An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood
Open accessAbstract
Purpose Depressive symptomatology in IBD patients is known to predict disease activity, which, in turn, can increase depressive symptoms in perpetuating a cycle between depression and IBD symptomatology. The mechanisms that contribute to the relationship between disease activity and depressive symptoms are not clearly investigated yet. Since emotion regulation has been considered particularly relevant to define the impact of adverse experiences on different outcomes, the current study aimed to examine the longitudinal influence of two maladaptive emotion regulation processes, cognitive fusion and brooding, on the association between disease activity and depressed mood.Methods This study was conducted over an 18-month period, using a sample of 116 IBD patients that completed self-report validated measures in three different waves. Correlation analyses and cross-lagged panel models were performed.Results The main result from this study discovered that the experience of IBD symptomatology at baseline, although positively linked to the manifestation of depressed mood 18 months later (r = 0.25; p < 0.01), does not directly predict depressive symptoms. This relationship is rather indirect, as it is explained by the engagement in cognitive fusion (p = 0.028) and brooding (p = 0.017). These maladaptive emotion regulation processes, that were revealed to be consistent over time, link IBD symptoms with subsequent depressed mood.Conclusions These findings indicate that clinicians should be aware of the emotion regulation processes patients tend to use to handle difficult experiences. The inclusion of psychological assessments and interventions in the healthcare of IBD patients should be seriously considered. Further implications are discussed.
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These findings are in line with evidence from previous studies supporting the associations between PF processes and aspects of daily functioning in GI conditions.
“On the positive side, these findings are in line with evidence from previous studies supporting the associations between PF processes and aspects of daily functioning in GI conditions.”
From Preliminary investigation of the associations between psychological flexibility, symptoms and daily functioning in people with chronic abdominal pain (2021) · cites this paper as [53]
Cognitive fusion has been observed to predict depressive mood in people with IBD in a longitudinal study.
“Cognitive fusion has also been observed to predict depressive mood in people with IBD in a longitudinal study.53”
From Preliminary investigation of the associations between psychological flexibility, symptoms and daily functioning in people with chronic abdominal pain (2021) · cites this paper as [53]
A number of studies have been undertaken on psychological factors linked to depression, including mastery, self-esteem, optimism, negative self-image, current or past mental health conditions, neuroticism, brooding, conflict, negative thinking, insight, cognitive fusion, emotional clarity, rumination, dysfunctional attitudes, interpretation bias, and attachment style.
“A number of studies have been undertaken on the psychological factors linked to depression (including mastery, self-esteem, optimism, negative self-image, current or past mental health conditions, and various other aspects, including neuroticism, brooding, conflict, negative thinking, insight, cognitive fusion, emotional clarity, rumination, dysfunctional attitudes, interpretation bias, and attach”
From Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature (2021) · cites this paper as [66]
There are myriad ways of measuring depression and its determinants.
“This review highlighted the myriad ways of measuring depression and its determinants [66,85,281,298,451,485].”
From Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature (2021) · cites this paper as [66]
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- Authors
- Trindade, I. A., Ferreira, C., Moura-Ramos, M., & Pinto-Gouveia, J.
- Affiliations
- University of Coimbra (PT)
- Corresponding author
- Trindade, Inês A.
- Venue
- International Journal of Colorectal Disease
- Published
- 2017-02-09
- Volume
- 32
- Issue
- 5
- Pages
- 651-660
- ISSN
- 0179-1958 (ISSN-L)
- 1432-1262
- OpenAlex
- W2586906265
- Cited by
- 20
- References
- 50
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 1
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- International Journal of Colorectal Disease (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Funders
- Fundação para a Ciência e a Tecnologia (SFRH/BD/101906/2014)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- inflammatory bowel disease, depressive symptoms, depressive mood, emotion regulation, cognitive fusion, brooding, maladaptive emotion regulation, disease activity, psychological intervention
- MeSH terms
- Adolescent, Adult, Affect, Aged, Cognition, Demography, Depression, Emotions, Female, Humans, Male, Middle Aged, Inflammatory Bowel Diseases, Young Adult
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