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Cited by 7Inflammatory Bowel DiseaseStress Responses and CortisolPsychosomatic Disorders and Their Treatments

Comparison of stress indices in gauging clinical activity in patients with inflammatory bowel disease

Duffy, Linda C., Zielezny, Maria A., Marshall, James R., Weiser, Milton M., Phillips, James F., Byers, Tim E., Ogra, Pearay L., Graham, Saxon·1992·Journal of Traumatic Stress
DOI 10.1002/jts.2490050409
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Abstract

Stress indices are widely available but few have been validated or used for monitoring clinical disease activity in chronic inflammatory disorders. One hundred twenty‐three outpatients with inflammatory bowel disease (IBD) participated in this prospective investigation. Stress events (major events, daily strains, perceived stress) and disease activity were monitored for six consecutive follow‐ups using standardized instruments. We present effect estimates of daily strains on clinical disease activity separately from the effect of major stress events. Our results indicate that the stress measures were moderately correlated, correlation coefficients ranged from .64 to .66. In relation to disease, self‐perceived stress using a stress ladder (r = .31, p < .001) was comparable to probing stress event checklists (major events: r = .34, p < .001; daily strains: r = .20, p = NS). A multiple linear regression analysis revealed that each of the three methods of evaluating stress makes a significant contribution, even after adjustment for potential confounders. No substantial increase in the proportion of explained variance was evident in an analysis based on a composite index of events and daily strains. A clinical implications of these results is that while self‐perceptions of emotional stress may be less objective measures, influencing changes in stress perceptions may be useful in the treatment and prevention of IBD.

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Crossref · 10.1002/jts.2490050409

Cites

27 of 27 references verified0 citation errors · 0 not checkable

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Daily hassles covaried with disease activity in people with CD over 28 days and 84 days but not in a mixed IBD sample over 6 months.

    “Daily hassles covaried with disease activity in people with CD over 28 days 36 and 84 days 56 but not in a mixed IBD sample over 6 months. 26”

    From Systematic review: the role of psychological stress in inflammatory bowel disease (2022) · cites this paper as [26]

  • Stress and disease activity covaried in six studies.

    “Stress and disease activity covaried in six studies, 12 , 23 , 26 , 36 , 38 , 56”

    From Systematic review: the role of psychological stress in inflammatory bowel disease (2022) · cites this paper as [26]

  • Of the eight studies that compared life events and disease activity, four found no association and four found life events preceded IBD exacerbation.

    “Of the eight studies that compared life events and disease activity, 15 , 24 , 26 , 30 , 32 , 36 , 53 , 57 four studies found no association 30 , 36 , 53 , 57 and four studies found life events preceded IBD exacerbation. 15 , 24 , 26 , 32”

    From Systematic review: the role of psychological stress in inflammatory bowel disease (2022) · cites this paper as [26]

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Authors
Duffy, L. C., Zielezny, M. A., Marshall, J. R., Weiser, M. M., Phillips, J. F., Byers, T. E., Ogra, P. L., & Graham, S.
Affiliations
  • University at Buffalo, State University of New York (US)
  • Buffalo General Medical Center (US)
  • Centers for Disease Control and Prevention (US)
ORCID
Marshall, James R.
Venue
Journal of Traumatic Stress
Publisher
Wiley
Published
1992-10
Volume
5
Issue
4
Pages
601-612
ISSN
  • 0894-9867 (ISSN-L)
  • 1573-6598
DOI
10.1002/jts.2490050409
OpenAlex
W1968727668
Cited by
7
References
27
Citations by year
2022: 1 · 2020: 1
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4889 d)
Locations
Journal of Traumatic Stress (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Child Health and Human Development
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
inflammatory bowel disease, stress indices, perceived stress, disease activity monitoring, psychosocial stress, Crohn's disease, ulcerative colitis

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