) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-019-09627-1 · Cited by 5 · see citing works
Wilkin, K., Evans, S., Van Niekerk, L., Romano, D., Fuller-Tyszkiewicz, M., Knowles, S., Chesterman, S., Raven, L., & Mikocka-Walus, A. (2024) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-023-09999-5 · Cited by 5 · see citing works
“Despite this, access to psychological support remains sparse or poorly directed for those with IBD, with the focus of treatment remaining predominantly on biomedical intervention (Kiebles et al., 2010).”
BackgroundResultInfluential
- Authors
- Kiebles, J. L., Doerfler, B., & Keefer, L.
- Affiliations
- Northwestern University (US)
- Venue
- Inflammatory Bowel Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-10
- Volume
- 16
- Issue
- 10
- Pages
- 1685-1695
- ISSN
- 1078-0998 (ISSN-L)
- PMC
- PMC2946432
- OpenAlex
- W2001012319
- Cited by
- 132
- References
- 32
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 4 · 2022: 9 · 2021: 13 · 2020: 7 · 2019: 12 · 2018: 13 · 2017: 10 · 2016: 9 · 2015: 8 · 2014: 8 · 2013: 11 · 2012: 8
- FWCI
- 4.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Inflammatory Bowel Diseases (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Northwestern Medical Faculty Foundation
- Northwestern University
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (U01DK077738)
- National Center for Complementary and Integrative Health (R21AT003204)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- inflammatory bowel disease, psychological adjustment
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Colitis, Ulcerative, Crohn Disease, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prognosis, Psychiatric Status Rating Scales, Stress, Psychological, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
